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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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