CNA Skill 20

SKILL 20: PROVIDES PERINEAL CARE (PERI-CARE) FOR FEMALE

1. Introduce yourself and explain the procedure to the patient.
2. Provide privacy.
3. Perform hand hygiene
4. Check water for safe temperature
5. Raise one side rail of the bed after checking the patient’s mobility and their preferred side to lie on.
6. Put on gloves.
7. Raise the bed height if needed.
8. Fill the basin with warm water and place it on a flat surface with a barrier underneath. Have the patient check the water temperature by placing their hand in the basin or putting a wet washcloth on the back of their hand.
9. Turn the patient or raise their hips and place a barrier (a towel, waterproof soaker pad, disposable pad, etc.) under their buttocks.
10. Expose their perineum only.
11. Separate the labia.
12. Use water and a soapy washcloth.
13. Clean one side of the labia from top to bottom.
14. Using a clean portion of the first washcloth, clean the other side of the labia from top to bottom.
15. Using a clean portion of the first washcloth, clean the perineal area from top to bottom.
16. Put the first washcloth in the linen bag.
17. Using the second clean washcloth, rinse one side of the labia from top to bottom.
18. Using a clean portion of the second washcloth, rinse the other side of the labia from top to bottom.
19. Using a clean portion of the second washcloth, rinse the perineal area from top to bottom.
20. Put the second washcloth in the linen bag.
21. Pat dry.
22. Assist the patient to turn onto their side facing away from the candidate and ask the patient to hold onto the raised side rail.
23. Using the third clean washcloth, apply water and soap.
24. Using a clean portion of the third washcloth, clean one side of the buttock, wiping away from perineal area.
25. Using a clean portion of the third washcloth, clean the other side of the buttock, wiping away from the perineal area.
26. Using a clean portion of the third washcloth, clean the rectal area wiping away from the perineal area.
27. Put the third washcloth in the linen bag.
28. Using the fourth washcloth, rinse one side of the buttock wiping away from the perineal area.
29. Using a clean portion of the fourth washcloth, rinse the other side of the buttock wiping away from the perineal area.
30. Using a clean portion of the fourth washcloth, rinse the rectal area wiping away from perineal area.
31. Put the fourth washcloth in the linen bag.
32. Pat dry.
33. Safely remove the waterproof pad from under the buttocks.
34. Remove the gloves, turning them inside out.
35. Perform hand hygiene.
36. Position the patient on her back.
37. Put on clean gloves.
38. Dispose of soiled linen in the designated laundry hamper.
39. Ensure the bed is low and locked.
40. Place the call light or signaling device within reach of the patient.
41. Perform hand hygiene.