Hie guys

Could you please help me out need to do a protocol for work but have no clue what training needs staff need to manage this problem an advic is welcome.

Most of the protocol is done it's just that section: Training requirements.

Thank you

It may help to know what area you work in and the general theme and aims of your protocol.

It may help to know what area you work in and the general theme and aims of your protocol.

I WORK IN ICU (CARDIOTHORACIC)

Have found a few references for you

http://www.ncbi.nlm.nih.gov/pubmed/11899755

Bowel management protocol in ICU

When I glanced at the post I did not notice the : -I thought for a second it was regarding the management of NURSES BOWELS. :chuckle

When I glanced at the post I did not notice the : -I thought for a second it was regarding the management of NURSES BOWELS. :chuckle

it's very important that your nurses are regular you know

Our Protical is: Mom 60cc given now. if not effective give one biscotal supp/per rectum, if not effective, give one fleets.

Rehab nursing here......why did they never crap while they where there? LOL...So we get a pt ...FOS... thanks LOL

Rehab nursing here......why did they never crap while they where there? LOL...So we get a pt ...FOS... thanks LOL

LOL!!!

Anyways, so bowel management is a HUGE priority on the unit I work on (peds unit with surgical and rehab patients). It's almost scary how much we talk about bowels. Here's the basics of what we do...

If the patient is tolerating a liquid diet, we start them on Miralax.

Then we begin to give either colace or senna.

If that doesn't seem to work after a couple of days, we give a suppository.

If that doesn't work, then we give a fleets enema or a pediatric enemeez (a mini enema).

Then we start giving the "big guns" Milk and Molasses enema.

Last resort...Go Lytely...why do they call it go lytely??!! It doesn't make anyone go lightly!!!! It's horrible stuff, but it gets the bowels all cleaned out.

If a kid comes in completely backed up with stool, we go right to the milk and molasses.

o.. now i know

thanks!

I know the product "go-lytely" LOL. It sounds like a joke for J. Leno!

You never go "lightly" with this product :). I am always amazed by how much nursing time is spent on just getting pts. to poop!

In our rehab unit I worked with SCI and brain injury so you can imagine we were as bowel obsessed as elderly people. Everybody without exception was on a bowel prog. We did however ask what the pt pre injury bowel habit was. If it was more prolonged

( I had one gentleman that only went every 5 days) we had to plan it that way. It is very hard to make the body do what it never did before.

Every one was on stool softeners. we worked from "above" with senna and colace and from "below" with minimeeze, suppositories and dig stim or if flaccid flushing enemas.