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Name_______________________ Date___________ Instructor’s Name_____________________________

Performance Checklist: Skill 26-2

Providing Perineal Care

S U NP Comments
1. Identify clients at risk for developing _____ _____ _____ ______________________________
infection of genitalia, urinary tract, or
reproductive tract.

2. Assess client’s cognitive and _____ _____ _____ ______________________________

musculoskeletal function.

3. Apply disposable gloves and assess genitalia _____ _____ _____ ______________________________
for signs of inflammation, skin breakdown,
or infection. Discard gloves. (Option:
examine genitalia as care is administered.)

4. Assess client’s knowledge of importance _____ _____ _____ ______________________________

of perineal hygiene.

5. Explain procedure and its purpose to client. _____ _____ _____ ______________________________

6. Prepare necessary equipment and supplies. _____ _____ _____ ______________________________

7. Pull curtain around client’s bed, or close _____ _____ _____ ______________________________
room door. Assemble supplies at bedside.

8. Raise bed to comfortable working position. _____ _____ _____ ______________________________

Lower side rail, and assist client in assuming
side-lying position, placing towel lengthwise
along client’s side and keeping client covered
with bath blanket.

9. Apply disposable gloves. _____ _____ _____ ______________________________

10. If fecal material is present, enclose in a _____ _____ _____ ______________________________

fold of underpad or toilet tissue and
remove with disposable wipes. Cleanse
buttocks and anus, washing front to back.
Cleanse, rinse, and dry area thoroughly.
If needed, place an absorbent pad under
client’s buttocks. Remove and discard
underpad, and replace with clean one.

11. Change gloves if soiled. _____ _____ _____ ______________________________

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S U NP Comments
12. Fold top bed linen down toward foot of
bed, and raise client’s gown above genital
area.
a. “Diamond” drape female client by _____ _____ _____ ______________________________
placing bath blanket with one corner
between client’s legs, one corner pointing
toward each side of bed, and one corner
over client’s chest. Tuck side corners
around client’s legs and under hips.
For male client, expose only genital area,
using towels or bath blankets to cover
client’s chest and upper legs.
b. Raise side rail. Fill washbasin with _____ _____ _____ ______________________________
warm water.
c. Place washbasin and toilet tissue on _____ _____ _____ ______________________________
over-bed table. Place washcloths in basin.

13. Provide perineal care.

a. Female perineal care
(1) Assist client to dorsal recumbent _____ _____ _____ ______________________________
position.
(2) Lower side rail, and help client flex _____ _____ _____ ______________________________
knees and spread legs. Note
restrictions or limitations in client’s
positioning.
(3) Fold lower corner of bath blanket up _____ _____ _____ ______________________________
between client’s legs onto abdomen.
Wash and dry client’s upper thighs.
(4) Wash labia majora. Use _____ _____ _____ ______________________________
nondominant hand to gently retract
labia from thigh; with dominant
hand, wash carefully in skinfolds.
Wipe in direction from perineum to
rectum (front to back). Repeat on
opposite side using separate section
of washcloth. Rinse and dry area
thoroughly.
(5) Separate labia with nondominant _____ _____ _____ ______________________________
hand to expose urethral meatus and
vaginal orifice. With dominant hand,
wash downward from pubic area
toward rectum in one smooth stroke.
Use separate section of cloth for each
stroke. Cleanse thoroughly around
labia minora, clitoris, and vaginal
orifice.
(6) If client uses bedpan, pour warm _____ _____ _____ ______________________________
water over perineal area. Dry
perineal area thoroughly, using
front-to-back method.
(7) Fold lower corner of bath blanket _____ _____ _____ ______________________________
back between client’s legs and over
perineum. Ask client to lower legs
and assume comfortable position.
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S U NP Comments
b. Male perineal care
(1) Lower side rails, and assist client to _____ _____ _____ ______________________________
supine position. Note restriction in
mobility.
(2) Fold lower corner of bath blanket up _____ _____ _____ ______________________________
between client’s legs and onto
abdomen. Wash and dry client’s
upper thighs.
(3) Gently raise penis, and place bath _____ _____ _____ ______________________________
towel underneath. Gently grasp shaft
of penis. If client is uncircumcised,
retract foreskin. If client has an
erection, defer procedure until later.
(4) Wash tip of penis at urethral meatus _____ _____ _____ ______________________________
first. Using circular motion, cleanse
from meatus outward. Discard
wash-cloth, and repeat with clean
cloth until penis is clean. Rinse and
dry gently.
(5) Return foreskin to its natural position. _____ _____ _____ ______________________________
(6) Wash shaft of penis with gentle but _____ _____ _____ ______________________________
firm downward strokes. Pay special
attention to underlying surface of
penis. Rinse and dry penis
thoroughly. Instruct client to spread
legs apart slightly.
(7) Gently cleanse scrotum. Lift it _____ _____ _____ ______________________________
carefully, and wash underlying
skinfolds. Rinse and dry.
(8) Fold bath blanket back over client’s _____ _____ _____ ______________________________
perineum, and assist client in turning
to sidelying position.

14. If client has had urinary or bowel _____ _____ _____ ______________________________
incontinence, apply thin layer of skin
barrier containing petrolatum or zinc oxide
over anal and perineal skin.

15. Remove disposable gloves, and dispose in _____ _____ _____ ______________________________
proper receptacle.

16. Assist client in assuming a comfortable _____ _____ _____ ______________________________

position, and cover with sheet.

17. Remove bath blanket, and dispose of all _____ _____ _____ ______________________________
soiled bed linen. Return unused equipment
to storage area.

18. Inspect surface of external genitalia and _____ _____ _____ ______________________________
surrounding skin after cleansing.

19. Ask if client feels sense of cleanliness. _____ _____ _____ ______________________________
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S U NP Comments
20. Observe for abnormal drainage or _____ _____ _____ ______________________________
discharge from genitalia.

21. Record procedure and presence of any _____ _____ _____ ______________________________
abnormal findings.

22. Record appearance of suture line, if present. _____ _____ _____ ______________________________

23. Report any break in suture line or _____ _____ _____ ______________________________
presence of abnormalities to nurse in charge
or physician. Copyright © 2003, Mosby, Inc. All rights reserve d