Page 18 - CLINICAL PRACTICE II
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PROCEDURE CHECKLIST 9
THERAPEUTIC
Administering medication per rectum: Enema
NO. PROCEDURE REMARKS
1. Ensure physician’s order
2. Greet patient and introduce self
3. Wash hands. Prepare requirements equipment
4. Explain procedure to patient
5. Provide privacy
6. Don non-sterile gloves
7. Place waterproof sheath under patient’s
buttocks
8. Position patient in left lateral / Sim’s position
with upper leg flexed.
9. Expose the rectum
10. Insert the enema:
Lubricate tip of fleet enema tube with water soluble
10.1
lubricant
Instruct patient to take deep breaths, insert fleet enema tip
10.2
about 5 cm into the anal canal
Squeeze tube gently and empty entire amount of
10.3
solution into the canal
11. Instruct patient to hold and maintain lateral position for about
10 minutes.
12.
Assist patient to sit on bedpan, commode or go to the toilet
13.
Clean and dry perianal area.
14. Remove gloves. Wash hands.
15. Documentation and reporting
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