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Study Guide

Nursing Skills Laboratory Nine


DATE:

  1. October 18 or 23, 2001

NURSING INTERVENTIONS CLASSIFICATION (NIC):

  1. Domain 1: Physiological: Basic (Care That Supports Physical Functioning)
    1. F (Self-Care Facilitation): Interventions to provide or assist with routine activities of daily living
      1. Assisting a patient on and off a bedpan
        1. (1804 Self-Care Assistance: Toileting)
      2. Assisting a patient on and off a fracture pan
        1. (1804 Self-Care Assistance: Toileting)
    2. B (Elimination Management): Interventions to establish and maintain regular bowel and urinary elimination patterns and manage complications due to altered patterns
      1. Administering a cleansing enema
        1. (0420 Bowel Irrigation)
      2. Administering a Harris flush enema
        1. (0420 Bowel Irrigation)
      3. Administering an oil retention enema
        1. (0420 Bowel Irrigation)
      4. Administering a Fleets enema
        1. (0420 Bowel Irrigation)
      5. Checking for a fecal impaction
        1. (0450 Constipation/Impaction Management)
      6. Removing a fecal impaction
        1. (0450 Constipation/Impaction Management)
  2. Domain 6: Health System (Care That Supports Effective Use of the Health Care Delivery System)
    1. A (Health System Management): Interventions to provide and enhance support services for the delivery of care
      1. Obtaining a stool specimen
        1. (7820 Specimen Management)
      2. Performing Fecal Occult Blood Testing (FOBT)
        1. (7820 Specimen Management)

READ CAREFULLY:

  1. Taylor, Lillis, & LeMone, Chapter 43 (pp. 1191-1192; 1200-1205)
  2. Nursing Skills Laboratory Procedure: Assisting a Patient On and Off a Bedpan
  3. Nursing Skills Laboratory Procedure: Assisting a Patient On and Off a Fracture Pan
  4. Nursing Skills Laboratory Procedure: Administering a Cleansing Enema
  5. Nursing Skills Laboratory Procedure: Administering a Harris Flush Enema
  6. Nursing Skills Laboratory Procedure: Administering an Oil Retention Enema
  7. Nursing Skills Laboratory Procedure: Administering a Fleets Enema
  8. Nursing Skills Laboratory Procedure: Checking for a Fecal Impaction
  9. Nursing Skills Laboratory Procedure: Removing a Fecal Impaction
  10. Nursing Skills Laboratory Procedure: Obtaining a Stool Specimen
  11. Nursing Skills Laboratory Procedure: Performing Fecal Occult Blood (FOBT) Testing

TERMS TO KNOW:

  1. Enema
  2. Fecal impaction
  3. Occult blood

LEARNING ACTIVITIES:

  1. Read the following PRIOR to lab:
    1. Taylor, Lillis, & LeMone, Chapter 43 (pp. 1191-1192; 1200-1205)
    2. Nursing Skills Laboratory Procedure: Assisting a Patient On and Off a Bedpan
    3. Nursing Skills Laboratory Procedure: Assisting a Patient On and Off a Fracture Pan
    4. Nursing Skills Laboratory Procedure: Administering a Cleansing Enema
    5. Nursing Skills Laboratory Procedure: Administering a Harris Flush Enema
    6. Nursing Skills Laboratory Procedure: Administering an Oil Retention Enema
    7. Nursing Skills Laboratory Procedure: Administering a Fleets Enema
    8. Nursing Skills Laboratory Procedure: Checking for a Fecal Impaction
    9. Nursing Skills Laboratory Procedure: Removing a Fecal Impaction
    10. Nursing Skills Laboratory Procedure: Obtaining a Stool Specimen
    11. Nursing Skills Laboratory Procedure: Performing Fecal Occult Blood (FOBT) Testing
  2. View the following videotapes PRIOR to lab:
    1. Basic Clinical Skills: Cleansing Enema (Medcom video; 18 mins.)
  3. Take a written test on the following DURING lab:
    1. Assisting a Patient On and Off a Bedpan
    2. Assisting a Patient On and Off a Fracture Pan
    3. Administering a Cleansing Enema
    4. Administering a Harris Flush Enema
    5. Administering an Oil Retention Enema
    6. Administering a Fleets Enema
    7. Checking for a Fecal Impaction
    8. Removing a Fecal Impaction
    9. Obtaining a Stool Specimen
    10. Performing Fecal Occult Blood Testing (FOBT)
  4. Demonstration/redemonstration of the following skills DURING lab:
    1. Assisting a Patient On and Off a Bedpan
    2. Assisting a Patient On and Off a Fracture Pan
    3. Administering a Cleansing Enema
    4. Administering a Harris Flush Enema
    5. Administering an Oil Retention Enema
    6. Administering a Fleets Enema
    7. Checking for a Fecal Impaction
    8. Removing a Fecal Impaction
    9. Obtaining a Stool Specimen
    10. Performing Fecal Occult Blood Testing (FOBT)

STUDY QUESTIONS TO REVIEW FOR TEST:

  1. The proper technique for assisting a patient on and off a bedpan.
  2. The proper technique for assisting a patient on and off a fracture pan.
  3. The proper technique for administering a cleansing enema.
  4. The proper technique for administering a Harris flush enema.
  5. The proper technique for administering an oil retention enema.
  6. The proper technique for administering a Fleets enema.
  7. The proper technique for checking for a fecal impaction.
  8. The proper technique for removing a fecal impaction.
  9. The proper technique for obtaining a stool specimen.
  10. The proper technique for performing Fecal Occult Blood Testing (FOBT).

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