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



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5.0 CONSENT

5.1 Every nurse has a duty to ensure that consent is obtained prior to any nursing care or treatment that involves physical contact with the patient’s body is carried out. This situation is applicable to manual evacuation of faeces. The normal principles of assessing for Mental Capacity and obtaining consent should be applied within these guidelines. Cultural and religions beliefs need to be considered before performing these procedures.


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 4 of 10
5.2
It is best practice to utilise a chaperone for intimate or invasive procedures, this should be considered and used as appropriate in this situation.


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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