Tasks: Rectal Washout and Continuous Bladder Irrigation


RECTAL WASHOUT

Requirement

  • A trolley containing  
  • Mackintosh and towel 
  • Enema syringe 
  • Lubricant e.g. KY jelly 
  • Disposable Gloves 
  • Jug of cold and hot water/ prescribed solution 
  • Gallipot containing swabs 
  • Bedpan

Component Task

1. Establishes rapport and explains procedure to the patient 
2. Sets trolley and sends to the patient’s bed side and provides privacy
3. Put patient into a left lateral position at the edge of the bed
4. Put mackintosh and towel under patient’s buttocks
5. Covers upper part of patient with top bed sheet and lower part with bath blanket to the hip level.
6. Involves patient in checking the temperature of the solution
7. Flex patients hip and knees
8. Puts on gloves, cleans anal region with swabs and lubricates
9. Introduces enema syringe into rectum
10. Encourages patient to hold solution for some few minutes
11. Offers bedpan or commode for patient to empty bowel
12. Repeats till the returning fluid is clear or patients cannot tolerate any more.
13. Discards tray and decontaminates enema syringe by soaking in 0.5% chlorine solution for 10 minutes
14. Removes and observes the content of the bed pan and discards
15. Removes gloves washes and dries hands
16. Give patient soap and water to wash hands and makes him comfortable in bed
17. Thank patient, records procedure and finding.
18. Decontaminates, cleans and stores articles used.


CONTINUOUS BLADDER IRRIGATION

Requirement

  • Mackintosh and towel 
  • Sterile towel 
  • Irrigating apparatus 
  • Prescribed Irrigating fluid (Normal saline) 
  • Gloves 
  • Intake and output chart and nurses notes

Component Task

1. Establishes rapport and explain procedure to the patient and ensures privacy.
2. Assembles necessary items for irrigation.
3. Assist patient into a desired position.
4. Turns back the top bed cloth to expose the retention catheter.
5. Protects bed with mackintosh and dressing towel.
6. Washes and dries hands, wears sterile gloves.
7. Puts sterile towel under the end of catheter.
8. Cleans the lumen of the catheter and connects the irrigating apparatus
9. Infuses 40-60 drops of irrigation fluid per minute or as prescribed
10. Continues the process until purpose of the irrigation is accomplished
11. Observes patient for any discomfort during the process
12. Empties the receptacle and record the output and observation made
13. Removes gloves washes and dries hands
14. Makes patient comfortable in bed
15. Decontaminate and sterilize used equipment if not disposable
16. Washes and dries hands and document procedure

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