How Do Bed Pans Work? A Step-by-Step Guide

A bedpan is a medical device used by individuals who are temporarily or permanently unable to leave their bed due to illness, injury, or mobility limitations. This receptacle allows bedridden patients to urinate or defecate while remaining in a lying or semi-sitting position. Utilizing a bedpan is a fundamental aspect of caregiving in hospitals, care facilities, or home settings, helping to maintain hygiene and dignity. Proper use requires careful technique to ensure patient comfort and prevent spills or skin breakdown.

Understanding the Two Main Types

Bedpans come in two main types: the standard bedpan and the fracture pan. The standard bedpan, sometimes called a slipper pan, features a deeper, contoured profile. This design offers a larger capacity and is suitable for patients who retain enough mobility to raise their hips off the bed surface.

The fracture pan is smaller and features one flat end, allowing it to be positioned more easily under a patient. This flatter, angled design is intended for individuals recovering from lower extremity procedures, such as a hip replacement or pelvic fracture, who cannot lift their hips easily. Both types are commonly made from durable materials like plastic or stainless steel.

Step-by-Step Guide for Proper Use

Before beginning, the caregiver should gather all necessary supplies, including the bedpan, toilet tissue, disposable gloves, and a protective absorbent pad. The procedure should be explained to the patient beforehand to ensure cooperation and preserve dignity. The caregiver must also ensure the patient’s privacy by drawing curtains or closing the door.

If the patient has sufficient strength, they can bend their knees, place their feet flat, and lift their hips while the caregiver slides the bedpan underneath. For patients with limited mobility, the caregiver should help the individual gently roll onto their side, away from the caregiver. The bedpan is then pressed firmly against the patient’s buttocks, and the patient is rolled back squarely onto the pan.

Once the patient is positioned securely, the head of the bed can be raised slightly to a semi-sitting position to facilitate elimination. The patient should be provided with toilet tissue and the call light, and the caregiver may step away to allow for privacy but should remain nearby. After the patient is finished, the head of the bed should be lowered, and the caregiver carefully removes the device, stabilizing it to prevent spills.

Hygiene and Disposal Procedures

Immediately following removal, the bedpan should be covered with a lid or paper towel to contain odors and prevent spillage during transport. The contents must then be emptied into a toilet or a designated sluice hopper and flushed away. If the patient’s output needs to be measured for medical tracking, this must be done using a graduated cylinder before disposal.

Cleaning a reusable bedpan involves rinsing it thoroughly with warm water to remove waste. The pan should then be washed with a detergent and scrubbed to address all surfaces, including crevices. The device must be disinfected, often with a chlorine-based solution or a hospital-grade disinfectant, to eliminate pathogens. Caregivers must wear disposable gloves and an apron throughout the process, and perform thorough hand hygiene after removing all protective equipment.