Administering a Cleansing Enema

Summary

This instructional video provides a comprehensive guide on administering enemas, detailing preparation, execution, and post-procedure care. Viewers learn the importance of patient identification, privacy, and comfort, as well as the correct techniques for different types of enemas—pre-packaged and bag methods. Emphasis is placed on patient interaction, ensuring a supportive environment during the process. The guide also covers necessary documentation and follow-up assessments, highlighting the procedure's role in treating constipation and preparing for medical evaluations. This informative resource is essential for healthcare professionals seeking to enhance their skills in patient care.

Takeaways

• 😀 Enemas are utilized to treat constipation and prepare the bowel for medical procedures.
• 👩‍⚕️ Always introduce yourself to the patient and confirm their identity using two identifiers.
• 🛏️ Ensure patient privacy by closing curtains or doors and adjusting the bed height for comfort.
• 🔍 Inspect the perianal area for abnormalities before administering the enema.
• 🧤 Always wear clean gloves during the procedure to maintain hygiene.
• 💧 Use warm water or saline for the enema solution, and ensure the correct temperature before administration.
• 🛁 Administer the enema at the appropriate angle and depth, based on the patient's age and comfort.
• ⏳ Instruct patients to retain the solution for 2-5 minutes before the urge to defecate occurs.
• 🚽 Monitor the patient after the enema, assisting them to the toilet while observing stool characteristics.
• 📝 Document the type and volume of enema administered, along with patient tolerance and stool characteristics.

Q & A

What is the purpose of administering an enema?

An enema can be used to treat constipation or to prepare the bowel for certain medical procedures.

What initial steps should be taken before administering an enema?

Introduce yourself to the patient, confirm the patient's identity using two identifiers, and verify the type of enema ordered.

How should a patient be positioned for an enema administration?

The patient should be assisted into a left side-lying or Sims position with the right knee flexed.

What is important to check before administering a medicated enema?

Check the accuracy and completeness of the medication administration record against the healthcare provider's order.

What should be inspected before the enema insertion?

The perianal area should be inspected for abnormalities such as hemorrhoids, anal fissures, and rectal prolapse.

What should you do if you encounter resistance while inserting the enema tip?

If you feel resistance while inserting the tip, stop the procedure and notify the healthcare provider.

How long should a patient retain the enema solution?

The patient should retain the solution until they have the urge to defecate, which typically occurs in 2 to 5 minutes.

What steps should be taken after administering the enema?

Assist the patient to the commode or bedpan, observe the characteristics of the stool, and ensure to record the type and volume of enema given.

How can cramping during the enema administration be managed?

If the patient experiences cramping or fluid escapes around the rectal tube, lower the enema container or close the clamp.

What is the importance of performing hand hygiene after the procedure?

Performing hand hygiene after removing gloves is essential to prevent infection and maintain proper hygiene standards.