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


INDICATIONS FOR MANUAL EVACUATION OF FAECES



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2.0
INDICATIONS FOR MANUAL EVACUATION OF FAECES

2.1
Within this guideline manual evacuation of faeces is indicated in the following patient groups

Inpatients with established spinal cord injury who have a bowel management plan

Inpatients with other neurological condition and for whom manual evacuation is an established bowel management plan

The need for manual evacuation where it is documented in the Medical Notes by middle grade doctor (or above.
3.0 PERSONNEL

3.1
Manual evacuation of faeces maybe carried out by a Registered General Nurse who has received training in the procedure, either in this Trust or can produce evidence of training received in another care setting, and is able to demonstrate competence of the procedure.

Manual removal of faeces by nursing staff for adult patients who have an established bowel management plan
Musgrove Park Hospital is part of Taunton and Somerset NHS Foundation Trust Page 3 of 10
3.2 For some patients this procedure will be undertaken at home either by themselves or by their carers. During their hospital care it is important that if appropriate they continue to carryout this procedure themselves or that their carers continue to perform this for them.
3.3 This procedure can be delegated to unregistered nursing staff at band’s 2 or following appropriate training and assessment of competence and at the discretion of the Registered Nurse responsible for the patient care at the time.


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



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