looking for feedback/advice on this idea

Specialties Orthopaedic

Published

BEDPANS DON'T WORK FOR FEMALE URINATION!!! As if you didn't already know... We have been using emesis basins and suction for our post cardiac cath females who are flat on bedrest for anywhere from 2 to 4 hours.

The basin can be pushed slightly into the mattress under the perineum, and the suction removes the urine, allowing you free hands to attend to personal hygiene. Does't it drive you crazy to have to find a place to put the pan while the paperwork gets done? How come we never noticed before that the fracture pan is BACKWARDS because the shallow part is at the back, where our bottoms push it down (causing spills up the back). It even works on 300 pounders! Try it out, save your aides back, your back, sheets, and most of all the female patients dignity! :uhoh3:

Specializes in Med/Surg, Ortho.

It sounds good but im afraid my facility would have a fit if we actually charged the patient for suction sets for that.

Laundry is cheaper, and being a ortho unit people should know how to move patients without hurting themselves or their backs.

Would be nice to try, but afraid the cost factor would make it impossible. Especially with medicare and some insurances scrutinizing charges I dont know how you could justify that charge.

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Specializes in peds, peds ICU, OB, Cath Lab,home health.
It sounds good but im afraid my facility would have a fit if we actually charged the patient for suction sets for that.

Laundry is cheaper, and being a ortho unit people should know how to move patients without hurting themselves or their backs.

Would be nice to try, but afraid the cost factor would make it impossible. Especially with medicare and some insurances scrutinizing charges I dont know how you could justify that charge.

Did you realize that medical supplies charges are basically ignored on inpatients? Re: knowing how to lift...most back and wrist injuries in health care (and any workplace) are related to repetetive tasks and not one time injuries - you really need to save your back! Linen may be cheaper, but nurses TIME is not, and how can you place a price on the patients dignity??? Fracture pans cost 50 cents. You do not need to use sterile supplies or suction tips. And its about time the facilities started actually caring about these inexpensive little things that make the nurses and patients lives easier -convince them to think OUTSIDE THE BOX! :nono:

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There is actually a female urinal that is made, only problem is that most facilities do not carry it.

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Specializes in peds, peds ICU, OB, Cath Lab,home health.
Wow! What a great idea! I work on Transitional Trauma with loads of spinal precaution patients (flat, log roll) and it is horrible to get them on and off the fracture pan not to mention the leaks.

So do you hold the emesis basin in there and suction while they pee? I think some of my younger patients (as young as 14 is considered an adult trauma patient + we get peds when peds is full) would object. Definitely should work for some of my older patients who are less modest though.

Ever notice the older we get and the more effect gravity has on our bodies, the less we care who sees it??? :rolleyes:

We usually set the pan, place the suction, and walk out.

as they pee, it gets sucked out of the pan, it doesn't touch the patient at all. Then they call us when they're done. I'm trying to get a bedpan company to "remodel" for just such patients - but they don't think there is a need.... Try it and let me know what your think, thanks for the feedback.

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Specializes in peds, peds ICU, OB, Cath Lab,home health.
There is actually a female urinal that is made, only problem is that most facilities do not carry it.

Yeah, I've tried it, but on supine patients it still leaks up the back, and its hard to do the paperwork with a bottle in your hand.

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Wow!!! What a great idea. I work on a Rehab floor and we have a morbidly obese patient who (as of my last shift) used the bedpan and every single time I placed it under her she leaked everywhere. I am going to mention this to her nurse this weekend (I am a CNA in nursing school right now). I will report back if anything comes of it. :)

-Bobcat

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Guess you couldn't use on a hip patient, wonder how it would work though using the fracture pan with the suction??

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Specializes in NICU.
Guess you couldn't use on a hip patient, wonder how it would work though using the fracture pan with the suction??

I was thinking the same thing. When I was a CNA, I used fracture pans instead of regular bedpans on almost all my female patients - they just seemed much more comfortable. Might be easier than an emesis basin?

Of course, I'm not one to talk - I'm forever devoted to the NICU, where Pampers rule the world!

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Specializes in peds, peds ICU, OB, Cath Lab,home health.
Guess you couldn't use on a hip patient, wonder how it would work though using the fracture pan with the suction??

We have put the suction in the fracture pans as well, and that does work.too. But the emesis basin doesn't actually go undet the buttocks, it is stategically placed under the perineum, and the butt cheeks hold it in place. :rolleyes:

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Specializes in peds, peds ICU, OB, Cath Lab,home health.

:coollook:

I was thinking the same thing. When I was a CNA, I used fracture pans instead of regular bedpans on almost all my female patients - they just seemed much more comfortable. Might be easier than an emesis basin?

Of course, I'm not one to talk - I'm forever devoted to the NICU, where Pampers rule the world!

:coollook: It probably would be difficult to get under a hip patient because their thighs are pretty close together. The nice thing about the shallow pan is you can get it in just by pushing it slightly into the mattress, no lifting of the patient. Just try putting the suction in the fracture pan , it;ll save you the problem of jockeying a full bedpan when trying to do the paperwork...

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Specializes in ORTHOPAEDICS-CERTIFIED SINCE 89.

It was called a Millie and we never had any problems with it.A chux will make it ok.

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It was called a Millie and we never had any problems with it.A chux will make it ok.

A chux will make it OK for who? The patients dignity is still lost chux or not. What about being a pt. advocate?

I will have to say, my mom just recovered from knee surgery, she had a foley, but the minute it was out, she had BRP and only with a nurse or PT helping her. That in itself was hard enough for her to get used to.

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