(e) Catheter, rectal, air contrast safety end flexible silicone enema tip
with retention cuff with an inflating bulb (Multi-Puff Insufflator) that fits the tubing and
has a self-contained anti-reflux valve (figure 2-12).
Paper napkins and hand towels.
(4) All of the apparatus must be clean and free of contamination before use.
"Rubber goods," such as catheters, tubing, and rectal tips, must be kept aseptic prior to
(5) Rectal tips should be lubricated with KY jelly or a similar substance. To
ensure cleanliness, the lubricated tips should be covered with nonabsorbent paper.
(6) A disposable enema bag with tubing attached should be filled with the
required amount of contrast medium and placed on a suitable stand, usually near the
foot of the x-ray table.
(7) When separate toilet facilities are not provided for patients, special
provisions should be made to that patients undergoing barium enema examinations
have unhampered access to the toilet. Bedpans should be provided for patients who
are unable to use the toilet.
(8) Protective aprons and gloves should be laid out for the radiologist and
other interested medical personnel.
d. Fluoroscopic Examination.
(1) When the patient arrives for their examination, have the patient dress in
a suitable gown.
(2) The examination procedure should be explained to the patient so that
maximum cooperation may be attained. At this stage notify the radiologist that the
patient is ready.
(3) The radiologist will perform a preliminary screening of the area under
consideration. This is usually done with the patient in the recumbent position.