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13 Cards in this Set
- Front
- Back
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Administering a cleansing enema |
Add castile soap (or soap solution used by your faculty) Hang container-open clamp and slowly allow the tubing to prime fill (expresses air from tubing) left side lying- allows rectum to fill rectum and lower intestine Semi fowlers (never administer enema on toilet) place waterproof pad under patients buttocks |
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Administering a cleansing enema (cont.) |
Drap patient with the bath blanket, exposing only the buttocks and rectum Gently insert the tip of the tubbing approx 7 to 10 cm into the rectum- while patient takes slow deep breaths Hold container at level of patients hips slowly raise the level of the container, so that it is 30 to 45 cm above the level of the hips For pain or discomfort stop flow for 15 to 30 seconds, and then resume the procedure |
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Administering a packaged enema |
Tilt the container slightly and slowly roll and squeeze the container until all of the solution is instilled (ensure it empties completely!) Clean area Recover the patient and instruct them to hold enema solution for approx: 5-10 minutes |
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Ostomy Pouching |
Drain present ostomy pouch into bed pan if needed Remove appliance with silicone based adhesive remover Dispose of old appliances Inspect stoma and peristomal skin area Measure size of stoma |
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Clean catch urine specimen (men) |
Antiseptic providone-iodine keep foreskin retracted during voiding Allow a small stream of urine to pass; and then without sstopping the urine stream place the specimen container into the stream |
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Clean catch urine specimen (catheter) |
Clamp drainage tube then drain use needles system to obtain once it refills |
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Inserting urinary catheter (women) |
Diamond shaped draping Don clean procedure gloves to wash perioneum Organize work area to prevent contamination of sterile field when sterile gloves are donned Apply sterile under pad then sterile gloves Grasp the catheter with your dominant hand no more than 3 to 5 cm from distal end (tell patient to bear down as if trying to void) After you see urine insert the catheter another 2.5 to 5 cm |
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Inserting urinary catheter (men) |
Cover the patients upper body with a blanket, fold bed sheets down to expose the penis You can use 2% lidocaine gel (should be inserted during the perineal wash) Place fenestrated drape sterile glove method if uncircumcised retract the foreskin to fully expose the meatus |
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Inserting urinary catheter-men (cont.) |
hold penis at 90 degree angle with non dominant hand to gain firm control of the catheter, grasp the catheter 4-5 cm from the proximal end, with the remainder coiled in the palm of the hand may be a prefilled syringe of lubricant continue to advance the catheter to the bifurcation (Y connector) |
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Inserting an indwelling catheter |
provide local anesthesia during perineal wash Use dominant hand to pick up the saline filled syringe and inflate the catheter slowly *Hold the catheter until the balloon is inflated to prevent it from coming out If pt complains of pain on inflation of the balloon withdraw the water from the balloon, and reposition the catheter by advancing it an inch |
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Inserting an indwelling catheter |
Hang drainage bag at the side of the bed. Bed frame not bed rails tape catheter to the thigh or abdomen |
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Measuring urine out put from bed pan |
with gloves pout the urine into a graduated cylinder or calibrated measuring container place measuring device on flat surface and read amount at eye level observe the urine for color discard urine in toilet |
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measuring urine from indwelling catheter |
wear gloves and place the drainage spout for the collection bag inside a calibrated measuring container Unclamp the drainage spout and direct the flow of urine into the measuring device reclamp the spout when the collection bag is empty wipe the drainage spout with an alcohol pad, and replace the spout on collection bag. |
