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Procedure Checklist Chapter 23: Inserting A Rectal Suppository

The document outlines the steps for inserting a rectal suppository, including preparing medications, positioning the patient, lubricating and inserting the suppository, and having the patient remain in position afterwards.

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511 views1 page

Procedure Checklist Chapter 23: Inserting A Rectal Suppository

The document outlines the steps for inserting a rectal suppository, including preparing medications, positioning the patient, lubricating and inserting the suppository, and having the patient remain in position afterwards.

Uploaded by

macs_smac
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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PROCEDURE CHECKLIST

Chapter 23: Inserting a Rectal Suppository


Check (9) Yes or No
PROCEDURE STEPS
1. Prepares and administers medications according to
Medication Guidelines: Steps to Follow for All
Medications.
2. Asks if the patient needs to defecate prior to the
suppository insertion.
3. Assists patient to Sims position.
4. If patient is uncooperative (e.g., confused, child)
obtains help to immobilize the patient while inserting the
suppository.
5. Removes suppository wrapper and lubricates smooth
end of the suppository and tip of the gloved index finger.
6. Explains that there will be a cool feeling from the
lubricant and a feeling of pressure during insertion.
7. Uses nondominant hand to separate the buttocks.
8. Asks patient to take deep breaths in and out through the
mouth.
9. Uses index finger of dominant hand, to gently insert
suppository, lubricated smooth end first; or follows
manufacturers instructions.
10. Does not force suppository during insertion.
11. Pushes the suppository past the internal sphincter and
along the rectal wall (about 4 inches or 10 cm in an adult;
2 inches or 5 cm for a child).
12. If the client has difficulty retaining the suppository,
after removing the finger from the anus, holds clients
buttocks together for a few seconds or asks the patient to
try to retain the suppository if he is able.
13. Wipes anus with toilet tissue.
14. Explains to patient the need to remain in side-lying
position for 5 to 10 minutes.
15. Leaves call light and bedpan within reach if
suppository was a laxative.

Yes

No

COMMENTS

Recommendation: Pass ______ Needs more practice ______


Student:

Date:

Instructor:

Date:

Copyright 2007, F. A. Davis Company, Wilkinson & Van Leuven/Procedure Checklists for Fundamentals of Nursing

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