TAGUM DOCTORS COLLEGE, INC.
Mahogany St., Rabe Subd., Tagum City
Telefax: (084) 655 – 6971 E-Mail: tdci_007@yahoo.com
Website: TagumDocollege.com
PERINEAL CARE
Definition: It is the washing of genitals and anal area with plain water or medicated solutions.
Purposes:
1. To cleanse the area of secretion and excretions
2. To reduce unpleasant odors.
3. To prevent skin irritation and excoriation
4. To control the potential for infection
5. To promote comfort
Equipment:
1. Bedpan with cover
2. Waterproof under pad
3. Bath blanket (optional)
4. A tray containing the following:
A. Sterile covered flushing can with sterile water or solution to be used.
B. Sterile pick up forceps in a disinfectant solution
C. A jar of dry sterile CB.
D. A jar of sterile CB soaked in soap and sud solution
E. A jar of sterile CB soaked in antiseptic solution
F. Kidney basin lined with paper for waste
G. Toilet paper(client’s supply)
H. A piece of paper to wrap vaginal pads
I. Working forceps in a sterile pack
J. Working glove/s (2 pairs)
5. Adult diaper or sanitary pad(client’s supply;optional)
6. Perineal ointment or lotion if needed
Procedure
Action Rationale
1. Assess the need for external douche
2. Explain your intentions Exchanging information allays fears and
promotes cooperation
3. Wash your hands Hand washing reduce the transient
microorganism thus, deters the spread of client
and self.
4. Assemble equipment, test the temperature of Organization promotes efficient time
the water by pouring over the back of the nurse’s management
hand and bring preparation to the bedside
5. Screen the client and close the This ensures the client’s privacy
door/windows/pull down the curtain
6. Raise the bed to working height
7. Place waterproof pad, if available, as well as Cleansing may wet or soil an unprotected bed
change the top sheet with bath blanket if available
8. Don gloves and drape the client in a diamond To protect the nurse from infection. The nurse
shape. provides warmth and is respectful of the client’s
modesty
9. Remove adult diaper/sanitary pad. Roll with the
contaminated inside and wrap with a piece of
paper. Place it on the paper lining under the bed
10. Place the client on a bedpan in a dorsal A bedpan will collect the water used during
recumbent position perineal cleansing
11. Lift the cover of the flushing can and fold with Water dissolves or dilutes dry secretions. Soap
sterile side inside. Test the water temperature at emulsifies fatty substances in the skin and
41 degrees centigrade by pouring over the back of reduces the ability of microbes to grow and
the nurse’s hand on the client’s thigh multiply
12. Flush the area with warm water or a soapy
solution until the area is clean
13. With one cotton ball soaked in soap sud Thorough cleansing and care should be taken to
solution, wash the mons veneris in zigzag motion avoid introducing secretions and bacteria into
going toward the lower portion of the the opening through which urine is release.
TAGUM DOCTORS COLLEGE, INC.
Mahogany St., Rabe Subd., Tagum City
Telefax: (084) 655 – 6971 E-Mail: tdci_007@yahoo.com
Website: TagumDocollege.com
hypogastrium. Wash the upper aspect of the labia Contamination of this area can lead to a urinary
majora and continue doing upward toward the tract infection.
umbilicus using the same motion
14. Use a second cotton ball in SSS to wash the
inner aspect of the farther thigh. Beginning in the
crease of the groin and continuing outward toward
the knee. These strokes are made with a back and
forth motion and are carried well underneath the
thigh
15. A third cotton ball in SSS is used to wash the
inner aspect of the nearer thigh using similar stroke
16. A fourth cotton ball in SSS is used to wash the
farther labia majora in a downward stroke towards
the groin
17. Do the same on the other labia
18. A sixth cotton ball SSS is used to wash, with one
downward stoke, from the clitoris, meatus, vaginal
opening to perineum
19. The above step is repeated with a 7th cotton ball
in SSS, and to include the anus.
20. Rinse with sterile water and pat dry using toilet
paper from front to back
21. Remove the client from the bedpan. Turn to Moisture supports the growth of microorganisms
side and dry the buttocks and contributes to discomfort
22. Apply lotion on the buttocks as needed An emollient helps to soothe excoriated tissue
(optional)
23. Put on diaper or sanitary pad and or
underwear. Remove the waterproof pad and
replace the bath blanket with top sheet. Make the
client comfortable.
24. Bring equipment back to the utility room and Controlling the spread of pathogens is a primary
do the after care principle of asepsis
25. Remove gloves and wash your hands Hand washing deters the spread of
microorganisms
26. Document the performance of the procedure, Written information documents the
the objective and subjective findings and the individualized care of the client.
client’s response
SAMPLE DOCUMENTATION:
Date Time Nurse’s Notes
8-17-17 8:00 am Perineal care provided. Moderate amount of
lochia rubra noted on perineal pad. Episiotomy
and perineum swollen. Bean sized external
hemorrhoids noted. Verbalized feeling of comfort
after the procedure.
2
TAGUM DOCTORS COLLEGE, INC.
Mahogany St., Rabe Subd., Tagum City
Telefax: (084) 655 – 6971 E-Mail: tdci_007@yahoo.com
Website: TagumDocollege.com
PERFORMANCE CHECKLIST
PERINEAL CARE
Name: _______________________________________ Grade: _______________________
Year: ________________________________________ Date: ________________________
Legend:
5-Excellent 4-Very Good 3-Good 2-Fair 1-Poor
Rating
5 4 3 2 1
1. Check client’s chart
2. Identifies client and explains procedure
3. Washes hands thoroughly
4. Prepares equipment and brings preparation to the bedside
5. Adjusts bed to a comfortable working height
6. Provides privacy to the client. Positions the client supine
7. Changes top sheet with bath blanket
8. Places bed protector
9. Drapes client with bath blanket and exposes the perineal area
10. Places client on bed pan in a dorsal recumbent position.
11. Tests temperature of the water (40 degrees centigrade)
12. Flushes the area with warm water
13. Applies soap using CB soaked with soap sud solution using zigzag motion
starting from the mons pubis. Uses one cotton ball on each stroke
14. Applies another cotton ball on the far groin going up using zigzag stroke. Uses
the same stroke on the ear groin.
15. Separates labia and applies another CB on each labia using gentle downward
stroke
16. Applies the last CB soaked in soap sud solution using downward stroke from the
urethra going downward to the anus.
17. Rinses well
18. Dries area from top down using toilet paper
19. Removes bed pan and turns client to side immediately. Dries the buttocks with
toilet paper.
20. Applies lotion as needed
21. Removes bed protector by rolling it to the center
22. Replaces blanket with top sheet and makes client comfortable
23. Examines the content of the bed pan and throws it into the toilet bowl
24. Bring equipment back to the utility room and does the after care
25. Washes hands
26. Manifests neatness in the performed procedure
27. Receptive to criticisms
28. Observes courtesy
29. Shows calmness while performing the procedure
30. Uses correct English
31. Shows mastery of the procedure
Remarks:
__________________________________________ _________________________________
Student’s Signature Clinical Instructor’s signature
