Page 55 - CLINICAL PRACTICE II
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                                               PROCEDURE CHECKLIST 29
                                       Nursing Interventions in Meeting Patient’s
                                              Comfort: Perianal-Genital Care




                NO.                 PROCEDURE                                                REMARKS

                       Establish rapport.
                 1.    -     greet patient & maintain eye contact.
                       -     introduce yourself.
                       Explain purpose of procedure and provide
                 2.
                       privacy
                       Assess patient’s ability to perform self-care and determines
                 3.
                       level of assistance required.

                 4.    Prepare equipment as required.
                       Raise bed to comfortable working position and lower side
                 5.    rail.

                 6.    Wash hand. Apply disposable gloves.

                 7.    Put patient in lateral position.

                 8.    Place disposable pad under patient’s buttocks.


                       If fecal material is present, remove fecal debris with toilet
                 9.    tissue or disposable wipes.
                       -  clean buttock and anus from front to back.

                       Clean, rinse and dry area thoroughly.
                 10.  -  remove and discard disposable pad and replace with
                           clean one.

                 11.  Change glove when they are soiled.

                       Fold top bed linen down towards foot of bed and raise
                 12.
                       patient gown above genital area.

                       ‘Diamond” drape patient by placing bath blanket with one
                       corner between patient’slegs, one corner pointing towards
                 13.
                       each side of bed and one corner over client’s chest.
                       -    tuck side corner around patient’s leg and under hips

                 14.  Raise side rail. Fill wash basin with warm water.




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