Fall 2020 Enema Skill Check Off Sheet PDF

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Summary

Enema Skill practice...

Description

Grade: Pass / Fail

Lone Star Montgomery - Vocational Nursing Program Fall - VNSG 1323 & 1160 – Basic Clinical Skills – Enema Checkoff

PERFORMANCE CHECKLIST: ENEMA Student Name:____________________________________________ Date: ________ RECOMMENDED TECHNIQUE 1. Assessment 2. Checked doctor's orders (verbalized) soap and suds once 3. Assessed vital signs (verbalized) 4. Assessed client's ability to cooperate with and tolerate procedure. (who what when where and why,

Pass

Fail

COMMENTS

allergies, BM appearance and normal) Pain. 1-10 scale (pain med can cause constipation) Vital signs Palpate Auscultate PLANNING / IMPLEMENTATION 1. Identify client 2. Gather all necessary equipment 3. Wash hands 4. Adequate explanation to client 5. Prepares enema properly a. Appropriate water temperature b. Correct solution / correct amount c. Tubing purged of air (painful, 6. Positioned client correctly. 7. Remove cap if applicable 8. Lubricate tubing 9. Insert tube into rectum correct distance, appropriate technique- Demonstrate Prepare Pt Tell Pt what to do Ask Pt if they are in pain 10. Hold tubing in place during administration 11. Administered correctly a. Correct - Demonstrate b. Correct - Verbalize Principle 12. Assessed client during enema; demonstrate appropriate way to stop enema 13. Remove tubing correctly 14. Post-enema instructions Roll Pt over Bedpan to bum Call bell Key: Rationale

Critical elements in bold. Failure to meet critical elements requires the student to retest. One critical element not met = Failure Two non-critical elements not met = Failure

Lone Star Montgomery - Vocational Nursing Program Fall - VNSG 1323 & 1160 – Basic Clinical Skills – Enema Checkoff

Grade: Pass / Fail

Roll Pt Remove bedpan Place on trash can Vs Pain 1-10 Auscultate Palpate Lower bed elevate Call bell 15. Appropriate documentation (size, color, consistency, amount, smell, what time admin and expelled, VS, toleration, pain, abnormalities, abdomen size) EVALUATION 1. Maintained client safety 2. Maintained privacy 3. Appropriate body mechanics 4. Remained effective in the presence of the instructor

Student Name:

ENEMA SKILL

ENEMA Skill T Test est #1 Date: ________ Pa Pass/F ss/F ss/Fail: ail: Comments: ___________________ _______________________________________________________ ____________________________________ _____________________________________________________________ _________________________ ______________________________ _____________________________________________________________ _______________________________ ___________________________________________________________________ ____________________________________ _______________________________________ ___ Student Signature: ________________________________________ Instructor Signature: ____________________________

Date: _________

Remediation#1: Student Signature: __________________________ Instructor Signature: ____________________________ Date: _________

Skill T Test est #2 Date: ________ Pas Pass/F s/F s/Fail: ail: Comments: ___________________ _______________________________________________________ ____________________________________ _____________________________________________________________ _________________________ ______________________________ _____________________________________________________________ _______________________________ ___________________________________________________________________ ____________________________________ _______________________________________ ___ Student Signature: ________________________________________ Instructor Signature: ____________________________

Date: _________

Remediation#2: Student Signature: __________________________ Instructor Signature: ____________________________ Date: _________ Key: Rationale

Critical elements in bold. Failure to meet critical elements requires the student to retest. One critical element not met = Failure Two non-critical elements not met = Failure

Lone Star Montgomery - Vocational Nursing Program Fall - VNSG 1323 & 1160 – Basic Clinical Skills – Enema Checkoff

Grade: Pass / Fail

Skill T Test est #3 Date: ________ Pas Pass/F s/F s/Fail: ail: Comments: ___________________ _______________________________________________________ ____________________________________ _____________________________________________________________ _________________________ ______________________________ _____________________________________________________________ _______________________________ ___________________________________________________________________ ____________________________________ _______________________________________ ___ Student Signature: _____________________________________ Instructor #1 Signature: ____________________________ Instructor #2 Signature: ____________________________ Date: _________ What happens if you hit resistance- open clamp back up and then continue Tube goes toward umbilicus Hold in pace and release tube If pain? Breathe if jt still hurts stop then continue

Key: Rationale

Critical elements in bold. Failure to meet critical elements requires the student to retest. One critical element not met = Failure Two non-critical elements not met = Failure

Date: _________...