How to Give The Bedpan For Certified Nursing Assistants C.N.A.s

AngelBean By AngelBean, 5th Dec 2010 | Follow this author | RSS Feed | Short URL http://nut.bz/.32k5xr5/
Posted in Wikinut>Health>General Health>Elderly & Home Care

Giving senior citizens the bedpan is an important skill as a Certified Nursing Assistant especially at night when most sentinel events like falls are likely to happen it is better to just give the patient or resident the bedpan for safety and insurance reasons. Read on for more information on how to do this important task.

Learn to give good bedpan.

Learn to give good bedpan. Giving senior citizens the bedpan is an important skill as a Certified Nursing Assistant especially at night when most sentinel events like falls are likely to happen it is better to just give the patient or resident the bedpan for safety and insurance reasons. Read on for more information on how to do this important task.

Difficulty: Moderately Challenging

Things You'll Need:
A patient
A bedpan
A chuck or a disposable bedliner these are sometimes made out of green, blue or beige plastic and have cotton in them that makes them look like a large 80 inch diaper that has not been folded but
rather lays flat
Sink
Gloves
running water
soap
paper towels
trashcan
gloves
soiled linen hamper
washcloth (to give a moistened washcloth to the patient)
toilet paper

Step 1

Bedpan
First steps of all skills:
Knock before entering the room
Greet the resident
“Good Morning Mrs Chase my name is AngelBean I am going to be your Certified Nurse’s Aide today and I am here to assist you with the bedpan. Let me go wash my hands.”
(go wash your hands)Handwashing wet hands, apply soap, lather back of hands, lather between fingers, lather around cuticles, lather under nails, lather up the wrist (like in the movie) cleanse for 10-15 seconds. Remove all soap. Rinse the hands holding fingers lower than wrists. Let the water flow while you dry your hands then use a clean paper towel to turn the water off. Do not let your uniform get close to the sink. Dispose of the towel. Complete the task without contaminating your hands such as against the sink.
“Okay, let me just see your id band for a minute, (pause) Mrs Chase?”
“Now I am going to pull the curtain around so we have some privacy.”

Step 2

Identify yourself and the resident
Provide for privacy close curtains drapes and doors. Keep resident covered. Expose only area of resident’s body necessary to do the procedure.
Inform the resident of the task
(gloves) for certain tasks
get equipment: I need a bedpan and use the chuck as the cover after you fold it over the bedpan at the end, incontinent pad (chuck), gloves, sink, running water, soap, paper towels,trashcan, gloves, soiled linen hamper, washcloth (to give a moistened washcloth to the patient) toilet paper

Step 3

(Gloves)
Make sure the wheels on the bed are locked
.Raise side rails before raising bed to a comfortable working height usually waist high for body mechanics.
Lower the bed rail near you if up
Put your gloves on
Lower the bed flat to supine but raise the head of the bed slightly
Ask the patient to bend your knees and push up from the knees to lift their buttocks
Place the chuck under the patient
Place the bedpan

Step 4

Say “Okay, now I am just going to ask you to spread your legs a little so it does not get all over the bed.”
Cover the resident
Give the resident the toilet tissue and call bell and say “That’s for you.”
Say “Now I need to raise your bed so that you are sitting up.”
Raise the head of the bed to Fowler’s position 45 degrees
Then lower the bed to its lowest position
Say:” I am going to give you privacy now but ring the call bell for me when you are done” Then draw the curtain and walk away
I go into the bathroom and wash my hands again and put on fresh gloves. Then while I am in there I moisten a disposable towel with water to later give to the patient.
Give the patient the moistened disposable washcloth.

Step 5

Raise the bed for body mechanics. “Okay now I am just going to raise your bed”
Lower the head of the bed flat to supine position
Ask the patient to push his or her legs off of the bed
Then to lift out the bedpan put one hand on the bedpan
Lift the bedpan out and put the chuck cover over it
Remove the bedpan with one hand, then remove the chuck and fold and place the chuck over the bedpan. Cover the bedpan with the chuck is a critical element.
Take one glove off after you have removed the bedpan
Use the clean hand to fix the bed
Make sure you cover Mrs. Chase over with her blanket.
Say: Is there anything else I can do for you?

Step 6

Use the clean hand to make sure the bed is in the lowest position
Put the bedpan at the end of the bed. (Because during the test there is nothing in it)
Ask the patient if he is comfortable
Ask the patient about comfort. Make sure the patient is in good body alignment.
Give the patient the call bell and say “Your call bell is right here and if you need any other help I will be here for you”
Ask: “Is there anything else I can do for you?”
Say: “Well I thank you for letting me help you today.”
The bed is already in its lowest position
Would you like your curtain to be opened? Okay. (pretend to open the curtain)

Step 7

Go to the bathroom and empty out the bedpan into the toilet rinse, clean and dry the bedpan and store in the bottom shelf drawer of bedside cabinet.

Go wash my hands.

DONE

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Comments

author avatar simplyoj
6th Dec 2010 (#)

very informative post.

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