Perineal Care (Sterile Technique)

Perineal care is the cleansing of the external genitalia and the anal area.

Purposes:

1. Prevents infection in the perineal area

2. Remove secretions
3. Promote healing
4. Provide comfort

Equipments:

1. Working gloves
2. Bath blanket
3. Washcloth
4. Rubber sheet or waterproof underpad
5. Sterile cleansing solution in a sterile can
6. Sterile water in a sterile flushing can
7. Sterile working forceps
8. Sterile pick – up forceps
9. Bath towel
10.Bedpan/Urinal
11.Basin
12.Flushing Can

ACTIONS RATIONALE
1. Check the chart
2. Identify the client.
3. Explain the procedure to the client Allays fear and promotes cooperation
4. Wash hands
5. Gather equipments Promotes organization
6. Close the door, curtains or dividers Provides for privacy
7. Place a rubbersheet or a Protects the bed linen
waterproof underpad over the client’s
buttocks
8. Offer the bedpan or urinal if Ensures continuous performance of
necessary the procedure
9. Position the client in a dorsal
recumbent position
10.Place the bedpan over the client’s
buttocks
11. Replace the top sheet with a bath
blanket
12.Drape the female client: Promotes client’s privacy

a. Place a bath blanket in a

“diamond fashion” ( the four
corners of the bath blanket
should be placed at head to
foot and side to side)
b. Wrap each leg with the corner
of the bath blanket and tuck it
under the hip
c. Fold back the corner between
the legs and expose the
perineum
 ACTIONS RATIONALE
13. Test the temperature of the
water by pouring a small amount in
the inner aspect of your arm.
14. Pour cleansing solution over the
client’s vulva starting from the far
thigh
15. Cleanse the pubis moving
towards the umbilicus
16. Starting at the farther side, Prevents contamination of the
cleanse the far thigh and cleanse urethra
the near thigh
17. Clean the labia majora of the
using one downward stroke then
cleanse the labia majora of the near
side
18. Cleanse the meatus going to the
perineum using one downward stroke
19. Repeat the above step with one
CB and include the anus
20. Rinse with sterile water and pat Moisture may support the growth of
dry using dry CB microorganisms
21. Remove the client from bedpan.
Turn to side and dry the buttocks.