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Controversy surrounds the manual evacuation of faeces by nurses, and many are confused about their professional and legal responsibilities when asked to Manual evacuation aims to empty the rectum with the fingers, this is usually described as 'the digital removal of faeces'. This procedure can be carried out either on the bed, commode or toilet. 20 Aug 2018 DRF: digital removal of feces; Disimpacting stool with digital maneuvers; Digital evacuation; Manual disimpaction; Manual elimination Nurs Times. 2003 Jan 7-13;99(1):48. Manual evacuation of faeces. Rigby D(1). Author information: (1)Bath and West Community NHS Trust. Controversy Manual evacuation (also known as rectal clear) is used for people with a non-reflex bowel. Stool is emptied by gently inserting a finger into the rectum and removing it. This procedure is usually done everyday or every other day. glycerine suppository and digital stimulation, followed by a manual evacuation. Some reflex bowels will empty on reflex alone, and will only then require a PR. 21 Jul 2017 RCN Continence Forum member Ali Wileman offers an overview from the Congress 2017 fringe event on DRE and manual evacuation. 1 Jun 2016 manually or electronically, depending on the setting and circumstances. . bowel evacuation (Kyle et al 2005, RCN 2012,. Ness 2013). Recommendation: Do not perform manual evacuation of the bowel under anaesthesia unless optimum treatment with oral and rectal medications has failed. During the procedure the person delivering care may carry out abdominal massage. Once the rectum is empty on examination, conduct a final digital check of the rectum after five minutes to ensure that evacuation is complete. Place faecal matter in an appropriate receptacle as it is removed.