Procedure
1) To avoid the cross infection wash your hands clean and collect all articles.
2) Take all the articles to me right side of the patient.
3) Arrange them in such a manner that it will be comfortable for the patient and handy to work.
4) It will also save the time and energy.
5) Explain the procedure to the patient and relatives to gain their co-operation.
6) Provide privacy by putting curtain. So that the patient will not feel shy.
7) To prevent the blanket from getting spoil, fold it and keep it at the foot site.
8) Place the draw mackintosh and drawsheet under •his waist to prevent the bed from getting wet.
9) Give him left lateral position on the bed.
10) Loose the garments of the waist and expose only the necessary portion, so that the patient will not hesitate.
11) Lubricate the flatus tube at eye side, up to 3" to 4" with vaseline to prevent the friction. As the mucus membrance of the rectum is very delicate.
12) Touch the tip of flatus tube to the anus so that the sphincter muscles of the anus constrict and immediately relaxes, at that time insert it in anal canal gently but quickly, keeping the free end of the flatus tube under the lotion in kidney tray.
13) Insert the tube 7 to 10 inches and observe the bubbles and liquid stools in the lotion.
14) When the bubbles are stopped then move the tube little bit inside and outside, and observe for the bubbles. After that remove the tube and keep it in other kidney tray. See that the tube will not touch the floor.
15) If the bubbles are observed more then write the result 'good', if not then mark the result 'poor'.
16) Remove the drawsheet and mackintosh. Make the patient comfortable. Do the bed neat
17) Record the date, time and result of flatus tube on the case paper and inform the sister incharge
| 
