Name: Section:

Supervising Clinical Instructor: Date of Lecture Demo:

Final Perineal Preparation (DR)

Objectives :
1. To remove normal perineal secretions and odors.
2. To prevent contamination of birth canal.

Materials:
antiseptic solution 10%
sterile sponge/gauze
water at comfortable temperature
soap solution
sterile water
shaver
clean glove
sterile gloves
sterile forceps
sterile kidney basin (3)
Kelly pad

Preparation:
Assess for the presence of odor or excessive discharge.
Review the client’s record and orders to determine exactly what procedure will be
performed
Scrub hands for at least 3 minutes
Assemble equipment
Prepare patient.
- Wear clean gown
- Wear mask, cap and slippers

PROCEDURE RATIONALE
1. Prior to performing the procedure, introduce
self. 1. to build therapeutic nurse-patient relationship.

2. to ensure we have the right patient and avoid

2. Verify the client’s identity. errors (e.g. medication errors, wrong person
procedures)
3. Explain to the client what you are going to
3. to promote cooperation and put client at ease
do, why it is necessary, and how he or she can
participate.
4. to prepare for the procedure
4. Bring patient to the delivery room.
5. To have a clear view of the perineum
5. Position patient on delivery table. Her legs and
thighs should be comfortably placed on stirrups
and buttocks be in line with the edge of table.

6. for ease of use

6. Adjust retractable or lower end of table
and roll it under main section of the DR table.

7. To prevent the bed from becoming soiled.

7. Adjust Kelly pad under patient’s buttocks.

8.Fold patients gown over upper abdomen. 8. to expose lower abdomen and external genitalia

9. To wash off the discharge from the perineal area.

9. Pour water at comfortable temperature on
patients buttocks.
10. to remove dirt and microorganisms from the
10. Pour soap solution on patient’s external perineum.
genitalia. Perineal hair should be well lathered
prior to shaving.

11. Begin shaving and start at the level of clitoris
and stroke from above downward with a safety
razor, around vulva to base of perineal body.
12. Stretch skin from above as you shave.
11. shave in the direction of your hair growth to
avoid irritating the hair follicle.
12. to prevent razor burn and smoothest out the
skin, creating a taut, and even surface

13. to move the razor in the direction your hair is

13. Use single stroke, rinsing razor head after growing. Rinsing helps remove any dead skin or
each stroke. soap and hairs from the blades.

14. After shaving wash perineum thoroughly 14. To rinse off the shaved hair
with clean water.
15. To avoid contamination
15. Glove dominant hand

16. to remove or reduce bacteria around the areas.

16. Using ungloved hand, pour antiseptic
solution on patient’s genitalia, thighs and lower
abdomen.
17.With gloved hand, get a sterile sponge and
dip it in a bowl of sterile water. 17. to prepare for scrubbing

Scrub patient’s perineum using outward

stroke and clean sponge of each stroke following18.
theScrubbing
sequence:from area of least contaminated to the
farther labia most contaminated, prevents microorganism from
nearer labia entering the urethra.
center down to anus
farther thigh
nearer thigh

19. to prevent transmission of microorganisms

19.Ungloved hand

20. to rinse the perineum

20.Flush scrubbed areas with sterile water.

21.Glove hands 21. to prevent cross contamination.

Get sponge using sterile forceps, dip in 22. to reduce the microbial count and reduce the risk of
antiseptic solution and pass over scrubbed areas surgical
followingsitestep 18
infections
.
Wipe area with dry sterile gauze if necessary.

23. to dry the scrubbed areas and prevent any moisture

where microorganisms can multiply.

24. Dry patient’s buttocks and place clean cloth

under. 24 to prevent any moisture from the patient’s buttocks.

25.Cover scrubbed areas with sterile towel while25.to keep the areas sterile until the delivery begins.
waiting the surgeon.
Name: Section:
Instructor: _Date of Lecture Demo:

Draping at the Delivery Room

Definition:
Procedure of covering patient and surrounding areas with a sterile barrier to create and
maintain an adequate sterile field during delivery.

Objective:
Sterile drape is used for delivery to prevent introduction of microorganisms into the
uterus.

Materials:
buttocks /perineal drape
abdominal drape
1 pair of leggings
Sterile gloves

Preparation:
Ensure that area to be draped is dry.
Prepare materials needed

PROCEDURE RATIONALE
1. Instruct the patient to lift the buttocks. 1. To insert the buttocks sheet

2. Prevents moisture from collecting in

2. Insert buttocks sheet and withdraw hands
inguinal area and reduce risk for
immediately. contaminations.

3. With palm down insert right hand under folded

position of left legging while left hand is also inserted 3. to unfold the legging
under lower folded part.

4. Grasp legging with both hand and insert to left leg 4. To completely cover or drape the
of patient then drape. patient’s left leg.

5. Insert right legging to right leg by using 5. To completely cover or drape the
same technique. patient’s right leg.

6. With palms down, insert both gloved hands to

folded part of abdominal sheet.
6. for ease of application

7. Lift abdominal sheet and drop. With both palms

facing you place sheet over patient’s abdomen 7. to cover the patient’s abdomen
 PERFORMANCE CHECKLIST

Final Perineal Preparation (DR)

Name: Date of Return Demo: _

Criteria for evaluation or rating the student’s performance:

1 - Performs the step or procedure independently, correctly and appropriately. Shows excellent attitude
and gives the correct rationale of the step/ procedure to be performed. Answers the question/s correctly
and analyzes the situation on or before performing the procedure.
2 – Performs more independently with increasing dependability but occasionally needing assistance.
Shows very satisfactory attitude and gives the correct rationale of the step/ procedure to be performed but
occasionally needing follow-up instructions and explanations.
3 – Performs expected step/ procedure but needs supervision, follow-up instructions and explanations.
Has knowledge about the topic, step or procedure but needs reinforcement.
4 – Performs with close supervision. The student needs repeated, specific, detailed guidance and direction
to be able to perform the step/ procedure correctly and appropriately. There is a need to improve
performance.
5 – Performs with very close supervision. The student shows poor or no interest in the step/ procedure to
be performed; cannot answer the question raised by the supervising clinical instructor based on the step or
procedure to be performed; unable to grasp understanding of the topic or procedure; unable to perform the
required step and state the rationale after being instructed, guided or directed. Student’s behavior is
inappropriate and potentially harmful to the client.

1 2 3 4 5
ASSESSMENT
1. Assess general condition of the patient
2.Availability of materials needed
PLANNING
1.Prepare patient
2.Explain the procedure to the patient
3. Prepare self physically
a. Wear clean gown
b.Wear mask, cap and slippers
c.Scrub hands for at least 3 3 minutes
3.Plan for modification as needed
4.Recall related principles
IMPLEMENTATION
1.Position patient comfortably on the DR table and stirrups
2.Adjust Kelly pad under patient’s buttocks
3.Expose lower abdomen and genitalia
4.Pour comfortably warm water over genitalia
5.Lather with soap the perineal hair with soap acid solution well before
shaving using correct strokes
6.Shave perineal area properly
7.Wash perineum thoroughly after shaving
8.Done glove
9.Do perineal preparation in proper sequence using correct strokes
10.Use forceps and pass over sponge dipped in antiseptic solution over
scrubbed area following proper sequence
11. Dry area with sterile sponge if necessary
12. Dry patients buttocks and place clean cloth under
13.Cover scrubbed area with sterile towel
EVALUATION
1.Allow patient to rest during contraction
2,Perform procedure with ease and gentleness
3.Application of related principles
4.Attitude

Comments:

Rating:

Signature of Supervising Clinical Instructor Over-Printed Name

 PERFORMANCE CHECKLIST

Draping Patient at the Delivery Room

Name: Date of Return Demo: _

Criteria for evaluation or rating the student’s performance:

1 - Performs the step or procedure independently, correctly and appropriately. Shows excellent attitude
and gives the correct rationale of the step/ procedure to be performed. Answers the question/s correctly
and analyzes the situation on or before performing the procedure.
2 – Performs more independently with increasing dependability but occasionally needing assistance.
Shows very satisfactory attitude and gives the correct rationale of the step/ procedure to be performed but
occasionally needing follow-up instructions and explanations.
3 – Performs expected step/ procedure but needs supervision, follow-up instructions and explanations.
Has knowledge about the topic, step or procedure but needs reinforcement.
4 – Performs with close supervision. The student needs repeated, specific, detailed guidance and direction
to be able to perform the step/ procedure correctly and appropriately. There is a need to improve
performance.
5 – Performs with very close supervision. The student shows poor or no interest in the step/ procedure to
be performed; cannot answer the question raised by the supervising clinical instructor based on the step or
procedure to be performed; unable to grasp understanding of the topic or procedure; unable to perform the
required step and state the rationale after being instructed, guided or directed. Student’s behavior is
inappropriate and potentially harmful to the client.

1 2 3 4 5
ASSESSMENT
1. Ensure that area to be draped had been scrubbed and dried
2.Availability of materials needed
3.Maintain sterility of drape while removing it from package
PLANNING
1.Prepare materials
2.Plan for modification as needed
3.Recall of related principles
IMPLEMENTATION
1.Instruct patient to lift buttocks
2. Drape patient properly
- with perineal sheet
- right legging
- abdominal sheet
EVALUATION
1.Maintain sterility of drape
2.Performed procedure with efficiency
3.Application of related principles
4.Attitude
Comments:

Rating:

Signature of Supervising Clinical Instructor Over-Printed Name