Mabini Colleges Inc.

College of Midwifery and Nursing

NCM 103 – Fundamentals of Nursing Skills Laboratory

PERINEAL-GENITAL CARE

DEFINITION:
 It means cleaning and washing the external structure of the pelvic area and the genital area.

PURPOSE
 To cleanse perineum
 To prevent infection
 To provide comfort
 To teach self-care and genital hygiene

EQUIPMENT
 Flushing tray  Receptacle for soiled cotton balls
 Cotton balls  Kidney basin
 Flushing can  Soap
 Wash cloth  Bed pan
 Warm water

PROCEDURE
1. Assess client's condition of the skin and the
extent of soiling of the perineal area.
2. Identify the patient's capabilities.
3. Wash hands.
4. Prepare all the equipment.
5. Identify the patient.
6. Explain the procedure to the patient.
7. Provide privacy.
8. Place the patient in dorsal recumbent position.
9. Place a rubber sheet under the patient
buttocks and place client in the bed pan.
10. Expose perineal area and drape.
11. Put on a clean gloves and proceed as follows:
RATIONALE
Soaked perineum causes more discomfort to the
patient. Urine or feces on the skin can result in skin
breakdown and infection.
To know the extent of help to be given to the patient.
For infection control.
To promote efficiency.
To determine if you are giving care to the right person.
To lessen the apprehension of the patient.
To show respect and interest in the patient as a person.
To obtain a clear view of the area.
To protect the bed from becoming soiled.
Minimum exposure lessens embarrassment and helps
to provide warmth
To prevent contact with body secretion.

Mabini Colleges Inc.

College of Midwifery and Nursing
 Mabini Colleges Inc.
College of Midwifery and Nursing
NCM 103 – Fundamentals of Nursing Skills Laboratory

NAME DATE
COURSE & SEC RLE GROUP

CHECKLIST ON PERINEAL-GENITAL CARE

Able to
Able to Unable to
Procedure perform with
Perform perform
assistance
Assessment
1. Assess the client's perineal area and extent of
soiling.
2. Determine the client's capabilities.
Planning
3. Wash hands.
4. Assemble the equipment.
Implementation
5. Identify the client and explain the procedure.
6. Provide for privacy.
7. Place the client in dorsal recumbent position.
8. Place a rubber sheet under the client's buttocks
and place client in a bedpan.
9. Expose perineal and drape (for female diamond
drape)
10. Wash hands and put on clean gloves.
11. Perform the procedures as follows:
12. Turn the patient on his or her side, wash and rinse
the anal area.

For Female Patient

a. Flush the perineal area with warm water.
b. Place cotton balls in a receptacle or basin with
soap suds
c. Cleanse the vulva from the anterior portion towards
the anus then discard cotton balls.
d. Gently separate the labia with gloved fingers and
clean between the labia majora and labia minora.
e. With labia separated clean the clitoris, urethral
meatus and vaginal orifice.
f. Clean the thigh using a stroke away from
perineum.
g. Rinse and pat dry.

For Male Patient

a. Place bath blanket down to the mid- thigh.
b. Move the cotton balls from the tip of the penis
down its length toward the pubic area.
c. Hold the shaft of penis and if uncircumcised retract
the foreskin then pull back after.
d. Use a circular motion to clean the meatus and
glans penis in an outward direction.
e. Rinse and pat dry.
f. Clean and rinse scrotum.

13. Replace bath blanket with top sheet or linen.

14. Clean all the equipment and put them in proper
place.

Mabini Colleges Inc.

College of Midwifery and Nursing
 15. Remove and discard gloves.
16. Wash hands
Evaluation
17. Evaluate clients for feeling of comfort.
18. Evaluate for any unusual observations on the
perineal-genital area.
Documentation
19. Record the procedure and pertinent observation
like redness, swelling on the area.

Remarks:
_________________________________________________________________________________________
_________________________________________________________________________________________

Grade: ______

Rating Scale:
Excellent : 96 – 100% Good : 80 – 84%
Very Satisfactory : 90 – 95% Fair : 75 – 79%
Very Good : 85 – 89% Poor : 74 & below

Clinical Instructor Student’s Signature

Mabini Colleges Inc.

College of Midwifery and Nursing