Combo Perineal Care (Female), Soiled Brief Change,
1.
1. Knock before entering, Identify, and greet the resident.
2
2. Explain the procedure to the resident.
4
4. Obtain brief and trash bag.
5 import
5.* Perform hand hygiene. (Covers all surfaces with hand sanitizer. Rub your hands together until your hands are dry.)l
6
6. Fill the basin with warm water.
7 important
7. * Raise bed height and provide for resident safety.
9
9. Place resident on her back. Fan fold linens to the bottom of the bed. Provide privacy with bath blanket/towel.
10
10. Turn residents or raises hips and places a waterproof pad under the resident's buttocks
11
11. Expose perineal area only
12
12. Remove the soiled brief and place in a trash bag.
13
13. Separate labia. (It is helpful if you verbalize separating labia as you demonstrate separating labia.)
14 important
14. *Clean one side of perineum from front to back with single stroke, using a clean portion of washcloth with each stroke.
15 important
15. *Clean the other side of perineum from front to back with single stroke, using a clean portion of washcloth with each stroke.
22
22. Using a clean washcloth, rinses the vaginal area from front to back
24
24. Assist resident/manikin to turn onto side away from the candidate toward the center of the bed.
25
25. Use a clean washcloth with water and soapy washcloth (no peri-wash or no-rinse soap allowed).
26 important
26. * Wash from vagina to rectal area.
27
27. Uses a clean portion of the washcloth with each stroke.l
28
28. Use a clean washcloth and rinse the rectal area from front to back
29
29. Use a clean portion of the washcloth with any stroke.
31 important
31. *Remove Gloves - sanitize hands - apply new gloves
32
l
32. Aply new brot and enave the ta even on at an a mo resent maninl
33
33. Safely remove waterproof pad from under the residents buttocks
34
34. Place soiled linen in designated laundry hamper
35 important
35. * Remove gloves, turning inside out as they are removed.
36
36. Dispose of gloves in designated trash container.l
37
37. Bring linens over bath blankel - remove bath blanket.
38
38. "Loave the resident in a pot remove tay and comfort. - Lower bed, cal igne
40
40. Empty, rinse, and dry equipment and return equipment to storage. Remove gloves.
41
41. Maintain respectful, courteous interpersonal interactions at all times
42
42. WASH HANDS: Push watch and sleeves up arm 4-5 inches. Turn on the water.
43
42. Wet hands and wrists thoroughly
44
44. Apply soap to hands and rub hands together using friction with soap.
45
45. Scrub/ wash hands for at least 20 seconds with soap.
46
46. Scrub/ wash with interlaced fingers pointing downward with soap.
47 important
47. *Wash all surfaces of hands with soap.
48
48. Wash wrists with soap.
49
49. Clean fingernails by rubbing fingertips against the palm of the opposite hand
50
50. Rinse fingers, hands and wrist with fingers pointed downward.
51
51. Starting at the fingertips, dry fingers, hands, and wrists on a clean paper towel (s) for each hand.
52
52. Discard paper towels to trash container as used
53 important
53. *Turn off the faucet with a clean, dry paper towel and discard the paper towel to the trash container.
54 important
54. *Do not re-contaminate hands at any time during the handwashing procedure.
(Such as touching the sides of the sink during the procedure or crumpling up the paper towel used to turn off the faucet with both hands before discarding.
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