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    Checklist On Administering Cleansing Enema: Procedure

    Uploaded by

    Kyla Calzado
    1) The document provides a checklist for administering a cleansing enema, outlining the necessary equipment, assessment steps, planning, implementation, evaluation, and documentation of the procedure. 2) The procedure involves assessing the patient's ability to retain fluid, gathering equipment, positioning the patient, administering the enema slowly while having the patient hold it as long as possible, assisting with defecation, and monitoring the patient's response and vital signs. 3) The nurse must record details of the procedure and results for documentation.

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    © All Rights Reserved
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    Checklist On Administering Cleansing Enema: Procedure

    Uploaded by

    Kyla Calzado
    62 views3 pages
    1) The document provides a checklist for administering a cleansing enema, outlining the necessary equipment, assessment steps, planning, implementation, evaluation, and documentation of the procedure. 2) The procedure involves assessing the patient's ability to retain fluid, gathering equipment, positioning the patient, administering the enema slowly while having the patient hold it as long as possible, assisting with defecation, and monitoring the patient's response and vital signs. 3) The nurse must record details of the procedure and results for documentation.

    Original Description:

    Prepared by KNCC

    Original Title

    ADMINISTERING CLEANSING ENEMA

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    1) The document provides a checklist for administering a cleansing enema, outlining the necessary equipment, assessment steps, planning, implementation, evaluation, and documentation of the procedure. 2) The procedure involves assessing the patient's ability to retain fluid, gathering equipment, positioning the patient, administering the enema slowly while having the patient hold it as long as possible, assisting with defecation, and monitoring the patient's response and vital signs. 3) The nurse must record details of the procedure and results for documentation.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    62 views3 pages

    Checklist On Administering Cleansing Enema: Procedure

    Uploaded by

    Kyla Calzado
    1) The document provides a checklist for administering a cleansing enema, outlining the necessary equipment, assessment steps, planning, implementation, evaluation, and documentation of the procedure. 2) The procedure involves assessing the patient's ability to retain fluid, gathering equipment, positioning the patient, administering the enema slowly while having the patient hold it as long as possible, assisting with defecation, and monitoring the patient's response and vital signs. 3) The nurse must record details of the procedure and results for documentation.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    NAME: Calzado, Kyla Nicole C.

    DATE: May 7, 2021


    YEAR LEVEL: BSN III

    CHECKLIST ON ADMINISTERING CLEANSING ENEMA


    Definition: Cleansing Enema is a means of introducing of fluids into the rectum thus
    stimulating peristalsis.
    Purpose: To relieve intestinal congestion and flucturize.
    To evaluate feces from the colon and the rectum as a preparation for diagnostic
    procedure or surgery.
    Equipment’s:

     Enema Tray
    - Irrigating Can
    - Rub and tissue paper w/ lubricant
    - Rubber tubing w/ rectal stop lack 4ft. long
    - Rectal tube (french 28)
    - Forceps
    - Connecting tube
    - Kidney basin
    - Gloves
     Bedpan
     Blanket/Towel Blanket/Top sheets
     Rubber sheets/Protective pad
     Bed screen
     IV stand
     Small basin (w/ warm water & soap)
     Tissue paper
    ABLE TO ABLE TO UNABLE TO
    PROCEDURE RATIONALE PERFORM PERFORM W/ PERFORM
    ASSISTANCE
    ASSESSMENT: Provide directions of
    1. Verify doctor’s order. healthcare regarding
    medications and
    procedures.
    2. Check client’s ability to retain fluid To assess the capability
    and tolerate the activity ordered. of the patient to the
    procedure
    PLANNING: To prevent transmission
    3. Wash hands. of microorganisms.
    4. Gather all equipment. To save time and effort
    IMPLEMENTATION: To make sure we are
    5. Identify client and explain the giving the right
    procedure. procedure to the right
    patient, also for the
    patient to be aware on
    the flow of the
    procedure and to
    alleviate anxiety.
    6. Prepare client by positioning and - To provide privacy and
    draping. provide comfort
    - Sim’s position may
    allow better
    visualization and more
    comfortable for the
    patient
    - Smaller area of
    exposure is also less
    stressful for the patient.
    7. Put on gloves. Reduce risk of exposure
    to blood and body
    fluids.
    8. Administer enema - Put small amount of
    lubricant
    - Instruct the client to
    take a deep breath
    - Slowly and gently put
    the enema, 2-4 inches
    in rotating motion to
    facilitate easy insertion.
    9. Encourage client to retain fluid as long Try to hold the water at
    as possible. least 5 minutes before
    going to the toilet to
    softens the stool inside
    10. Assist client with bedpan or commode If the client is ready to
    or to the toilet. defecate
    11. Help client to a comfortable position. To provide comfort
    12. Give client the opportunity to refresh. To promote relaxation
    13. Replace top bedding. Remove bath For the client to be
    blanket. Ventilate the room and leave comfortable
    the client in comfortable
    environment.
    EVALUATION: To monitor the client
    14. Evaluate using the following criteria: fecal waste and will be
    a. Quantity and description of feces. recorded for later if
    there’s a problem
    b. Client’s response; skin color, To make sure that the
    respirations, pulse rate, and client vital signs are all
    degree of fatigue. normal after the
    procedure which gives
    the client anxiety
    DOCUMENTATION: To serve as baseline of
    15. Record date and time, type of enema, data.
    amount of fluid instilled, results and
    degree of comfort.

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