I'm a relatively new nurse and I this situation came up yesterday. The patient was having difficulty with a BM. The aide came out and said "she wants the nurse to dig her out!" I've never done this. It certainly wasn't taught in nursing school
. I looked it up in my "skills" book and it's not there.
So is anyone willing to share their expertise in this area? Also, is it solely a nursing responsibility? Do you need a Dr.'s order. She was a telemetry patient, post lap. choley. HELP!!!!
Apr 11, '07
I use lots of lubricant, which I try get all along the edges of the stoool i feel. I wear 2 gloves (nothing worse than finding my glove broke), very gently with my index finger I break up the stool and pull it out, being carefull not to disrupt the tissue of the rectal area. Can be a very tedious job I find, because I am careful and because I work in a nursing home and have some demented people that resisit it, but it is better then having that same resident impacted.
We don't require a doctor's order to digitally remove BM, but we do chart what we did and what was removed (color, consistancy, resident tolerance). I don't know about a post surgical telemetry patient as far as orders go.
Last edit by nursedawn67 on Apr 11, '07
: Reason: Didn't read all of posters questions....Duh Cameron! :)