Republic of The Philippines University Town, Northern Samar Website: Email

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Control No.

_____
Republic of the Philippines
UNIVERSITY OF EASTERN PHILIPPINES
University Town, Northern Samar
Website: uep.edu.ph Email: uepnsofficial@gmail.com

COLLEGE OF NURSING AND ALLIED HEALTH SCIENCES

ADMINISTERING RECTAL SUPPOSITORY


DEFINITION
 Administration of medication via rectal route.
PURPOSE
 To provide temporarily relief of clients who cannot tolerate oral preparation.
 To induce relaxation.
 To relive pain and local irritation.
 To reduce fever.
 To stimulate peristalsis and defection in clients who are constipated.
EQUIPMENT
 Rectal suppository.
 Disposable gloves
 Tissue paper
 Bed pan

PROCEDURE RATIONALE
1. Check the doctor’s order  Ensure safe and accurate administration of
medication.
2. Observe the 5R’s drug administration.  Ensures accuracy and decreases chances of
a) Right patient medication error.
b) Right Dose
c) Right Time
d) Right Route
e) Right Frequency
3. Assess the client`s need for rectal  Allow to determine the need for medication.
medication.
4. Gather the equipment needed.  Helps the procedure flow smoothly.
5. Identify the clients and explain the  Promotes confidence and maintains self-image.
procedure. Assess client`s readiness to
receive the medication.
6. Wash hands.  Reduce the transmission of microorganisms.
7. Wear Gloves.  Prevents contact with fecal material.
8. Assist the client into lying position (Sims)  The descending colon is on the left side; this is a
preferably left side wit6h the upper leg more anatomically correct position. This position
drawn toward chest (if tolerated). exposes the anus to identify the placement.
9. Retract buttocks with non-dominant hand  Correct placement ensures adequate absorption
visualizing the anus. Using the dominant and slow insertion minimizes pain and less
index finger, slowly and gently insert the chance for expulsion of medication.
suppository thru the internal sphincter
against the rectal wall.
10. Withdraw finger and wipe anal area.  Promotes comfort and cleanliness.
11. Instruct the client to remain in bed for at  To keep suppository in place for better
least 10 minutes. If administering, absorption.
suppository containing laxative, assist client
once he has sensation to defecate.
12. Remove gloves and wash hands.  Reduce transmission of microorganisms.
13. Record the procedure.  To provide accurate data needed in the care of
client.
Control No._____
Republic of the Philippines
UNIVERSITY OF EASTERN PHILIPPINES
University Town, Northern Samar
Website: uep.edu.ph Email: uepnsofficial@gmail.com

COLLEGE OF NURSING AND ALLIED HEALTH SCIENCES

PERFORMANCE EVALUATION CHECKLIST

ADMINISTERING RECTAL SUPPOSITORY


PROCEDURE Able to Able to Unable
Perform Perform to
(2) with Perform
Assistance (0)
(1)
1. Check the doctor’s order
2. Observe the 5R’s drug administration.
f) Right patient
g) Right Dose
h) Right Time
i) Right Route
j) Right Frequency
3. Assess the client`s need for rectal medication.
4. Gather the equipment needed.
5. Identify the clients and explain the procedure. Assess
client`s readiness to receive the medication.
6. Wash hands.
7. Wear Gloves.
8. Assist the client into lying position (Sims) preferably
left side wit6h the upper leg drawn toward chest (if
tolerated).
9. Retract buttocks with non-dominant hand visualizing
the anus. Using the dominant index finger, slowly and
gently insert the suppository thru the internal
sphincter against the rectal wall.
10. Withdraw finger and wipe anal area.
11. Instruct the client to remain in bed for at least 10
minutes. If administering, suppository containing
laxative, assist client once he has sensation to
defecate.
12. Remove gloves and wash hands.
13. Record the procedure.

Remarks:___________________________________________________________________________
__________________________________________________________________________________
____________________________________________________________________________________

Grade: _____________

______________________________ __________________________
Clinical Instructor Student’s Signature
Control No._____
Republic of the Philippines
UNIVERSITY OF EASTERN PHILIPPINES
University Town, Northern Samar
Website: uep.edu.ph Email: ueppres06@gmail.com

COLLEGE OF NURSING AND ALLIED HEALTH SCIENCES

PERFORMANCE EVALUATION CHECKLIST


CHECKLIST ON ADMINISTERING RECTAL SUPPOSITORY

Procedure Able to Able to Perform Unable to


Perform with Assistance Perform
Assessment
1. Assess the rectal area.
2. Assess client`s need for rectal medication.
3. Assess the client`s readiness to receive
medication.
Planning
4. Wash hands.
5. Gather equipment needed.
Implementation
6. Check the doctor`s order.
7. Observe the 5R`s in drug administration.
8. Identify and explain the procedure and provide
privacy.
9. Wear gloves.
10. Position client in left side lying position.
11. Administer suppository and assist in defecation.
12. . Remove gloves and wash hands.
Evaluation
13. Observe signs and symptoms of adverse effects.
Note response to drug therapy.
Documentation
14. Record the name of drug, time and route.

Remarks:

Grade:

Rating Scale:

Excellent : 96-100%

Very Satisfactory : 90-95%

Very Good : 85-89%

Good : 80-84%

Fair : 75-79%

Poor : 74 & below


Clinical Instructor Student`s Signature

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