Skill Checklists for Taylor's Clinical Nursing Skills: A Nursing Process Approach

274

Copyright © 2011 by Wolters Kluwer Health | Lippincott Williams & Wilkins. Skill Checklists for Taylor's Clinical Nursing Skills:

SKILL 13-2

Administering a Small-Volume

Cleansing Enema (Continued)

Comments

12. Raise side rail. Lower bed height and adjust head of bed to
    a comfortable position.


13. Remove additional PPE, if used. Perform hand hygiene.


14. When patient has a strong urge to defecate, place him or
    her in a sitting position on a bedpan or assist to commode
    or bathroom. Stay with patient or have call bell readily
    accessible.


15. Remind patient not to flush the commode before you
    inspect the results of the enema.


16. Put on gloves and assist patient, if necessary, with cleaning
    of anal area. Offer washcloths, soap, and water for hand-
    washing. Remove gloves.


17. Leave the patient clean and comfortable. Care for
    equipment properly.


18. Perform hand hygiene.

ExcellentSatisfactoryNeeds Practice