Name of the Procedure:

Disposable Underpads Application and Usage (HCPCS Code: A4554)

Common name(s): Underpads, Chux pads
Technical/medical terms: Disposable underpads

Summary

Disposable underpads, also known as chux pads, are absorbent pads placed on beds or other surfaces to manage incontinence and protect against leaks. They are used in medical and home-care settings to ensure hygiene and comfort for patients with urinary or fecal incontinence.

Purpose

Disposable underpads are used to manage incontinence, protecting bedding, furniture, and mattresses from moisture and staining. They help maintain a clean and hygienic environment for patients, thus preventing skin irritation and infections caused by prolonged exposure to moisture.

Indications

• Urinary or fecal incontinence
• Bedridden patients
• Postoperative care
• During procedures that may cause a moist or soiled environment

Preparation

No specific pre-procedure preparation is required for the application of disposable underpads. Ensure that the area where the underpad will be placed is clean and dry.

Procedure Description

1. Open the packaging of the disposable underpad.
2. Unfold the underpad carefully.
3. Position the underpad on the desired surface (e.g., bed, wheelchair, examination table) with the absorbent side facing up.
4. Ensure the underpad is properly aligned to cover the maximum area needed and to prevent wrinkling.

Tools/Equipment: Disposable underpads

Anesthesia/Sedation: Not applicable

Duration

The application of a disposable underpad takes only a few seconds to a couple of minutes, depending on the size and placement area.

Setting

Disposable underpads can be used in various settings, including:

• Hospitals
• Outpatient clinics
• Long-term care facilities
• Home healthcare environments

Personnel

No specialized healthcare professionals are required to apply disposable underpads. Caregivers, nurses, or family members can apply them as part of routine care.

Risks and Complications

Risks associated with the use of disposable underpads are minimal but may include:

• Skin irritation (if the underpad is not changed frequently)
• Allergic reactions to materials used in the underpad (rare) Most complications can be managed by ensuring frequent changes and using skin protectants as needed.

Benefits

• Maintains hygiene and cleanliness
• Reduces the risk of skin irritations and pressure ulcers
• Easy to use and dispose of
• Immediate protection against moisture and incontinence

Recovery

No recovery is needed after the use of disposable underpads. Regular changes of underpads are necessary to maintain hygiene and comfort.

Alternatives

• Reusable underpads – These can be washed and reused but require regular laundering.
• Absorbent briefs or diapers – Provide similar protection but are worn directly by the patient.
• Incontinence sheets – Used to cover larger areas, these are also reusable and washable.

Pros and Cons of Alternatives:

• Reusable underpads are cost-effective in the long run but involve more maintenance.
• Absorbent briefs offer mobility to the patients but may not be as comfortable for all.
• Incontinence sheets can cover more area but may be cumbersome to change frequently.

Patient Experience

Patients using disposable underpads experience increased comfort and hygiene. The underpads are designed to be discreet and minimize the disruption to the patient's daily life. Pain Management and Comfort Measures:

• Ensure regular changing of the underpads to prevent discomfort.
• Use additional skin protection products to avoid irritation.