Policy for the digital rectal examination and manual removal of faeces in adults



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Action
Rationale
10 If stool is soft, continuous gentle circling of the finger maybe used to remove stool To minimise discomfort and facilitate easier removal of the stool
11 Place faecal matter inappropriate receptacle as it is removed To minimise discomfort and facilitate easier disposal of faecal matter at the end of the procedure
12 If top glove becomes very soiled, remove and replace with new top glove To avoid excessive soiling on patient’s skin. To maintain cleanliness
13 Lubricate gloved finger with each change of top glove To facilitate easier insertion and minimise patient discomfort
14 When rectum is empty, clean anal area, remove apron and gloves, and dispose inappropriate clinical waste bin. Wash hands with soap and water To reduce risk of cross infection and leave the patient comfortable
15 Record bowel results and communicate findings with the patient/carer and their doctor if appropriate. Record result using Bristol Stool Chart To ensure continuity of care. To ensure the patient understands the results of the procedure






Introduction
Exclusions: staff caring for children purpose:
Indications for manual evacuation of faeces
Exclusions / contraindications
Circumstances when extra care is required
Appendix ab btraining and competence assessment
Action rationale



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