Male brief change, 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 bed to a height between your mid-thigh and waist.
6. Raise the far side rail, or ask the RN Test Observer or Actor to stand on the opposite side of the bed.
7. Get a clean brief.
8. Put on gloves.
9. Cover the resident with a bath blanket or clean sheet for privacy.
10. Turn the resident onto the side or raise the hips to put a waterproof pad beneath the buttocks.
11. Expose only the perineum.
12. Undo both sides of the wet brief.
13. Roll the manikin from side to side or raise the hips to remove the used brief from underneath.
14. Discard the used brief in the designated container.
15. Hold the penis gently.
16. Use water and a soapy washcloth.
17. Wash the tip in circles, beginning at the urethral opening and moving outward.
18. Wash the shaft with strokes moving away from the tip.
19. Use a fresh area of the washcloth for every stroke.Critical · source marked
20. Wash the scrotum with a clean area of the washcloth.
21. Use a new, clean washcloth to rinse the penis.
22. Use a clean area of the washcloth for each rinsing stroke on the penis.
23. Rinse the scrotum using a clean area of the washcloth for each stroke.
24. Pat the washed area dry.
25. Cover the exposed area again with the bath blanket or clean sheet.
26. Help the resident roll onto the side facing away from you.
27. Use a new, clean, soapy washcloth for the rectal area.
28. Wash from the scrotum toward the rectal area, using a clean area of the cloth for every stroke.Critical · source marked
29. Rinse from the scrotum toward the rectal area with a new, clean washcloth; use a clean area for each stroke.
30. Pat the area dry.
31. Roll the manikin side to side or raise the hips to place a clean brief.
32. Pull the brief’s front through, make it even on each side and fasten both sides securely.
33. Orient the brief correctly, with its tabs fastening at the front of the manikin.
34. Turn the manikin side to side or raise the hips to remove the waterproof pad without friction.
35. Remove the bath blanket or sheet.
36. Put all used linens in the designated container.
37. Position the resident on his back.
38. Lower the bed.
39. Lower any side rails you used.
40. Empty, rinse and dry the equipment, then return it to storage.
41. Peel off the gloves inside out and discard them in the designated container.
42. Open the privacy curtain.
43. Leave the resident comfortable and safely positioned.
44. Keep interactions respectful and courteous throughout the task.
45. Leave the call light or signaling device within the resident’s easy reach.
46. Turn on the water.
47. Wet every hand surface before adding soap.
48. Wet your wrists before adding soap.
49. Apply soap to your wet hands.
50. Rub your hands together with friction.
51. Rub your hands together for at least 20 seconds away from the running water.
52. Interlace your fingers with them pointing downward.
53. Wash every surface of your hands and wrists with soap.
54. Rinse your hands and wrists thoroughly under running water with fingers pointing down.
55. Dry your hands and wrists with clean paper towels.
56. Throw the used paper towels into the trash immediately.
57. Use a clean, dry paper towel to turn off the faucet.
58. 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