Page 56 - CLINICAL PRACTICE II
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                NO.                PROCEDURE                                                    REMARKS


                      Place wash basin and toilet tissue on trolley.
                 15.
                      -     place wash cloths in basin.

                 16.   Provide perineal care.
                      Female perineal care.

                       17.1  put patient to dorsal recumbent position.

                       17.2  flex knees and spread legs.
                       17.3  wash and dry patient’s upper thighs.
                               clean labia majora.

                                 •  use non dominant hand to gently retract labia
                                     rom thigh.
                                 •  wash skinfolds carefully in with dominant hand.
                       17.4      •  wipe in direction from perineum to rectum (front
                 17.
                                     to back).
                                 •  repeat on opposite side using separate section of
                                     washcloth.
                                 •  rinse and dry area thoroughly.

                               Separate labia with non-dominant hand to expose
                               urethral meatus and vaginal orifice.
                       17.5    -  using dominant hand, wash downward from

                                  pubic area

                               -  toward rectum in one smooth stroke.

                              -  use separate section of cloth for

                              -  each stroke.
                                Pour warm water over perineal area. (if patient uses
                               clean thoroughly around labia minora, clitoris and
                       17.6    vaginal orifice.
                                bedpan)
                                  •  dry perineal area thoroughly, using front to back
                                      method.
                      For Male Perineal care

                                  •  lower side rail and assist patient to supine
                       17.1
                                      position.
                                  •  fold lower corner of bath blankets up between
                       17.2           patient’s legs and onto abdomen. wash and dry
                                      patient’s upper thighs



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