Education and care-planning support only — does not replace clinical judgment or local protocols.

🩺 CP-ELIM — Elimination Check

Bladder and bowel function. · Group E Elimination · Links to: E1–E9

Original tool, not yet validated. Pilot and review with clinicians before clinical decisions. Supports, but does not replace, clinical judgment, validated scales and local policy.

Patient

Date/Time

Nurse

Item	0	1	2
Days since bowel opened	0 · 0–2 days	1 · 3 days	2 · 4 days or more
Stool type	0 · Soft, formed	1 · Hard or loose	2 · Watery ≥3 times/day or blood
Passing urine	0 · Normal	1 · Frequent, urgent or burning	2 · Unable to pass or very little
Continence	0 · Fully continent	1 · Occasional leaks	2 · Frequent incontinence
Abdomen	0 · Soft, no pain	1 · Bloated or mild pain	2 · Hard, swollen bladder or severe pain

⚠ Red flags — escalate at once regardless of score

No urine for 6 h blood in stool

Total: 0 — select a score for each item

Score	Level	Action
0–2	Low	Routine
3–5	Medium	Bowel/bladder plan, fluids and fibre, recheck daily
≥6	High	Bladder scan or doctor review today

Nursing notes / action taken

⬇ Blank form (PDF)