University:
American Career College
Course:
NURS-113 | Beginning Medical/Surgical Nursing
Academic year:

2021
Views:

45

Pages:

2
Author:

Alexa Livingston

Providing Perineal Care on a Female Patient Supplies: ● ● ● ● ● ● ● ● ● ● ● Barrier Bath blanket Bath thermometer (wrist) Bed protector Clean clothing Clean linens Gloves (1) Soap Towels Wash basin Washcloth Skill: 1. Place barrier on OB table w/ supplies arranged. Fill wash basin w/ 100°-105°F water & let patient check. Place on OB table. 2. Lower head of bed as tolerated. 3. Cover patient & top sheet w/ bath blanket & let them hold edge or tuck under shoulders. Fold top linens down. 4. Put on gloves. 5. Help patient remove soiled clothing. 6. Have patient bend knees (if able) & spread legs as much as possible. 7. Place bed protector under buttocks. Elevate women’s hips by placing folded towel under buttocks. 8. Adjust bath blanket so only perineal area is exposed. 9. Stand on side of patient that is your dominant hand (if you’re right handed, stand on the patient’s right hand side.) 10. Wet washcloth & make mitt. 11. Put soap in washcloth mitt & wash perineal area. 12. Separate labia w/ less dominant hand. Place washcloth mitt in dominant hand & start at top of vulva stroking downward. Clean middle-side-side using a different area of the mitt each time. 13. Using a clean wet washcloth mitt, rinse the perineal area in the same way it was washed. 14. Dry perineal area w/ a clean towel in the same manner it was rinsed. 15. Roll patient away from you & remove folded towel. 16. Help person turn onto 1 side facing away from you. 17. Wet another washcloth mitt w/ soap & separate buttocks, wiping front to back each side & then the middle w/ a different area of the washcloth each time. 18. Using a clean washcloth, form another mitt & rinse in the same way it was washed. Providing Perineal Care on a Female Patient 19. Dry w/ a clean towel in the same manner it was rinsed. 20. Remove bed protector. 21. Remove & dispose of gloves. 22. Put bed back into supine position as tolerated. 23. Help patient to put on clean clothes. 24. If linens are soiled or wet, change linens. 25. Pull up top linens & remove bath blanket.