Instructions for 'Giving and taking of bed-pan'

1. Assess the patient’s condition for the level of consciousness and limitations in movements.
2. Explain the procedure to patient/relatives.
3. Provide privacy.
4. Encourage the patient to assume normal position for defaection(if possible).
5. Elevate the head end of bed, if the patient is alert.
6. Roll away draw sheet towards one side of the bed.
7. Place dry bedpan under the patient’s buttocks by following any of the methods mentioned below;
   1. Flex the patient’s knees and bring heels towards buttocks, assist the patient to lift buttocks by supporting “small of back” with left hand, instruct and assist the patient to lift the buttocks by under buttocks, make sure that the wide and flat surface of bedpan is placed under buttocks and the patient's gown is out of the way.
   2. Turn the patient to one side and place the bedpan firmly close to buttocks, roll the patient on the bedpan.
8. Keep the patient covered well to maintain the privacy of the patient.
9. Give enough time to pass motion/urine.
10. Once the patient has finished, permit to clean by herself/himself. Assist\by pouring water.
11. Use measured quantity of water if output is to be maintained.
12. If the patient is unable to clean, pour water and clean using long artery clamp and cotton balls/rags pieces.
13. Remove the pan by lifting the patient carefully.
14. Avoid dragging of bedpan from under the patient.
15. Cover the pan immediately.
16. Dry mackintosh if wet.
17. Secure draw sheet and position the patient comfortably.
18. Provide water and soap to wash hands, if the patient has washed. Note the color, amount and consistency.
19. Empty the bedpan.
20. Note the date and time.