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Official List of Steps For Administration of Fleet Enema Based On Usl-Nursing Skills Lab Checklist
Official List of Steps For Administration of Fleet Enema Based On Usl-Nursing Skills Lab Checklist
1. Check the physician’s order regarding the amount and type of solution to be used.
2. Assemble all equipment needed:
Solution as ordered by the physician
Water-soluble lubricant
Waterproof pad or rubber sheet
Bath blanket
Bedpan or commode
Wash cloth, soap and water
Toilet tissue
Disposable gloves
3. Perform hand washing
4. Explain the procedure and purpose to the client
5. Ensure the client’s privacy
6. Raise the bed to appropriate working height for the nurse. Stand on right side of the
bed and raise side rail on opposite side.
7. Have the client lift his hips and slip the waterproof under and put the rubber sheet in
place.
8. Assist the client in assuming a side-lying (Sim’s) position. Drape the client. Make sure
that the buttocks and anus are exposed.
9. Wear gloves
10. Open the pre-packaged enema solution. Check if the tip is lubricated; if not, lubricate
the rip with a water-soluble lubricant.
11. Lift the upper buttocks to expose the anus. Insert the tube, pointing downward, for
about 7-10 cm into the rectum slowly and gently. Ask the client to take deep breaths
while inserting the tube.
12. Squeeze all the contents of solution into the container slowly.
13. Remove the container and ask the client to retain the solution for at least 30 minutes.
14. Remove gloves and discard.
15. Place the client in a sitting position on the bedpan or assist the client in using the
commode if he has a strong urge to defecate.
16. Stay away from the client while the client is defecating and leave the call cord with
reach.
17. Wear new gloves.
18. Assist the client in cleaning the anal region. Remove the bedpan carefully. Note the
character, color, consistency and amount of stool.
19. Discard the stool and cleanse the bedpan thoroughly.
20. Remove all equipment from the client’s room. Keep all articles in their proper storage.
21. Remove gloves and discard.
22. Wash hands again.
23. Place the client in a comfortable position.
24. Record the time, type of solution, character, amount of stool and the client’s
response to the procedure.