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.