Unique Plan Description: PMR Inpatient Neurogenic Bowel Management
Plan Selection Display: PMR Inpatient Neurogenic Bowel Management
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2011-11-22 18:59:07
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2024-01-10 15:06:34
Available at all facilities: No

PMR Inpatient Neurogenic Bowel Management
Activity
	Toilet patient
		T;N
			Comment: Bowel program DAILY, Bisacodyl suppository in shower commode chair with digital stimulation every 5-10 minutes until BM complete. Manual disempaction after BM if needed.
Medications
	Dulcolax
		20 mg, Tablet, Enteric-Coated, By Mouth, DAILY, PRN for if no BM, duration: 3 Day(s)
			Comment: for 3 days in a row
		10 mg, Suppository, RECTALLY, DAILY, PRN for if no BM
			Comment: Give 8 hours after tabs if no results.  If no results 1 hour after suppository, transfer patient to commode and begin digital stimulation per neurogenic bowel program
	Enemeez Mini Enema
		283 mg, Enema, RECTALLY, Q3D, PRN, if no BM
			Comment:  give 8 hours after tabs if no BM per neurogenic bowel program
	Dulcolax
		10 mg, Suppository, RECTALLY, QPM
	docusate sodium
		100 mg, Tab, By Mouth, TID
			Comment: Hold for loose stools
	Senna
		17.2 mg, Tab, By Mouth, QHS
			Comment: Hold for loose stools
Patient Care
	Digital Stimulation
		T;1800, Q24H
			Comment: Neurogenic Bowel protocol: repeat digital stimulation every 5-10 minutes until the BM is complete.
	Notify MD
		T;N, Notify Rehab physician if no regular BM in 48 hours, if increased incontinence or changes in bowel movements
			Comment: per neurogenic bowel program or constipation program.

*Report Legend:
DEF - This order sentence is the default for the selected order
GOAL - This component is a goal
IND - This component is an indicator
INT - This component is an intervention
IVS - This component is an IV Set
NOTE - This component is a note
Rx - This component is a prescription
SUB - This component is a sub phase