SAN LORENZO RUIZ COLLEGE

College of Nursing
Ormoc City

CLEANSING OR EVACUATING ENEMA

I. Definition: The cleansing of the lower bowels with the use of solution introduced into rectum.
II. Purposes:
1. To stimulate peristalsis movement of the intestine when defective.
2. To cleanse the rectum and colon.
3. To remove flatus.
III Materials used:
1. Bath blanket
2. bedpan, with cover and lining
3. Tray with:
a. lubricant
b. rubber sheet if not found on the bed
c. kidney basin

PROCEDURE RATIONALE
In the utility room:

1. Check doctor's order.

2. Prepare the materials needed

3. Open the fleet enema and expose the tip

4. Put lubricant on a piece of toilet paper

and apply around enema tip and place on
kidney basin.

At bedside:

1. Explain procedure: purpose, discomfort

expected and nature of cooperation expected.

2. Bring tray to the patient's bedside after the

explanation.

3. Screen bed.

4. Remove all pillows except one and lower head

of bed.

5. Fanfold top sheet to the foot part. Replace

with bath blanket.

6. Place patient on left sim's lateral position.

7. Insert lubricated end of enema tip completely

into rectum. Advise patient to
breathe through mouth to facilitate insertion.

8. Press the fleet enema bottle until the solution is

completely consumed

9. Let the patient stay in position for 1 to 5

minutes until she/he feels the urge to defecate
10. Assist the patient to comfort room or offer bed
pan on bed.

11. Replace beddings, place patient on

comfortable position. Air room.
12. Do after care

13. Chart time, kind and amount of solution,

reaction of patient, character of return flow