Fecal Management Systems

What is a fecal management system?

FMS is a temporary containment device, indicated for bedridden or immobilized, incontinent patients with liquid or semi-liquid stool.

Why are fecal management systems used?

 It reduces both the risk of skin breakdown and the spread of infection.

What are the fecal management system components? 

FMS consists of a silicone catheter, syringe, and collection bag. 

At one end, the soft silicone catheter has a retention balloon that is inserted into the rectum. At the opposite end, the catheter has a connector for attaching the collection bag.

How long can FMS stay in place?

Each device can be used for up to 29 days.

What should the assessment be for the FMS?

  • Prior to the use of the FMS, a digital rectal assessment must be performed to rule out the possibility of fecal impaction. If fecal impaction is present, consult with the patient’s provider to determine if impaction removal is appropriate. The device can be inserted once the fecal impaction is removed.

  • A digital rectal assessment should also confirm the presence or absence of rectal tone, as poor or absent tone may increase leakage around the device or may contribute to the inability to retain the device.

Fecal management (FMS) is appropriate for patients with liquid and semi-liquid stool (flowing). When stool begins to become solid, use of the device should be discontinued.

How do you set up a fecal management system?

The FlexiSeal is one of the most popular brands of fecal management systems. You can find more information on setting up the system here. How to manage the FlexiSeal FMS here. 

What are things I should watch out for?

Patients should be monitored every shift for and a physician notified immediately if any of the following occur: 

  • Rectal pain

  • Rectal bleeding

  • Abdominal symptoms such as distension/pain

Overinflation of the retention balloon has the potential to increase the risk of adverse events including rectal pain, bleeding, ulcerations, and possible perforations.

There is a danger of fecal obstructions with this product

Never inflate the retention balloon with more than 45ml of water.

Find more Resources on the FMS here!

Cheryl