Who cleans the poo?

Updated:   Published

Providing hygiene care when a patient soil themselves is a given but what happens when poo appears in public areas or shared spaces?

The other day, I had a patient lose control over their bowels warning, graphic description* This patient stood up and proceeded to leave formed stools on the floor leading to the bathroom and painted all over the toilet bowl. I was told by the cleaners that there shouldn't be any visible poo before they can come in to surface clean the area. As per their union policy, they are not to be exposed to bodily fluids, etc.

So, my buddy nurse and I gowned up, double gloved and rid the area of feces using towels because as usual, all the CNA's are on break and there's only one running around for 65 acutely ill patients.

The cleaners finally came with mops and appropriate cleaning equipment to finish off while we had to get over the nooks and crannies using our feet and pick up stool while keeping an ear out for our patients who might be crashing and I wonder if this is something I can bring up to union to influence policy change. It took nearly 45 minutes to clean the place without the right equipment but should we be given mops and take on a cleaner's task when we have our own nursing responsibilities to take care off? It just didn't seem like an appropriate use of nursing time and I also would like to know if this is standard policy elsewhere?

Specializes in Psych (25 years), Medical (15 years).
The thought of formed stool randomly falling out of my rectum is horrible.

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Specializes in Psych (25 years), Medical (15 years).
Who cleans the poo?

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Specializes in Pediatrics, Pediatric Float, PICU, NICU.
Housekeeping is not unionized down here (Texas) so they would clean up.

It still is facility-dependent because my current hospital in TX requires that visible signs of any body fluids be removed before they come so that they can disinfect.

I agree with other posters as well, even if housekeeping should clean it up I wouldn't want a big obvious pile of bodily fluids laying around while I wait for them to come.

I mean, if they aren't a C.diff patient, then it's just poop right? Solid, formed poop? I mean, it's not my idea of a fun Saturday night, but it's just poop and you have gloves. But that may be years of having cats, dogs and kids to clean up after speaking.

What I don't get is why you'd use towels and not toilet paper... I mean with tp you can at least FLUSH it.

Specializes in Case manager, float pool, and more.

Clean up the obvious and have housekeeping disinfect. I mean, what if housekeeping takes a few to get there? Even if it were their job ( to get the obvious & disinfect ) I would still do a preliminary cleaning as best as possible.

Specializes in Psych, Peds, Education, Infection Control.
It still is facility-dependent because my current hospital in TX requires that visible signs of any body fluids be removed before they come so that they can disinfect.

I agree with other posters as well, even if housekeeping should clean it up I wouldn't want a big obvious pile of bodily fluids laying around while I wait for them to come.

I'm in IL, and my facility is psych, but that's our policy - visible body fluids/matter should be cleaned up by nursing staff, then housekeeping will disinfect. How do we decide which nursing staff member gets to do it? Usually whoever found it. Or we draw straws/trade favors.

Haha. I have not heard of that phrase but will have to use that on my coworkers! I think one of the issues we have with our profession is how broad our scope of practice is and we can't set firm boundaries as a result... it's just not this case though, even porters are prohibited from helping out with patient transfers and that's added task on top off the ones that allied health heap on to us. All this while being responsible for critical aspects of patient care.

I agree with this. I think there's a big general idea of "it's okay, nursing will do it." Physio not available to walk the patient? Nursing will do it. The phlebotomist is backed up? Nursing will do it. No unit clerk available this afternoon? Nursing will put the charts together. Porter's on a break? Nursing will bring the patient down to x-ray. Everything, in the end, falls to nursing. I don't even work in acute care and I see this all the time. In a primary care office, the physician wants the client to be referred for dental work? That's tasked to nursing to figure that out. A client needs help getting to and from an appointment - task it to nursing. A client doesn't have a phone and needs a message sent to them from the doc? Ask the outreach nurses to run it over. I'm actually working hard in our office at the moment to push for non-nursing tasks to go to non-nurses, but it's hard, because our providers are very used to just asking nursing to do it.

How can you clean a bathroom without being exposed to bodily fluids?

Any bathroom, even the one in my house? Ridiculous

My hospital implemented the same policy 2 years ago. Now I have to stop patient care to clean rooms. I had a patient pull out an iv and I spent 30 mins cleaning every visible speck of blood before housekeeping would finally come behind me and sanitize the room. I've been a nurse for 18 years and housekeeping refusing to clean bodily fluids is a new one for me. I think if they don't want to clean bodily fluids they should get a new job but somehow they get away with not doing their job. And of course it's just one more responsibility to fall on RNs We aren't to busy for one more task are we? Lol

I don't think there is more to the story. Yes, the nurse knows med history but I prefer to glove up extra when cleaning poop or visible blood. With the cheap gloves we get now a days I'm not taking any risks The cleaners have the option to double or triple glove too. I think the whole point is cleaning rooms is a waste of nurses' busy time. Cleaners are hired to clean and should be doing their jobs rather than having the nurses do everything I certainly don't see anyone doing my job or helping me out when I'm behind because I had to do the cleaners' work.

Specializes in Med/Surg/Infection Control/Geriatrics.

It is my understanding that Housekeepers go through BBP training, handwashing, Infection Control. Check your facility's policy. If they are trained in it, they need to clean it. I am the staff developer where I work in addition to being the Infection Preventionist and A.D.O.N.

Our housekeepers gown up etc and tackle whatever they run into, particularly in shared areas.

Specializes in Clinical Research, Outpt Women's Health.

Just clean that **** up and move on.

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