Who cleans the poo?

Nurses General Nursing

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 Public Health, TB.

Yeah, where I've worked nursing had to clean up all visible "stuff." In my last facility, the Linen Conservation Committee ( formed because laundry costs were too high) decreed that patient linen was not to be used for such tasks. Of course, there was nothing else available other than paper towels, and hand soap.

One night I responded to a bathroom call light, but stopped at the room door. There was a brown river/lake/slough snaking from the bed to the bathroom, and moving slowly toward the door. One of my favorite aides came running right behind me and I stopped him just in time. We looked at each other, trying to strategize our next move. I threw caution to the wind, and grabbed an armful of bath blankets and created a walk way to the bathroom to get to the patient, get some slack in the IV line stretched halfway across the room, and silence that dang call light. Patient gets tossed in the shower, and we mucked out that room, and changed the bed. We made a pact that if anyone asked about the soiled linen, that the patient had a blow out in bed. Once the patient was shiny clean in his fresh bed, we paged housekeeping to mop.

1 Votes

I don't know if the set policy. But if saw solid poop on the floor because of my patient I would glove up and pick it up. Then I would take a saniwipe and quickly go over that area and then call housekeeping.

I understand we are busy but at the same time it shouldn't take that much time.

Specializes in ICU.

Who is attending to your patients while you are are spending 45 minutes cleaning, while your unionized cleaning crew cannot? That makes no sense at all. If they are that worried about being exposed to body fluids, poop, etc., they are in the wrong job.

Specializes in Private Duty Pediatrics.
I don't know if the set policy. But if saw solid poop on the floor because of my patient I would glove up and pick it up. Then I would take a saniwipe and quickly go over that area and then call housekeeping.

I understand we are busy but at the same time it shouldn't take that much time.

Exactly. This is what I would do. :yes:

Specializes in LTC, Rehab.

Is this a sequel to "Who Let the Dogs Out"? :^) Seriously ... it's usually the CNA's, but I've cleaned up poop in a pinch several times, and have cleaned up something else at work numerous times that I'd bet few have, which ... is... cat vomit. No, I'm not joking, ha ha...

Specializes in Psych (25 years), Medical (15 years).
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

It was going to be a surprise, thatgirl, but I guess I'm going to have to change Saturday night's date plans.

There's no earthly reason a housekeeper cannot clean up poo off the floor/toilet/whatever. Or even blood. They can be trained to don PPE just as easily as a nurse aide/tech can. No nursing license or CNA certification necessary.

1 Votes
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I think the worst part is being completely oblivious to it. Just walking, dropping turds and moving right along. Dear God, please NO!

Yup. It's the same at my unionized job. The bulk of any bodily fluids must be cleaned up prior, otherwise Housekeeping won't touch it.

We also can't throw any soiled bedpans/commode buckets/etc into the trash. Pretty much a bedpan needs to be clean enough to eat off of before it can be discarded. If you have C-Diff overflowing, and just want to toss it, it has to be put in a hazardous material bag and discarded separately.

Trash hasn't been collected in 12 hrs and is overflowing? Guess what? They won't remove it because it's "too heavy."

They also can't clean any equipment if it's plugged in. I've seen them call a nurse into an empty room to unplug an IV pump before they'll even enter the room to clean it.

I don't agree with these policies, and there are several more that are just as ridiculous.

Specializes in Case manager, float pool, and more.

Trash hasn't been collected in 12 hrs and is overflowing? Guess what? They won't remove it because it's "too heavy."

:wideyed: Oh wow. Now that is really ridiculous. Wow, just wow. Ok so if trash is too heavy, who then takes it out?

Specializes in Medicine, Geriatrics, Ambulatory Care.
:wideyed: Oh wow. Now that is really ridiculous. Wow, just wow. Ok so if trash is too heavy, who then takes it out?

Seeing the general response from everyone, I think I can guess what the answer is ;)

Specializes in Medicine, Geriatrics, Ambulatory Care.
45 mins for 2 people to clean up formed stool on the floor? Something does not make sense here. Add in the fact that you felt the need to double glove leads me to think there is more to this story then you are sharing.

I also find it amusing that you want to double glove to protect yourself when you know the medical history, but find fault with the cleaners who don't have that knowledge from coming in and cleaning things up

I've had gloves rip on me so yes, I feel the need to double glove. feces was all over the side rails so I gowned up just in case. I tried not to go into the poopy details but it wasn't just a matter of solid poop on the ground. It was on the bed, the patient, his clothes. The stools that were on the ground weren't rock hard stools that got picked up in one scoop. It was a happy trail on to the bathroom. We had to clean up the patient, toss his street clothes in the laundry, run wipes on his bed. siderails and bedside table. The patient ended up making more mess in the bathroom. I didn't emphasize this as I know it was my responsibility to clean up the patient and the bedside area but I wanted to ask what the common policy is when it happens somewhere other than the bedside.

I'm not sure what didn't add up with this incident but I do love reading a conspiracy theory or two!

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