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At least 19 recordsLinked to original sources

A disposable bedpan system using an improved disposal unit and self-supporting bedpans.

A system using totally disposable self-supporting bedpans requiring no carrier was examined in use in two hospitals. The bedpans and their contents were disposed of by destruction and flushing to waste carried out in a modified Haigh Sluicemaster disposal unit. This incorporates a positively closing and locking lid with refinements to avoid the lid slamming and has effective safety devices. The new bedpans and the improved disposal units reduce the risk of transfer and dispersal of pathogenic organisms to an acceptable level in ward and sluice room.

Air Microbiology↗

Bacteriological hazards of disposable bedpan systems.

A system using disposable papier maché bedpans and urinals in hospital has advantages of ease of handling for the nurse and cleanliness for the patient. Disposal of the bedpans and their contents is by destruction and flushing to waste. Some bacteriological hazards of this process in the Haigh Sluicemaster and J.M.L. Clinimatic machines are assessed, particularly the dispersal of the contents in spray and aerosol during opening, closing, and running the machines. Various safety devices were tested and some deficiencies are discussed.A major defect in the system is the need at present for a bedpan carrier or support which is not disposable and requires cleaning and disinfection. Minor problems include ordering and storing bulky items, possibly the texture of the bedpans themselves, and perhaps the effect of the bulk of paper discharged into the sewage system. At present the system seems unsuitable for use in infectious disease hospitals and has some deficiencies in use in general wards. The improvements suggested would greatly increase its acceptability which should then be completely re-assessed. To this end the examination of improved models using totally disposable bedpans is proceeding.

Aerosols↗

An in-use evaluation of decontamination of polypropylene versus steel bedpans.

A prospective cross-over study in three different wards has demonstrated the lack of effect of two disinfectants compared with a detergent when added to the washing cycle of automatic bedpan washers that employ hot water centrally supplied at 60 degrees C. An unexpected and potentially important finding was that polypropylene pans were much more effectively cleaned and decontaminated than their stainless steel counterparts. The role, if any, of bedpans in the epidemiology of nosocomial infections remains a mystery. The continued absence of information clearly incriminating these ubiquitous devices in the transmission of potential pathogens, or of genes encoding antibacterial drug resistance, raises questions as to whether extensive efforts to achieve a high degree of decontamination of bedpans are necessary at all.

Cross Infection↗

Coated bedpans: their cleaning and disinfection.

This paper reports on tests of cleaning and disinfection of stainless steel bedpans which have been coated with either a silicone grease or polytetrafluoroethylene (PTFE). The coatings were applied manually using an aerosol spray (silicone grease and PTFE), and by an industrial process (PTFE). Soils used comprised (i) British Standard Soil (B.S., 1966), (ii) human serum albumin labelled with technetium-99m (HSA-Tc), and (iii) a suspension of Streptococcus faecalis in broth. Tests of cleaning and disinfection were carried out in automatic washing and steam disinfector machines. Results show that aerosol spraying impairs the cleaning process but that bedpans coated by the industrial process with PTFE are superior to uncoated bedpans.

Disinfection↗

The cleaning and disinfection by heat of bedpans in automatic and semi-automatic machines.

This work is concerned with the cleaning and disinfection by heat of stainless-steel and polypropylene bedpans, which had been soiled with either a biological contaminant, human serum albumin (HSA) labelled with technetium-99m 99m(Tc), or a bacteriological contaminant, streptococcus faecalis mixed with Tc-labelled HSA. Results of cleaning and disinfection achieved with a Test Machine and those achieved by procedures adopted in eight different wards of a general hospital are reported. Bedpan washers installed in wards were found to be less efficient than the Test Machine, at least partly because of inadequate maintenance. Stainless-steel and polypropylene bedpans gave essentially the same results.

Automation↗

[Discomfort of the bed pan--translating and evaluating the Belgian Bedpan Ongemak Schaal (BOS)].

The systematic translation of standardized instruments is an alternative method to the development of an own instrument. Neither German nor English literature provide an answer to the patient view of the discomfort of bedpans. Therefore the Belgian Bedpan Ongemak Schaal((BOS) was translated into German. To maintain the content validity of the instrument is of utmost importance when translating it into a foreign language. It is important too that the new instrument is understandable and easy to handle. The translation of the Bedpan Ongemak Schaal((BOS) shows that it is possible to transfer an instrument from one language to another without losing validity and feasibility.

Adult↗

Disinfection of bedpans.

A standard dish-washing machine fitted with an automatic cycle has been used to clean and disinfect bedpans. Visual and bacteriological examinations have shown that the machine produces superior and more reliable results than in trials of bedpans submitted to previously described methods.

Disinfection↗

Tests of disinfection by heat in a bedpan washing machine.

Tests of effectiveness of disinfection of metal and polypropylene bedpans were made in a washer fitted with a steam generator. Broth cultures of Escherichia coli, Pseudomonas aeruginosa, Staphylococcus aureus, or Streptococcus faecalis (approximately 4 x 10(8) organisms) were sealed in lengths of capillary tubing and attached to the surface of the pans. In other tests, pans were contaminated with an artificial soil containing Str. faecalis (10(8) organisms/ml). In both series of tests, counts of surviving organisms were made at the end of the washing and disinfection cycle. The tests using capillary tubes showed that the Gram-negative bacilli were effectively killed, but not necessarily Gram-positive cocci. However, when incorporated in standard soil, Str. faecalis was killed or removed during the cycle. The results indicate that the disinfection process was effective for metal bedpans, but less so for polypropylene. Possible disadvantages and modification of the machine are suggested.

Disinfection↗

Escape from the bedpan.

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Equipment and Supplies, Hospital↗

Of bedpans and ivory towers? Nurse academics' identities and the sacred and profane: a Bernsteinian analysis and discussion paper.

AIM: In light of debates arising from recent developments in Irish nursing education, this paper analyses tensions in the positioning of nursing in academia in terms of notions of the sacred and profane, and the symbolic boundaries between them, and discusses the implications of this analysis for nurse academics' identities. BACKGROUND: The entry of nursing education to the higher education sector has occurred against a discursive backcloth of opposition which constructs nursing work as either sacred, and under threat from the academy, or profane, and unworthy of a place in it. METHOD: Conceptual resources derived from the work of Basil Bernstein are deployed to analyse the forces driving the loom weaving this discursive backcloth. These forces are conceptualised as deriving from deep-seated fears and anxieties sparked by changes in the strength of symbolically important boundaries between constructions of the sacred and profane in the fields of nursing and higher education. These constructions are explicated. FINDINGS: Bernstein regards secure academic identities as inhering in strong boundaries between disciplines and between the fields of education and work. The transfer of nursing education from health to the higher education sector and nurse academics' attempts to articulate a nursing-discipline specific knowledge base can be understood in these terms. This analysis challenges nurse academics who promote disciplinary eclecticism and those who legitimate academic nursing principally in terms of the acquisition of generic and transferable lifelong learning skills. CONCLUSIONS: To counter a discourse that constructs them as a profane presence in higher education, some nurse academics have articulated a discourse of legitimation that constructs (academic) nursing as a sacred endeavour. Whether this can provide the grounds of their legitimacy and the basis of their careers as distinctively nursing academics is unclear at this stage of nursing's development as an academic discipline.

Attitude↗

Bed with bedpan.

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Hospitals↗