Skill Checklists for Taylor's Clinical Nursing Skills: A Nursing Process Approach

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Copyright © 2011 by Wolters Kluwer Health | Lippincott Williams & Wilkins. Skill Checklists for Taylor's Clinical Nursing Skills:

SKILL 12-1

Assisting With the Use of a Bedpan (Continued)

Comments

13. Remove gloves and additional PPE, if used. Perform hand
    hygiene.

Removing the Bedpan

14. Perform hand hygiene and put on gloves and additional
    PPE, as indicated. Adjust bed to comfortable working
    height, usually elbow height of the caregiver (VISN 8
    Patient Safety Center, 2009). Have a receptacle, such as
    plastic trash bag, handy for discarding tissue.


15. Lower the head of the bed, if necessary, to about 30 degrees.
    Remove bedpan in the same manner in which it was offered,
    being careful to hold it steady. Ask the patient to bend the
    knees and lift the buttocks up from the bedpan. Assist
    patient, if necessary, by placing your hand that is closest to
    the patient palm up, under the lower back, and assist with
    lifting. Place the bedpan on the bedside chair and cover it.


16. If patient needs assistance with hygiene, wrap tissue
    around the hand several times, and wipe patient clean,
    using one stroke from the pubic area toward the anal area.
    Discard tissue, and use more until patient is clean. Place
    patient on his or her side and spread buttocks to clean
    anal area.


17. Do not place toilet tissue in the bedpan if a specimen is
    required or if output is being recorded. Place toilet tissue
    in appropriate receptacle.


18. Return the patient to a comfortable position. Make sure
    the linens under the patient are dry. Replace or remove pad
    under the patient, as necessary. Remove your gloves and
    ensure that the patient is covered.


19. Raise side rail. Lower bed height and adjust head of bed to
    a comfortable position. Reattach call bell.


20. Offer patient supplies to wash and dry his or her hands,
    assisting as necessary.


21. Put on clean gloves. Empty and clean the bedpan, measur-
    ing urine in graduated container, as necessary. Discard
    trash receptacle with used toilet paper per facility policy.


22. Remove additional PPE, if used. Perform hand hygiene.

ExcellentSatisfactoryNeeds Practice