The nurse has filled the first enema bag with approximately 2000 cc's of warm water. After Renee has changed into a backless hospital gown, the nurse attaches an inflatable nozzle to the hose, similar to the one that will be used for Renee's barium enema procedure, and demonstrates how it will be inflated inside Renee's rectum after insertion. The nozzle will allow Renee to hold the enema, giving it more time to be effective. The nurse also puts castile soap into the enema bag to help cleanse Renee's colon. After instructing her patient to lie on her left side in the Simms position, the nozzle is inserted, inflated, and the warm water is released.