University of St.

La Salle
College of Nursing

NCM 107 SKILLS LABORATORY

PERINIAL FLUSHING

Able to Needs
Able to Unable to
perform perform with Practice/Unsa perform Remarks
assistance tisfactory
3 0
PERINEAL FLUSHING 2 1

1. Place client in a lithotomy/upright position.

2. Place the rubber sheet lined with cotton draw sheet under 2
the client’s buttocks
3. Position the pail or bedpan appropraitely.
4. Prepare all necessary equipment. 2
5. Pour water over the perineum. 2

6. Pick one cotton ball from the betadine-soaking solution

with a pick-up forcep & transfer the same cotton ball to a
handling forcep being careful not to allow the two forceps to
touch each other. 2

7. With a sponge held by the handling forcep, clean the

perineal area gently and thoroughly using the nine-cotton
ball technique. 12
8. Discard used sponges into the waste receptacle. 2
9. Rinse the perineal area with sterile water raising the
pitcher one foot away from the vulva. 2
10. Return the handling forceps to its appropriate soaking
bottle. 1
SUBTOTAL 25

Instructor's Name & Signature Date

STUDENT FEEDBACKING DONE:

Student's Name & Signature Date