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Enema-Check-List Rationale
Enema-Check-List Rationale
NAME OF STUDENT:
SECTION/GROUP: Date:
LEGEND:
4 Very Satisfactorily Performed
(Student performs consistently in an effective and efficient manner)
3 Satisfactorily Performed
(Performance is usually effective and efficient but not always)
2 Fairly performed
(Progress in performance is too slow to judge satisfactorily; task performance is not properly for
majority of the time)
1 Poorly performed
(No progress in performance has been demonstrated, and or performance is consistently
inefficient)
5. Run some solution through the Why need to expel air from tubing
connecting tubing of a large- and close clamp?
volume enema set and the rectal
tube, to expel any air in the tubing;
then close the clamp.
Procedure
1. Introduce yourself and verify the rationalize
client’s identity; explain to the
client what you are going to do,
why it is necessary, and how he/she
can cooperate. Indicate that the
client might experience a feeling of
fullness while the solution is being
administered.
2. Perform hand hygiene and observe rationalize
other appropriate infection control
procedures.
3. Provide for client privacy. rationalize
4. Assist the adult client to a left rationalize
lateral position, with the right leg
as acutely flexed as possible and the
linen-saver pad under the buttocks.
5. Insert the enema tube.
For clients in the left lateral position, Why patient need to be on left lateral
lift the upper buttock. position and why need to lift the
butoocks?
Insert the tube smoothly and slowly Why need to insert it slowly?
into the rectum, directing it toward
the umbilicus.
Insert the tube 7-10 cm (3-4 inches) Why it need to be inserted in (3-4
inc)?
If resistance is encountered at the rationalize
internal sphincter, ask the client to
take a deep breath, then run a small
amount of solution through the tube.
Never force tube or solution entry. If rationalize
instilling a small amount of solution
does not permit the tube to be
advanced, or the solution to flow
freely, withdraw the tube. Check for
any stool that might have blocked the
tubing insertion. If present, flush it
and retry the procedure. You may
also perform a digital rectal
examination, to determine if there is
an impaction or other mechanical
blockage. If resistance persists, end
the procedure and report the
resistance to the primary care
provider and nurse in charge.
6. Slowly administer the enema
solution.
Raise the solution container, and open rationalize
the clamp to allow fluid flow
or
Compress a pliable container by hand rationalize
Document:
The type and volume of
appropriate enema given.
The type of solution, length
of time solution was retained
(the amount, color and
consistency of the returns,
and the relief of the flatus
and abdominal distention in
the client record.
Total
GRADING SYSTEM
Total = ______
____________________________ ______________________________
Signature over printed name Signature over printed name