NEW ERA UNIVERSITYCollege of Nursing

PERFORMANCE EVALUATION TOOL

ADMINISTERING AN ENEMA

Name:___________________________ Group No _____ Date: _________Grade:_________

DIRECTION: Rate the student’s performance utilizing the scale below:5 – Demonstrate procedure properly, explains the correct rationale behind action4 – Demonstrates procedure properly, correct rationale was not thoroughly explained.3 – Demonstrate procedure properly, no/ wrong rationale stated.2 – Procedure not completely and accurately done, correct rationale was not thoroughly explained 1 – Procedure not properly done, no/ wrong rationale stated0 – Procedure not done

COMPETENCIES 5 4 3 2 1 0 RemarksA. ATTITUDE (10%)1. Reports on time.2. Wears complete prescribed uniform.3. Neat and well groomed.4. Has complete articles needed for the activity.5. Observe proper decorum.6. Acknowledges criticism/suggestions cheerfully.7. Shows interest in the activity.B. KNOWLEDGE (20%)1. States objectives of this activity.2. Uses appropriate term.3. States steps of the procedure in correct order.4. Explains rationale of every step.C. SKILLS (70%)1. Determine whether a primary care provider’s order is required2. Assemble equipment and supplies3. Perform hand hygiene and observe other appropriate infection control procedures.4. Introduce yourself and verify the clients’ identity. Explains the procedure and why it is necessary.5. Provide for client privacy6. Wear gloves7. Position and drape the client to a left lateral position, with the right leg as acutely flexed as possible8. Place absorbent pad on bed under the client’s buttocks9. Lubricate about 5 cm of the rectal tube10. Run some solution through the connecting tubing of a large-volume enema set and the rectal tube, to expel any air in the tubing; then close the clamp11. Hold enema container at the level of the rectum. Have the client take deep breath. Simultaneously insert rectal tube slowly about 7-10 cm into the rectum by pointing tip into direction of client’s umbilicus. Breathing out promotes relaxation of external anal sphincter12.Raise the container to appropriate height (12-18 inches) and open clamp13. Slowly administer fluid. Lower container or clamp tubing if client complains of cramping, or if fluid escapes around rectal tube

Fundamentals of Nursing Checklist Skills Laboratory

NEW ERA UNIVERSITYCollege of Nursing

14. When solution has been administered or the client cannot hold more fluid, clamp and place layers of tissue around tube at anus and remove the rectal tube disposing of it properly 13. Clean lubricant solution and any feces from the anus with a tissue paper14. Have the client continue to lie on the left side and retain the solution for appropriate amount of time15. When there is strong urge to defecate, assist to bedside commode, bedpan or toilet16. Assist to clean the perineal area after defecating 17. Return to comfortable position

EVALUATED BY: _______________________ ___________________________ Clinical Instructor Student’s Signature

Fundamentals of Nursing Checklist Skills Laboratory