Lothian primary care nhs trust



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Requirements

Disposable apron

Non sterile disposable gloves

Lubricating jelly

Procedure pad

Receptacle for faeces

Paper tissue

Equipment to clean buttocks

Access to toilet, commode or bedpan

Disposal bag as per National Infection Prevention and Control Manual




Bladder and Bowel Nursing Team Page 3 of 5 June 2016

Observations while undertaking procedure
Acute intervention While undertaking a manual evacuation of faeces as an acute intervention the listed observations should be recorded. (If the patient’s condition and vital signs deteriorate stop the procedure and reassess. Commence resuscitation if the patient’s condition deteriorates further and access emergency services.

Obtain a baseline pulse and blood pressure whilst patient has rest prior to procedure.

Record pulse and blood pressure during and after the procedure.

Monitoring the pulse and blood pressure is especially important in spinal injured patients and the frail elderly.

Observe for signs and symptoms of autonomic dysreflexia

headache, flushing, sweating, hypertension.

Observe for distress, pain, discomfort, rectal bleeding, collapse and stool consistency.


Exclusions and contra-indications
Routine intervention



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