In the facility I previously worked for, our standard was to obtain bowel regimen orders upon admission. Whe the Phsician called back to verify orders, we would ask him/her to okay our regimen, which was mom prn for constipation/no bm x3days ducolax x4 fleets x5.
It was then the wing nurses responsibility to check bm records on a daily basis, the bm record was instituted in "report" Daylight shift was to check the board and inform evening shift of who would need what tx, evening shift then would admin the med, nights was responsible for the follow up and would mark the boards accordingly as well as inform daylight of what was effective or not effective. This was quite effective. Nurses at change of shift went over the bm boards together to see who was pooping and who wasnt and the appropriate action was taken and the results were monitored as well.
I hate to see orders for suppositories QOD just for lack of good protocol, Chances are when you call an MD for an order for someone who needs a lax this is what they will give you because they dont want to spill out a Bowel regimen for you. They will give you an order like above, which in many cases isn't needed.
Hope I helped ya!
oh,,, my secret remedy.....I must share this.....I will mix mom with warm OJ,,,,I swear it is like a bomb. Learned this little trick from an old timer...It works wonders.