The past couple of days have been interesting.
Monday was the first day of a new ward rotation and J. was unpleasantly surprised by one patient who had had no bowel movement (i.e. um, passed faeces) for 5 days and was not responding to that most reliable of tools: the fleet enema.
As such, he had to go back to the old-fashioned technique of manual evacuation. Yes, it is exactly as it sounds. The patient, being unable to lie on his left due to a recent left-sided op, lay in a right lateral decubitus position with his legs drawn up. J., with the bedpan nearby, an incontinence sheet beneat the patient, double gloves on his hands and lubricant on his finger, proceeded to stick his finger up the patient’s behind and dig… and dig and dig and dig out as much faeces as his finger could reach.
Then, while considering giving a fleet enema immediately post-evac or giving PEG solution 2L, he absent-mindedly removed the left glove… in the process flicking shit onto the patient, the bed, and the unfortunate staff nurse helping him hold the patient. Damn.
Smelt like crap. That was not a good start to the day.
Continue reading →