Rectal Tube, Insertion Of

Rectal Tube Insertion Policy 

Purpose: 

• To relieve abdominal distention and expulsion of flatus. 

• To relieve pain. 

Equipment: 

• Rectal tube (#22 to #24). 

• Lubricant. 

• Bedpan or urinal containing approximately 50 cc’s of water. 

• Toilet tissue. 

• Bedpan cover. 

• Plastic bag. 

Procedure: 

I. Preparation: 

• Assist the resident to Sim’s position. 

• Place the end of the rectal tube into the bedpan. Ensure the end of the tube is covered by water. 

• Lubricate the tip of the rectal tube. 

II. Insertion: 

• Insert the lubricated tip gently into the rectum, approximately three to four inches. 

• Note: Do not force the tube into the rectum. 

• Cover the bedpan. 

• Leave the rectal tube in place for approximately 20 minutes. 

• Observe for expulsion of flatus. 

III. Completion: 

• Remove the rectal tube gently. 

• Clean the anal area. 

• Position the resident comfortably with the call light within reach and side rails up. 

Documentation: 

• Date, time, and procedure. 

• Amount of flatus expelled, condition of the abdomen. 

• How well the resident tolerated the procedure. 

• Monitoring and observation of bowel patterns and any changes. 

• Preventive skin care provided. 

• Monitoring for abdominal discomfort. 

References: 

• Centers for Medicare & Medicaid Services (CMS), Requirements of Participation for Long-Term Care Facilities. 

• State Operations Manual (SOM), CMS.