Digital Rectal Examination & Manual Removal of Faeces

Ashfield Services
Delivery Method: Face-to-face

What's covered on the day?

This full day session will give the Registered Practitioners attending the opportunity to explore Bowel Assessment and Function, including Digital Rectal Examination (DRE) & Manual Removal of Faeces (MRF). It will equip the learners with a theoretical understanding of the importance of considering both of these as part of the wider bowel continence process & not as stand alone aspects. The learners will explore the key factors when looking at DRE & MRF as potential management of the patient’s condition, including the cautions & contra-indications of these procedures. Learners will have the opportunity to practice aspects of the skill in simulation, although will not be assessed formally, a declaration of self-competency will be issued to attendees for completion after a period of consolidation and supervision in the workplace, or in line with organisational policies. The learners will undertake a knowledge assessment during the day to ensure that the theoretical aspect of the course has been fully met.


There will be a knowledge assessment at the end of this course, where learners will be required to meet an 80% mark to obtain a certificate of completion. Learners will not be formally assessed on the practical aspect of this course, but will be given a self-competency declaration form to use within their workplace and in line with their organisation policies on clinical skills

Learning Objectives

  • Review the anatomy and physiology of the lower gastro-intestinal tract in both the male and female patient
  • Define bowel dysfunction and list its potential causes
  • Explain the process of performing a full bowel function assessment and explain some of the investigations
  • List the contraindications of performing DRE and MRF
  • Recall the cautions that are required when considering performing DRE and MRF as part of a bowel assessment
  • Apply the principles of the Mental Capacity Act 2005 when considering undertaking a bowel function assessment including DRE and MRF
  • Name the equipment required to perform DRE and MRF
  • Identify the correct procedure for performing DRE and MRF and simulate this where possible

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