CHECKLIST FOR SUPPOSITORY
S.NO            CONTENT                                              DEMO   RETURN   PRACTICE   PRACTICE
                                                                            DEMO     1          2
1      PURPOSE
            To stimulate defecation
            To treat constipation.
            To relieve gaseous distension.
            To introduce peristalsis
            To reduce temperature
2      PREPARATION OF ARTICLES –
           Suppository
           Mackintosh and towel
           Kidney tray and paper bag
           Bed pan
           Screen
           Gloves
3      PRELIMINARY ASSESMENT
           Check the diagnosis
           Check the date and time of surgery
           Check the nature of enema ordered
           Check for any lesions in rectal or perineal area
4      PROCEDURE
       PREPROCEDURAL STEPS:
           Explain the procedure to the child according to his
             level of understanding if old enough if not, then to
             parents
           Put on the curtains/ screen.
           Place mackintosh and towel under patient’s buttock
           Keep bed pan under the bed
           Position the patient in comfortable position usually
             in left lateral position.
           Perform hand hygiene. Wear gloves
       INTRAPROCEDURAL STEPS:
           Remove the suppository from its package and hold it
             in right hand between two fingers.
           Separate the buttocks with the left hand and insert
             the suppository into the anus.
           Once it has passed the external sphincter, advance it
             beyond the internal sphincter, pushing it with index
             finger and in infants with little finger.
           Patient should be instructed to retain the
             suppository as long as it is comfortable for about 15
             -20 minutes.
           Provide the patient with bedpan. If the child is old
           enough to go to bathroom, assist him/her onto
           bathroom.
        Remove and discard the gloves. And perform hand
           hygiene.
5   AFTER CARE:
        Take all the articles to the utility room and discard
           the waste, clean the articles and store it in proper
           place.
        Wash hands.
        Return to patient and evaluate patient’s condition.
        Send the specimen if any to the laboratory.
6   RECORDING AND REPORTING:
        Record the type of suppository given, time of
           administration and characteristics of results.
        Report if the patient fails to defecate to the
           physician.