Female perineal care and handwashing

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1. Spread hand sanitizer over every surface of both hands, then rub your hands together until dry.
2. Explain the procedure to the resident (a manikin in this test).
3. Fill a basin with warm water.
4. Close the privacy curtain.
5. Raise the far side rail, or ask the RN Test Observer or Actor to stand on the opposite side of the bed.
6. Raise the bed to a height between your mid-thigh and waist.
7. Cover the resident with a bath blanket or clean sheet.
8. Put on gloves.
9. Turn the resident side to side or raise the hips to place a waterproof pad beneath the buttocks.
10. Expose only the perineum.
11. Use water and a clean, soapy washcloth.
12. Wash both sides and the middle of the labia from top to bottom, using a clean area of the cloth for each stroke.Critical · source marked
13. Rinse from top to bottom with water and a new, clean washcloth.
14. Use a clean area of the washcloth for every stroke.
15. Pat dry, using a clean area of the towel for every pat.
16. Cover the exposed area again with the bath blanket or clean sheet.
17. Help the resident roll onto the side facing away from you.
18. Wash the rectal area with water, soap and a new, clean washcloth.
19. Wash from the vagina toward the rectal area with at least two individual strokes, using a clean area of the cloth for every stroke.Critical · source marked
20. Use a new, clean washcloth to rinse from the vagina toward the rectal area with at least two individual strokes; use a clean area for each.
21. Pat dry in the direction from the vagina toward the rectal area.
22. Turn the manikin side to side or raise the hips to remove the waterproof pad from beneath the buttocks without friction.
23. Position the resident on the back.
24. Remove the bath blanket or sheet.
25. Put all used linens in the designated container.
26. Empty, rinse and dry the equipment, then return it to storage.
27. Peel off the gloves inside out and discard them in the designated container.
28. Lower the bed.
29. Lower any side rails you used.
30. Open the privacy curtain.
31. Keep interactions respectful and courteous throughout the task.
32. Leave the call light or signaling device within the resident’s easy reach.
33. Turn on the water.
34. Wet every hand surface before adding soap.
35. Wet your wrists before adding soap.
36. Apply soap to your wet hands.
37. Rub your hands together with friction.
38. Rub your hands together for at least 20 seconds away from the running water.
39. Interlace your fingers with them pointing downward.
40. Wash every surface of your hands and wrists with soap.
41. Rinse your hands and wrists thoroughly under running water with fingers pointing down.
42. Dry your hands and wrists with clean paper towels.
43. Throw the used paper towels into the trash immediately.
44. Use a clean, dry paper towel to turn off the faucet.
45. Keep your hands from becoming contaminated again throughout handwashing. Using a wet paper towel to turn off the faucet counts as recontamination.Critical · source marked