Comparative Analysis of Bedpan Processing Equipment - Hygie

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TABLE 2 Comparison of the procedures using reusable bedpans, disposable bedpans and hygienic bags 26 COMMON STEPS 1. A patient needs to have a bowel movement. 2. The patient is given a bedpan or a hygienic bag. 3. The patient soils the bedpan or hygienic bag. 4. Staff member washes hands. 5. Bedpan is returned to patient’s room. SPECIFIC STEPS BEDPAN WASHERS MACERATORS HYGIENIC BAGS 1. Bedpan is taken to dirty utility room. 2. Bedpan is put in bedpan washer. 3. Bedpan washer cycle is started. 4. Bedpan is removed and dried. After patient discharge, bedpan is sent to CPD if hospital has bedpan sterilization policy. 1. Disposable bedpan is taken to dirty utility room. 2. Disposable bedpan is put in the macerator. 3. Macerator is started. After patient discharge, bedpan support is disinfected in washer-disinfector. During hospital stay and if soiled, bedpan support is disinfected immediately. 1. Hygienic bag is put in wastebasket in patient’s room. Housekeeping staff in charge of waste management (empty wastebaskets). After patient discharge, support is returned to supplier for recycling. During hospital stay, soiled support is replaced.
TABLE 3 General comparison of bedpan processing methods ISSUES BEDPAN WASHERS MACERATORS HYGIENIC BAGS Safe use and effectiveness Limited handling of soiled bedpans (automatic emptying mechanism). Eradication of most micro-organisms found on bedpans, except for spores such as C. difficile, based on current decontamination standards (80˚C/1 min). Risk of cross-contamination between patients (bedpans not dedicated to single patients). Cleaning often inadequate (bedpans not always visibly clean). Low risk of leakage during use. Potential aerosol production when door is opened. Transport of bedpans containing human waste in corridors poses risk of spills and workplace and staff contamination. Decontamination possible in care units, reducing transport of soiled supplies to CPD, if applicable, and risk of workplace contamination. Failures in operational parameters (temperature, time, etc.) not always easily detected by users. Low risk of contamination for maintenance staff. For patients: reusable bedpans, risk of infection, and discomfort (cold bedpans if stainless steel). Limited handling of soiled bedpans (single-use). Handling of bedpan supports. Contribute to infection control (single-use bedpans). Prevent risk of infection from asymptomatic carriers. Risk of contamination from bedpan supports: contact with bedding, which may be soiled with stool or urine, transport to CPD. Potential production of contaminated aerosols during use (leakage) and door opening. Transport of bedpans containing excretions in corridors poses risk of spills and contamination of the work environment and staff. Possibility of processing bedpans in care units, which reduces distance for transporting soiled bedpans outside units. Limited handling of soiled bags (disposable system). Limited handling of supports (recycling system). Contribute to infection control (single-use items). Prevent risk of infection from asymptomatic carriers. Minimum risk of contamination: recyclable support is entirely covered by sturdy plastic bag. . No equipment required. Frequent machine blockages (due to improper use). No equipment required. Risk of contamination for maintenance staff unblocking machine. For patients: new bedpan each time, reduced risk of infection. Safe transport of soiled bags outside patient rooms. No maintenance required. For patients: new bag each time, reduced risk of infection and spills, comfort appreciated. 27
Page 1: Comparative Analysis of Bedpan Proc
Page 4 and 5: This report was endorsed by the Age
Page 6 and 7: ii CONTENTS THE AGENCY ............
Page 8 and 9: iv FOREWORD The safe reprocessing o
Page 10 and 11: vi ACKNOWLEDGEMENTS This technical
Page 12 and 13: Description of the equipment Safe u
Page 14 and 15: x economic and environmental aspect
Page 16 and 17: xii ACRONYMS AQIHS: Association qu
Page 18 and 19: Non-critical: devices that do not c
Page 20 and 21: 2 2 PROCESSES AND EQUIPMENT 2.1 Con
Page 22 and 23: 4 Functionalities for safe use Give
Page 24 and 25: 2.3 Macerators 6 A macerator is a h
Page 26 and 27: 8 3 METHODOLOGY This technical brie
Page 28 and 29: 10 In this study, 51 bedpans were d
Page 30 and 31: 12 strategic prevention plan encomp
Page 32 and 33: 4.3 Economic issues 14 not availabl
Page 34 and 35: 16 5 CANADIAN AND INTERNATIONAL PER
Page 36 and 37: 5.3 New process: hygienic bags 18 T
Page 38 and 39: 20 6 QUÉBEC CONTEXT 6.1 Consultati
Page 40 and 41: TABLE 1 (cont’d) Summary of inter
Page 42 and 43: TABLE 1 (cont’d) Summary of inter
Page 46 and 47: TABLE 3 (cont’d) General comparis
Page 48 and 49: 6.2 Acquisition cost scenario for b
Page 50 and 51: TABLE 5 Acquisition and operating c
Page 52 and 53: 34 many patients with diarrhea. The
Page 54 and 55: 36 entire hospital stay) and the hy
Page 56 and 57: 38 Installation of modular bedpan-
Page 58 and 59: TABLE B-1 Johnson’s study [1989]
Page 60 and 61: TABLE C-1 (cont’d) Data pertainin
Page 62 and 63: TABLE C-2 Acquisition and operating
Page 64 and 65: Gill J. Use of macerator machines f

Comparative Analysis of Bedpan Processing Equipment - Hygie

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