Indications: 1) flatulence; 2) preparation for endoscopic examinations of the gastrointestinal tract.

 

Contraindications: 1) fissures in the anus area; 2) acute inflammatory or ulcerative processes in the colon or anus area; 3) malignant neoplasms of the rectum; 4) bleeding hemorrhoids; 5) prolapse of the rectum; 6) stomach or intestinal bleeding.

 

Workplace equipment: 1) manipulation table; 2) sterile vapour tube; 3) Vaseline oil; 4) container with a small amount of water; 5) oilcloth; 6) diaper (2 pcs); 7) Janet syringe to wash the vapour tube; 8) personal protective equipment; 9) containers with disinfectant solutions; 10) bag for dirty laundry.

 

The preparatory stage of the manipulation.

  1. The nurse should change her gown and wear an apron before the manipulation. Hygienically disinfect hands and wear gloves.
  2. Prepare the manipulation table
  3. Establish a trusting relationship with the patient.
  4. Clarify the patient's understanding of the purpose and course of the procedure, and get his consent.
  5. Make sure there are no contraindications to this procedure.
  6. Put a Kleenex or a diaper on the patient's bed.
  7. Put the patient on the left side, with the legs bent and brought to the abdomen (if such a position is impossible, then put him on his back)
  8. Lubricate the rounded end of the vaseline tube with Vaseline oil.

 

The main step in performing the manipulation.

  1. With 2 fingers of the left hand spread the buttocks, with the right hand rotate the vapor tube to a distance of 20 - 30 cm.
  2. Dip the outer end of the tube into a container of water to make sure the gases are escaping.
  3. Wrap the outer end of the tube in a diaper.
  4. After one hour, remove the tube and immerse it in a container with disinfectant solution.
  5.  Dry the skin around the anus with a napkin, in case of irritation treat with vaseline oil.

 

The final stage of the manipulation.

  1. Rinse the vapor tube with a Jeanet syringe in a container with disinfectant solution. Soak the vapor tube and syringe in a second container of disinfectant solution for a period of time according to the instructions for use of this disinfectant (Desomix, etc.)
  2. Put the diapers in a dirty laundry bag.
  3. Wipe the manipulation table, apron, and oilcloth with a rag soaked in disinfectant.
  4. Remove the gloves and immerse them in the disinfectant solution for a period of time according to the instructions for use of this disinfectant. Wash your hands with soap and water and dry them with a towel.
  5. Make a record in the appointment sheet about the performance of the procedure and the achievement of the effect.

 

Note:

1 Do not hold the tube for more than one hour, as mucous membrane sores can form. If necessary, the procedure can be repeated after 2-3 hours, but no more than 2-3 times a day.

2. Modern disinfectants have a pronounced washing power (Desomix, etc.), which allows you to remove the lipid layer from the tips, and vapor tubes during disinfection.

Последнее изменение: четверг, 18 мая 2023, 13:09