Bedpan/Urinal Administration of
Bedpan/Urinal Administration of
Purpose:
To provide the resident unable to use the bathroom with adequate facilities for elimination.
Equipment:
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Bedpan of appropriate size
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Urinal
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Toilet tissue
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Towel and washcloth
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Measuring receptacle if intake and output are to be measured
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Wash basin
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Specimen container if needed
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Disposable gloves
Procedure: Bedpan
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Preparation:
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Raise the side rail on the far side of the bed.
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Position the resident on their back, roll them away from you, and position the bedpan.
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Positioning:
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Gently roll the resident onto the bedpan.
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Raise the head of the bed until the resident is in a comfortable sitting position. Adjust the top linen for privacy.
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Providing Supplies:
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Place toilet tissue and the call light within the resident's reach.
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Instruct the resident to call for assistance when needed.
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If a specimen is to be collected, instruct the resident to call for assistance before using toilet tissue.
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After Elimination:
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Lower the head of the bed.
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Hold the bedpan to stabilize it, roll the resident away from you, and remove the bedpan.
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Note: Do not place the bedpan on the floor or bedside stand.
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Collect the specimen in the appropriate container if necessary (see procedure for specimen collection).
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Cleaning and Measuring:
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Assist the resident or cleanse the perineal area well with tissue if the resident is unable to assist. Instruct the resident to clean toward the rectum.
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Wash and dry the perineal area well with Provon, following protocol.
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Remove the bedpan and note its contents.
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Measure liquid output if necessary.
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Clean and store the bedpan per facility policy.
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Post-Care:
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Assist the resident in washing their hands.
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Leave the resident in a comfortable position with the call light within reach.
Procedure: Urinal
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Preparation:
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Position the resident on the side of the bed in a sitting position unless contraindicated.
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If the resident is not able to sit on the side of the bed, elevate the head of the bed as permitted.
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Positioning and Use:
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Assist the resident in placing the urinal, keeping the closed end tilted downward to avoid spilling.
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Raise both side rails, place toilet tissue and the call light within reach, and instruct the resident to call for assistance when needed.
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After Elimination:
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Remove the urinal.
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Note: Do not place the urinal on the floor or bedside stand.
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Collect the specimen in the appropriate container if necessary (see procedure for specimen collection).
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Cleaning and Measuring:
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Remove the urinal and note its contents.
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Measure liquid output if necessary.
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Clean and store the urinal per facility policy.
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Post-Care:
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Assist the resident in washing their hands.
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Leave the resident in a comfortable position with the call light within reach.
Documentation:
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Document bowel movements on the CNA Flowsheet.
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Document urine output if the resident is on I&O.
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Document the level of assistance provided on the CNA Flowsheet.
Compliance and Documentation:
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Adhere to CMS guidelines and Requirements of Participation for Long-Term Care Facilities.
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Document the procedure, including the resident’s response, in their medical record.
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Note any observations related to output, skin condition, and overall comfort.
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Regularly review and update techniques for the administration of bedpans and urinals according to the latest clinical best practices and regulatory standards.
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Provide training to staff on proper procedures for administering bedpans and urinals to ensure resident safety and comfort.
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Conduct regular audits to ensure compliance with this policy and address any gaps in practice or documentation.
References:
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Centers for Medicare & Medicaid Services (CMS). State Operations Manual (SOM), Appendix PP - Guidance to Surveyors for Long-Term Care Facilities.
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CMS Requirements of Participation for Nursing Homes.