Clinical protocol



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3.0
SCOPE
3.1 This Clinical Protocol covers nursing staff undertaking manual removal of faeces in an acute episode of constipation for an adult patient.
3.2
Clinical Indications
3.2.1 For patients with acute constipation/impaction where other methods of bowel management have failed.
3.2.2 A full bowel dysfunction assessment (using the current approved trust bowel dysfunction and continence assessment tools) is essential before considering or undertaking any bowel care including manual removal of faeces.
3.2.3 There are certain inclusion/exclusion criteria that must be considered. (See below. a) The patients motivation and acceptability of the procedure also needs to be acknowledged. Be accountable for your decisions to delegate tasks and duties to toher people b) advise on , prescribe, supply, dispense or administer medicines within the limits of your training and competence, the law our guidance and other relevant policies, guidance and regulations ; c) recognising and working within the limits of their own competence d) Always practice inline with the best available evidence. e) Act without delay if you believe there is a risk to patient safety…
f) Be aware of and reduce as far as possible, any potential for harm associated with your practice. (NMC 2015)
3.2.4 Any Registered General Nurse wishing to implement this protocol will need to complete a competency assessment or demonstrate achievement of the standard by previous knowledge and experience. (See Appendix)


Clinical protocol
Executive summary
Governance arrangements
Related policies/procedures
Document tracking sheet
Contents page
Ethnicity and diversity
Roles and responsibilities
Contraindications
Training and awareness
Monitoring compliance and effectiveness of this policy
Monitoring matrix:
Equality analysis
Glossary and abbreviations
Appendix 2 bristol stool form scale
Knowledge and
Performance criteria
Interpersonal
Appendix 3 care and management of autonomic dysreflexia
Common causes of autonomic dysreflexia.
Signs and symptoms
Specialist advice



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