Name of the Procedure:

Bed Pan, Fracture, Metal or Plastic (E0276)

• Common name: Bed pan for fracture care
• Technical term: E0276 Medical Bed Pan

Summary

A bed pan designed specifically for patients who have sustained fractures and are unable to get up to use the bathroom. These bed pans can be made of either metal or plastic and provide a crucial aid in managing patient hygiene while minimizing movement and additional injury.

Purpose

The fracture bed pan (E0276) assists patients who are immobilized due to fractures. Its design aims to provide comfort and support while ensuring patient dignity and hygiene during the recovery process. The primary goal is to prevent the patient from getting out of bed, thus avoiding aggravating their injury.

Indications

• Patients with hip, leg, or lower spinal fractures.
• Individuals with severe mobility restrictions due to other medical conditions.
• Post-surgery patients who have instructions to remain immobile.
• Patients for whom moving to a traditional toilet or commode is not feasible.

Preparation

• Ensure the patient understands the procedure and what is involved.
• Gather necessary supplies including gloves, wipes, and the bed pan.
• Position the patient properly to allow easy access and minimal discomfort.
• No specific fasting or medication adjustments needed unless specified by the attending physician.

Procedure Description

1. Explain the process to the patient to ensure they are comfortable and cooperative.
2. Put on gloves and place a protective sheet under the patient to avoid soiling the bed.
3. Carefully position the bed pan under the patient's hips while minimizing movement.
4. Once the bed pan is in place, provide privacy for the patient to use it.
5. After use, carefully remove the bed pan, clean the patient if necessary, and ensure they are comfortable.
6. Dispose of waste according to medical waste guidelines and clean the bed pan thoroughly.

Duration

• The procedure typically takes around 10-15 minutes, depending on the patient’s mobility and comfort level.

Setting

• Performed in a hospital, nursing home, or at home with proper care assistance.

Personnel

• Primarily performed by nurses or trained caregivers.

Risks and Complications

• Risk of spillage and subsequent discomfort or skin irritation.
• Possible discomfort due to pressure on the fracture.
• Risk of infection if hygiene is not maintained properly.

Benefits

• Ensures patient hygiene and comfort.
• Avoids unnecessary movement that could exacerbate the injury.
• Supports patient’s dignity and helps in their smooth recovery process.

Recovery

• Immediate resumption of bed rest post-procedure.
• Regular check-ins to ensure there are no signs of skin breakdown or discomfort.
• No significant recovery considerations post-use other than maintaining hygiene.

Alternatives

• Use of a bedside commode if patient mobility allows.
• Catheterization for urinary output.

• Diaper or absorbent pads in extreme cases.

  Pros and Cons:

• Pros of Bed Pan: Minimizes movement, straightforward, and easy to use.
• Cons of Alternatives: Bedside commode may still require movement; catheterization carries risks of infection; diapers may not be suitable for all patients.

Patient Experience

• The patient may experience some discomfort during positioning but clear communication and careful handling minimize this.
• Pain management if necessary, and providing comfort measures like pillows for support.
• Post-procedure cleanliness and reassurance are essential for the patient's overall well-being.