Adult Bowel Care Policy.pdf - NHS North Somerset

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Appendix 8 Core Competencies Relating to Bowel Care Eligible practitioners: Doctors, Physicians Assistants, Registered Nurses, specific other Health Care Practitioners following agreement with their Manager, and the Continence Service The core competency should be achieved, before achieving the individual competencies in appendix 9. The candidate is able to: Ensure that the need for digital rectal examination is confirmed prior to procedure Demonstrate effective communication with the patient in gaining informed consent Demonstrate the ability to assess the individual patient’s needs, including their anxieties about digital rectal examination Demonstrate a good understanding of the anatomy and physiology of the gastro-intestinal tract Discuss and highlight risk factors pertaining to digital rectal examination Demonstrate the ability to discuss the results with the patient Demonstrate the ability to initiate further interventions / investigations as appropriate. Demonstrate accurate record keeping of procedure Initial/sign when competent The candidate attended a teaching session given by _____________________________ on the subject of______________________________________On __________________ The candidate has been assessed and has achieved the core competencies above. Assessor Signature _______________________ Print Name ________________________ Candidate Signature ______________________ Print Name_________________________ Candidate’s Designation ___________________Base _____________________________ Date of Assessment ._________________________ Assessor Candidate IT IS ESSENTIAL THAT YOU FORWARD A PHOTOCOPY OF THIS ASSESSMENT FORM TO THE TRAINING DEPT. A SECOND COPY SHOULD BE TAKEN FOR YOUR MANAGER TO PLACE IN YOUR PERSONAL FILE. Doc File Reference Issuer: Policy No: Issue Date: Issue No: Review Date: Page: Adult Bowel Care Policy PS 337 06/2009 1 06/2010 40 of 42 40
Appendix 9 Specific competencies relating to bowel care. Each competency may be achieved individually, but only after achieving the Bowel Care core competency above. Eligible practitioners: Doctors, Physicians Assistants, Registered Nurses, specific other Health Care Practitioners following agreement with their Manager, and the Continence Service The candidate is able to: Competency Perform Digital Rectal Examination as per PCT policy and procedure Administration of suppository as per PCT policy and procedure Administration of enema as per PCT policy and procedure Perform Digital Stimulation as per PCT policy and procedure Manual removal of faeces as per PCT policy and procedure Perform Anal irrigation as per PCT policy and procedure Insert anal plug as per PCT policy and procedure Sign Sign Assessor Candidate Date The candidate has been assessed and has achieved the competencies above. Assessor Signature _______________________ Print Name ________________________ Candidate Signature ______________________ Print Name_________________________ Candidate’s Designation ___________________Base _____________________________ Date of Assessment ._________________________ IT IS ESSENTIAL THAT YOU FORWARD A PHOTOCOPY OF THIS ASSESSMENT FORM TO THE TRAINING DEPT. A SECOND COPY SHOULD BE TAKEN FOR YOUR MANAGER TO PLACE IN YOUR PERSONAL FILE. Doc File Reference Issuer: Policy No: Issue Date: Issue No: Review Date: Page: Adult Bowel Care Policy PS 337 06/2009 1 06/2010 41 of 42 41
Page 1 and 2: Adult Bowel Care Policy Author(s):
Page 3 and 4: 1. Purpose of the policy 1.1 To ens
Page 5 and 6: 5 Training and Competence 5.1 All p
Page 7 and 8: 8 Acute Bowel Care Problems Nurses
Page 9 and 10: Recent Change In Bowel Habit. Can i
Page 11 and 12: 10 Understanding Faecal Incontinenc
Page 13 and 14: 11 Understanding Procedures involve
Page 15 and 16: 11.5 Insertion of Enema Before cons
Page 17 and 18: • anorectal conditions that could
Page 19 and 20: 13 References Chelvanayagam S, Nort
Page 21 and 22: Any of the above abnormalities shou
Page 23 and 24: Appendix 2 Procedure for Undertakin
Page 25 and 26: eak it up, stop and refer to the me
Page 27 and 28: Appendix 4 Insertion of Suppository
Page 29 and 30: Inform patient of insertion of supp
Page 31 and 32: abnormalities observed. anal skin t
Page 33 and 34: Equipment required Coloplast Perist
Page 35 and 36: Problem Advice Pain occurs when pum
Page 37 and 38: Norton C 2008. Guidelines for the u
Page 39: on the tip of the Peristeen anal pl

Adult Bowel Care Policy.pdf - NHS North Somerset

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