5. Preliminary assessment
Doctors order for any specific instruction
Assess the conditions of the perineal skin itching
irritation
Assess the need and frequency of care
Assess the self care ability of the patient
7. A clean tray
Clean gloves-1 pair
sterile gloves-1
Anti septic solution(Dettol/betadine)
A jug with warm water
Bed pan
Disposable mask
Mackintosh
Safety pins-2 top sheet apron
8. For female patient
Explain the procedure to the patient It reduces anxiety and increase cooperation
Prepare equipments in and assemble on right
side of the bed
Systematic ways of functioning saves energy
time material
Provide privacy To enhance comfort to the patient
Place the mackintosh under the patient hip To prevent soiling of bed
Position the patient dorsal recumbent that knees
flexed and legs apart
To provide easy to assess the genitalia
Make a diagonal fold with top sheet and drop
the client
Keeep client draped until procedure begins
minimizes anxiety
9. Keep the bed pan under the clients buttocks
and pour warm water over the perineum
Rinsing is more effectively than wiping
Wash hands wear the gloves Reduce the spread of germs
Open the sterile perineal pack and get the
assistance help to pour the solution
To prevent cross infection
With help of thump forceps take the cotton ball
clamp in the curved artery forceps
To make a confident care
Start the cleaning from less contaminated area
to more contaminated area
to reduce infection rate
Use only one cotton ball for each stroke to reduce infection rate
10. Use non dominant hand to gently retract
labia from thighs
To visualize the skin folds as it contains body
secreations and assess
a) Mons pubis-hair
b) Clitoris to forchette
c) Right labia minoria
d) Left labia minora
e) Right labia majora
f) Left labia majora
g) Right thigh
h) Left thigh
i) Forchette to anus
it reduce the spread of micro organisms
If the client is on foleys catheter drainage the
third stroke should be done to the catheter
-do-
Assist her in assuming a comfortable position
and cover with sheet
Clients comfort helps to minimize stress of
procedure
11. replace the articles For further use
Wash hands Reduces spread of germs
Discard the gloves Moisture and body secretions on gloves can
spread germs
Record the procedure in the nurses’s record Documentation helps to evaluate the health
12. For male patient
Explain the procedure to the patient It reduces anxiety and increase cooperation
Prepare equipments in and assemble on right
side of the bed
Systematic ways of functioning saves energy
time material
Provide privacy To enhance comfort to the patient
Place the mackintosh under the patient hip To prevent soiling of bed
Position the patient dorsal recumbent that
knees flexed and legs apart
To provide easy to assess the genitalia
Make a diagonal fold with top sheet and drop
the client
Keeep client draped until procedure begins
minimizes anxiety
13. Keep the bed pan under the clients buttocks and
pour warm water over the perineum
Rinsing is more effectively than wiping
Wash hands wear the gloves Reduce the spread of germs
Open the sterile perineal pack and get the
assistance help to pour the solution
To prevent cross infection
With help of thump forceps take the cotton ball
clamp in the curved artery forceps
To make a confident care
14. Start the cleaning from less contaminated
area to more contaminated area
to reduce infection rate
Use only one cotton ball for each stroke to reduce infection rate
Hold The Penis With One Hand With other
hand wash the tip of the penis with the warm
water
Rinsing is more effectively than wiping
If the man has a foreskin gently push it back the
foreskin is the skin that covers the rounded end
of the pelvis
To prevent cross infection
15. a) Clean the penis in circular motion( one stroke)
b) Just lift the penis and wipe upward to downward
motion
c) Wash the end of the penis
It reduce transfer of micro organisms to urinary tract
Assist her in assuming a comfortable position
and cover with sheet
Clients comfort helps to minimize stress of
procedure
replace the articles For further use
Wash hands Reduces spread of germs
Discard the gloves Moisture and body secretions on gloves can
spread germs
Record the procedure in the nurses’s record Documentation helps to evaluate the health
