Maverick Kimhoko Bsn-2b

Mrs. Sheila Tan

Perineal Care With Heat Lamp Treatment

Basic Concept:Perineal care is a procedure done for post-partum whether the worman delivers through
caesarian section or gives birth through the vagina.It cleanses and disinfects the perineal area using
warm water, and antiseptic solution. The infrared or heat lamp is used to promote wound healing and
provide comfort to the post-patrum

Objectives:

1.To keep the perineal area clean and provide comfort to the client

2.To promote infection and promote wound healing

3.To assess or observe the condition of the perineum and rectum

4.To assist and teach client how to perform perineal care while assessing perineal area

Materials/Equipment

Sterile tray with:

Perineal balls soaked in antiseptic solution

Dry perineal balls 4x4 OS

Picking forceps in holder

Sterile forceps, packed

3 kidney basins, packed

Other materials

Clean bedpan with cover

Sterile warm water

Incontinent pad

25 watts heat lamp

2 sets of clean gloves

Bath blanket

Pen Light
Waste receptacle/Kidney Basin

Preparation

1.Review medical record and nursing plan of care.

2.Explain the procedure to the client and assess client’s level of understanding

3.Gather and assemble needed materials or equipment at bedside or work area

4.Determine the type of episiotomy the client has, wheter mediolateral or midline

5.Ask client if she has voided or moved her bowel

6.Provide privacy to the patient by closing the room door or drawing curtains

7.Ask client to remove underwear

8.pre-heat lamp

9. Wash hands

PROCEDURE
1.Do double gloving
2.Assist the client nearest you or in the working
area
3.Drape client
a.Change top sheet with bath blanket
b.Place rubber sheet then cotton draw sheet
c.Position bath blanket diagonally
d.Position patient in dorsal recumbent position
e.Tuck the corners on the sides of bath blanket at
the client’s legs anchoring at the foot
f.While preparing or setting up supplies near the
client, cover perineum with one corner of the
bath blanket
4.Place bedpan
a.Raise the head of the bed atleast 30 degrees
b.warm bedpan by pouring warm water at the rim
c.Have patient lift her hips upward while placing
your palm under her lower back and assist with
lifting
d.Slip bedpan onto place.
5.Expose perineal area.
6.Remove one set of gloves
7.Test water temperature by pouring some water
RATIONALE
To reduce the amount of contact with the
patient’s blood and reduces risk of infection risk to
operating room personnel
To provide the nurse ease while working and
avoid over stretching on the side of the nurse
The reason for draping is to dispense with the
section of microorganisms among nonsterile and
sterile regions and preventing the spread of
infectious disease
Bedpan is an essential part of this procedure and
this is to collect secretions and waste from the
client
To provide better visualization to the client’s
prenieal area this is to provide the best care
To make it easier to work
To avoid hurting the client’s perineal area y
into either thigh
8.Pour warm water into the vulva and inner
thighs extending to 4-6 inches
9.Cleanse the perineum
10.Pat dry the vulva and thigh in the same order
11.Remove the bedpan
12.Assist the patient to side lying position
13.Assess anal region
14.Clean and wipe dry the area
15.Remove the rubber sheet and cotton draw
sheet
16.Position client exposing the perineum
17.Remove gloves
18.Position the heat lamp 12-14 inches from the
perineum
19.Leave the heat lamp for 15-20 minutes or as
ordered
20.continue to reassess the area and discontinue
treatment as specified
21.Make patient comfortable
22.Do afte care of the unit
23.Wash hands
24.Document care. Rendered observation or
assessments, client reaction or complaints if any.
It will ensure that all parts are thoroughly washed
and clean
To ensure the prevention of exchanging of the
forceps which may result in contamination of
sterile supplies
Moisture supports and promotes the growth of
many microorganisms
To make the client comfortable because the
bedspan can now be removed
To assess the episiotomy and perineal area,
position the woman on her side with her top leg
flexed upward at the knee and drawn up toward
her waist
To evaluate further actions needed
To make the client comfortable
To see if there are fluids in the cotton draw sheets
that was spilled during the procedure and to
remove it
To prepare the client for further actions
It is not needed in this stage so you can remove it
because it may contain fluids
Promotes wound healing
Relieves discomfort
To identify potential problems
For them to relieve their anxieties and worries
thefore providing a safe and comfortable
environment
To promote safe and clean environment
To avoid cross contamination
Data from documentation provides information
about patient characteristics and care outcomes