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Providing Perineal Care to the Patients

Special perineal care is required to be given to the patients who urinate on the bed or require a bedpan. After urination, the patients have to be cleaned in the perineal region by the certified nurse assistants to keep them comfortable and active. With daily checks, a CNA will get to know if there are any lesions, swelling or traces of infections in the perineal regions of the patients. If there are any, proper protective steps must be taken to stop them and prevent any infections (bladder infection, urinary tract infection). This article gives you information about the right procedure of providing perineal care to the patients.

Procedure to be Followed to Provide Perineal Care to the Patients

Step 1 – Wash your hands properly before start providing perineal care to the patients.

Step 2 – Wear gloves after drying your hands.

Step 3 – Greet the patient and explain him/her the entire procedure which you are going to perform.

Step 4 – Ask the patient to spread the legs if they are capable of doing so, otherwise, you will have to do that.

Step 5 – Take a washcloth and clean the skin in the perineal region in back to front movement (anal to urethra). Use more washcloths if required.
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Step 6 – After you are done with the cleaning part, dry the area properly. You must use separate washcloths to wipe other parts of the body and perineal region.

For the female patients – Use downward strokes to clean the region. Use a new washcloth for each downward stroke.

For the male patients – Use the washcloth in a circular motion and from top to down motion to clean the region properly.

Step 7 – After you are done with the cleaning, you must change the bed linens.

Step 8 – Dispose of the used linens and your gloves.

Step 9 – Wash your hands properly with antiseptic soap and lukewarm water. Wear another fresh glove.

Step 10 – Make the patient comfortable by making necessary adjustments to the sheet, blanket and bed.

Step 11 – After you are done with the work, dispose of the gloves and wash your hands properly with the antiseptic soap and lukewarm water.

Things to Remember

As a CNA, you must try and find out the signs of infections in the perineal region. Regular checkup will reduce the chances of infections. Various signs of infections include inflammation, sores, rashes, boils and tenderness in that area. You must inform the nurse immediately in case you notice any of these symptoms.

What does an examiner monitor when you perform this skill?

  • Do you rinse your hands properly with antiseptic soap and lukewarm water?
  • If you cover the patient appropriately so that s/he does not feel embarrassed.
  • If a waterproof pad is placed below the patient’s buttocks.
  • If patient is positioned appropriately for the process.
  • If you apply the cleansing lotion to the patient.
  • Is the perineal region clean? If you use separate washcloths for the cleaning purpose.
  • If the waterproof pad is removed from below the patient.
  • Whether you dispose of the gloves and wash your hands properly with antiseptic soap and lukewarm water?

Expert’s Tips

Always look for any infections in the patient’s genital region. There must not be any rashes, inflammation, sores, etc. If you notice any such signs, you must notify your supervisor immediately.