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Procedure #33 Bed Bath/ Perineal Care
Terms in this set (35)
Do initial steps
Offer resident urinal or bedpan
Provide resident privacy
Fill bath basin with warm water and have resident check water temp. for comfort, if able
Put on gloves
Fold washcloth and wet
Gently wash eye from inner corner to out corner, using a different part of cloth to wash other eye.
Wet washcloth and apply soap, if requested. Wash, rinse and pat dry face, neck, ears and behind ears.
Remove resident's gown
Place towel under far arm.
Wash rinse and pat dry hand, arm, shoulder, and underarm.
Repeat steps with other arm.
Place towel over chest and abdomen. Lower bath blanket.
Lift towel and wash, rinse and pat dry chest and abdomen.
Pull up bath blanket and remove towel
Uncover and place towel under far leg
Wash rinse and pat dry leg and foot. Be sure to dry between toes.
Repeat with other leg and foot.
Change bath water and gloves and wash hands use clean gloves and towel.
Assist resident to spread legs and lift knee if possible.
Wet and soap folded washcloth
Step 22 CATHETER CARE
If resident has a catheter, check for leakage, secretions or irritation. Gently wipe four inches of catheter from meatus out.
Step 23 PERINEAL CARE
Wipe from front to back and from center of perineum to thighs. If washcloth is visibly soiled, change cloths
FOR FEMALES: Separate labia. Wash urethral area first. Then wash between outside labia in downward strokes, alternating from side to side and moving outward to thighs using a different part of wash cloth for each stroke.
FOR MALES: Pull back foreskin if male is uncircumcised. Wash and rinse the tip of penis using circular motion beginning with urethra. Continue washing down the penis to the scrotum and inter thighs. Rinse off soap and dry. Return foreskin over the tip of the penis.
Change water in basin. Wash hands and change gloves. With a clean washcloth, rinse area thoroughly in the same direction as when washing.
Gently pat area dry with towel in same direction as washing
Assist resident to lateral position facng away from you
Wet and soap washcloth
Clean anal area from front to back. Rinse and pat dry thoroughly.
Change bath water and gloves. Use clean washcloth and towel.
Wash rinse and pat dry from neck to butt
Return to supine positon
Wash hands and change gloves
Help resident put on clean gown
Do final steps
Report any reddened areas, abrasions, or bruises to nurse
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