Perineal care for a female resident

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1. Introduce yourself and greet the resident using their name.Checkpoint
2. Explain the planned care before starting and keep the resident informed as you work.Checkpoint
3. Wear gloves for perineal cleansing, equipment cleaning and handling dirty pads, washcloths and towels.Checkpoint
4. Replace the wet or soiled pad with a dry one before beginning cleansing.Checkpoint
5. Use safely tempered water for both washing and rinsing.Checkpoint
6. Wash the front perineal area with a soaped cloth, including the genitals and groin skin folds.Checkpoint
7. Use a fresh cloth area for every wash or rinse stroke inside the vulva.Checkpoint
8. Move from front toward back for every wash and rinse stroke over the front perineum, including genital and groin-fold areas.Checkpoint
9. Remove soap from the front perineal skin with a clean wet cloth containing no soap.Checkpoint
10. Pat the washed and rinsed front perineum dry with a towel, moving front to back.Checkpoint
11. Change the basin water whenever it becomes cold or soapy.Checkpoint
12. Help the resident turn onto the side before cleansing the buttocks and rectal area.Checkpoint
13. Cleanse, rinse and dry the buttocks and rectal area.Checkpoint
14. Use front-to-back strokes for washing and rinsing the rectal area.Checkpoint
15. Finish with a dry pad beneath the resident.Checkpoint
16. Rinse, dry and store the basin; hamper used linens, discard waste and leave the overbed table dry.Checkpoint
17. Keep the resident a safe distance from the bed edge during the entire task.Checkpoint
18. Ask which preferences the resident would like respected during care.Checkpoint
19. Apply Standard Precautions and the infection-control practices required for this care.Checkpoint
20. Check whether the resident is comfortable or needs anything while you work or before finishing.Checkpoint
21. Respect the resident’s rights throughout the task.Checkpoint
22. Maintain resident safety throughout the task.Checkpoint