perineal care 1

perineal care¹

Etymology: Gk, perineos, perineum

a cleansing procedure prescribed for the perineum after various obstetric and gynecologic procedures. Sterile or clean perineal care may be prescribed. It is done also after elimination and as a routine part of hygiene care (bed bath) using clean technique rather than sterile.

method In the sterile procedure the cleansing strokes always move from the vulva toward the anus and from the midline out. After each stroke, the disposable washcloth or pledget is discarded, and a new one is used for the next stroke. A sterile basin, gloves, forceps, pledgets, and pitcher or measure containing sterile solution are used. The draped patient is assisted into position on her back with a bedpan or a disposable pad beneath her buttocks, and 200 to 300 mL of solution is poured over the vulva. Then pledgets moistened with the solution are used to cleanse the area more thoroughly. The pledgets are held with sterile forceps or a sterile gloved hand. The area is dried using sterile pledgets, and the bedpan is removed. The patient then rolls to one side for cleansing and drying of the posterior area. Strokes should always move away from the perineal area. In providing clean perineal care disposable washcloths and a basin or a squeeze bottle of warm water are used. A fresh disposable washcloth is used for each cleansing stroke and each drying stroke. The strokes are always from anterior to posterior. Soap may be used.

interventions Perineal care is given at prescribed intervals and after urination and defecation.

outcome criteria Sterile and clean perineal care is practiced to remove secretions or dried blood from a wound and to prevent contamination of the urethral and vaginal areas or perineal wounds with fecal matter or urine.