Fecal impaction manual removal



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FECAL IMPACTION: MANUAL REMOVAL
POLICY
Perform fecal disimpaction per physician order in accordance to the procedure as described.
PURPOSE
To remove hardened feces and promote bowel function and relieve abdominal discomfort.
EQUIPMENT
1. Bedpan. Water-soluble lubricant. Plastic trash bag or Chux pad. Soap and warm water, basin, tissues, washcloths, and towels. Disposable nonsterile gloves
PROCEDURE
1. To be performed by RN or LPN. Assess for signs and symptoms of fecal impaction including the following absence of stools, complaints of abdominal or rectal pain, fecal oozing, and a persistent usage to defecate with no results. Explain the procedure to the patient/caregiver.
4. Place a plastic bag or Chux under the patient’s buttocks. Assist patient to a left lateral SIMS position flex knees. Drape the patient so that anus is exposed. Perform perineal care as needed. Lubricate index finger of your dominant hand. Gently insert index finger past the anus into the rectum. Push finger into the feces, remove and place in bedpan. If possible, instruct patient to bear down while extracting feces to facilitate removal. Clean the perineal and anal area replace clothes.
Formulated 07/96

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11. Clean and replace the equipment. Discard disposable items in a plastic trash bag. If bleeding occurs during the procedure or of the patient complains of severe pain, stop and notify the physician. Document procedure, patient tolerance, results and instructions on patient visit report.
Formulated 07/96



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