Use one of your hands to keep the bedpan centered under the patient, and place the other hand around the patient's far hip. Be sure that the open rim of the bedpan is facing the foot of the bed. Place the bedpan firmly against the patient's buttocks and push it down into the mattress. Help the patient roll onto his or her side, moving toward the opposite side rail, with the patient's back toward you. Move the top linens as necessary to turn the patient while minimizing exposure. Lower the head of the bed to the flat position, or raise the head of the bed slightly if the patient can tolerate it given his or her medical condition. Raise the bed to a comfortable working level. 17) For the patient who is immobile or has mobility restrictions in getting onto the bedpan, follow these steps: - Apply clean gloves. Ensure that the patient has easy access to the call light, drinking water, and any personal items he or she might wish to use. Allow the patient to perform hand hygiene. 16) Place the bed in its lowest position. 15) Change any soiled linens, remove and dispose of gloves, and return the patient to a comfortable position. As you do so, remove the bedpan, place it on the draped bedside chair, and cover the bedpan with a cover or towel. Place your other hand under the patient's sacrum to help lift the patient. At same time, place your hand that is farthest from the patient on the side of the bedpan to support it. Ask the patient to flex the knees, placing body weight on the lower legs, feet, and upper torso, and then lift the buttocks up from the bedpan. If necessary, place the soiled tissue or disposable washcloths in appropriate container. Deposit soiled tissues in the bedpan if no specimen or intake and output measurements (I&O) are needed. If you need to cleanse the patient's perineal area, use several layers of toilet tissue or disposable washcloths. Determine if the patient is able to wipe his or her own perineal area. Move the top bed linens out of the way, exposing the patient as little as possible. 14) Remove the bedpan: - Place the bedside chair close to your side of the bed within easy reach, and drape it with a waterproof pad. 13) When patient is finished, perform hand hygiene and apply clean gloves. 12) Allow the patient to be alone, but monitor his or her status and respond promptly to the call light. 11) Make sure the patient knows where the call light is located and instruct the patient to use it when finished. 10) Ensure that bed is in the lowest position, and raise the upper side rails. Instruct of the patient on how to properly wipe to prevent transmission of bacteria into the urinary tract. Make sure toilet paper is within reach. If the bed is equipped with an overhead trapeze frame, ask the patient to use it to assist with raising the body and hips. Be sure that the deep, open, lower end of the bedpan is facing the foot of the bed. If you are using a fracture pan, slip it under the patient when he or she raises the hips. Do not force the pan under the patient's hips. The open rim of the bedpan should face the foot of the bed. As the patient raises the hips, use your other hand to slip the bedpan under the patient. Ask the patient to bend his or her knees and raise the hips. Slide your hand, palm up, under the patient's sacrum to assist with lifting. Instruct the patient on how to flex the knees and lift the hips. Raise the head of the patient's bed to 30-60 degrees - Move the top bed linens out of the way, taking care not to expose the patient. These devices might make it difficult for a patient to assist with the procedure, and you will probably need more personnel to help you place the patient on the bedpan. Observe for the presence of drains, dressings, IV fluids, and traction. 9) For the patient who can assist with getting onto the bedpan, do the following - Assist the patient into a supine position, laying the head of the bed flat unless contraindicated. Raise the bed to a comfortable working height. 8) Ensure the top side rails of the bed are in the up position. Be careful not to let the bedpan become too hot. 7) Place the bedpan under warm running water for a few seconds, and then dry it. 5) Explain the procedure to the patient and ensure that he or she agrees to treatment. 4) Identify the patient using two identifiers. 3) Provide for the patient's privacy by closing the door or drawing the bedside curtain.
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