BOWEL WASH

1.	Wash hands with soap and put on  disposable gloves and apron
2.	Prepare the solution at the required temperature
3.	Attach the tubing and the rectal tube with tunnel , pour the solution in  it and check for leakage
4.	Lubricate the tip of rectal tube about 4 inches
5.	Fill the tunnel with the solution and expel air from the funnel , allowing a small amount of fluid to run into kidney tray. Pinch the tray
6.	Separate  the patients buttocks to visualize the anus clearly and insert the tip about 4 inches while patient exhales
7.	Lower the funnel  below the level of rectum
8.	Raise the funnel and allow the fluid to run in continue to pour more fluid into the funnel before funnel is empty
9.	When 200 to 300 ml of fluid has gone in pinch the tube before the funnel is completely empty and invert it over the bucket and syphon off the fluid
10.	When the return flow ceases turns the funnel upright and pours more solution . Lower the funnel until air from the tube has been expelled . then raise the funnel a nd repeat the fluid to run in, continue to pour more fluid in funnel before funnel is empty
11.	Continue the procedure until all the fluid ordered has been given or till the return of flow is clear
12.	Temporarily stop the procedure if the patient develops any discomfort
13.	Gently remove the rectal tube by pulling through 3-4 layers of rag pieces or gauze pieces
14.	Discard the rag pieces in paper bag , pace funnel with the tubing in kidney tray