Vaginal Irrigation or Vaginal Douche is the injection of fluid either plain or medicated into the vaginal canal under low pressure to facilitate cleansing of the vaginal tract.
- Injection of Fluid plain or medicated into the vaginal canal under low pressure.
- Mechanical cleansing of the vaginal tract and the cervix as in leukorrhea
- To help remove any foul odor that may be present
- To cleanse and irrigate the cervix after cauterization ~and at the same time to reduce the swelling and promote healing
- Pre-operative procedure on most patients having the type of gynecologic surgery
Points to Remember
- Never give without doctor’s order
- Never give during pregnancy or menstruation
- Conduct of the procedure should be with all regards to the patient. Provide strict privacy
- Examine douche nozzle for any chips before using
- Scrub hands before and after the procedure
- In giving to gonorrheal patients, wear gown and use gloves and goggles
- Use smaller nozzles for virgins
- Test temperature of the solution before using
- Sterile douche tray for CSR
- Irrigating can with tubing
- Bath blanket
- Irrigating stand
- Solution prescribed
- Flushing tray
- Bedpan with cover
- Bed protector and clamp
- 2 douche nozzles
- Kidney basin
Preparing the patient
- Explain to patient the nature and necessity of the treatment.
- Let patient void first before giving the douche.
- Bring all preparations to the bedside.
- Screen the bed. Replace topsheet with bath blanket.
- Slip the bed protector under the patient’s buttocks.
- Assist patient on to bedpan.
- Position and drape patient.
- Flush external genitalia.
- Hang the irrigating can covered) about 2 feet above bed level.
- Attach douche nozzle to the end of the tubing. Expel the air. Test temperature of water by allowing solution to flow at the back of the hand.
- Insert the nozzle gently downward backward while the solution is flowing. Gently move the nozzle around during the process.
- Before all solution runs out clamp and withdraw the nozzle. Disconnect and place in kidney basin.
- Let patient stay on bedpan for a while to drain excess solution.
- Remove bedpan and dry area thoroughly.
- Make patient comfortable.
- Take preparation to lavatory. Examine contents of bedpan before throwing into hopper. Clean and keep all equipment in their proper pieces.
Charting & Documentation
Document the treatment, time, amount, kind and temperature of solution used and character of the return flow.