CNA Skill: Provide Perineal Care to an Incontinent Female Resident

Question 1

What is the care plan for providing perineal care to an incontinent female resident?

Answer 1

The female patient has been incontinent of urine and needs perineal care

Question 2

What are the supplies needed?

Answer 2

I. Barrier 
II. Bath basin
III. 4 washcloths 
IV. Towel 
V. Soap
VI. Gloves
VII. Privacy blanket 
VIII. 2 underpads

Question 3

What must you do to prep the patient before changing the chucks?

Answer 3

Place a privacy blanket over the patient and pull the patient’s sheets down

Question 4

How do you remove the dirty chucks?

Answer 4

Ask the patient to scoot towards you and roll up on their side and roll the dirty chucks toward the patient and tuck it under their hip

Question 5

How do you put the new clean chucks under the patient?

Answer 5

Take the clean chuck and unroll it towards the patient and tuck it under the soiled

Question 6

How to do you prep the patient before cleaning them?

Answer 6

Roll privacy blanket up to about the waist and let the patient know to tell you whenever they feel uncomfortable and cover upper leg with a towel

Question 7

What do you use the first washcloth for?

Answer 7

Use the first washcloth to soak 5 corners with soap

Question 8

How do you use the first washcloth and where do you clean?

Answer 8

I. Use middle and index finger to spread patient slightly open to clean the inside middle top to bottom
II. Use another corner to clean outside down one side top to bottom
III. Use another corner to clean outside down second side top to bottom
IV. Use another corner to clean skin fold between leg and groin top to bottom
V. Use another corner to clean other skin fold top to bottom

Question 9

What do you use the second washcloth for?

Answer 9

Use the second washcloth and rinse all of those areas the same way we washed

Question 10

What do you use the third washcloth for?

Answer 10

Use the third washcloth and soak 4 corners with soap

Question 11

How do you use the second washcloth and where do you clean?

Answer 11

Ask patient to scoot towards you and roll patient on their side, start at anal opening going up within crease, another corner to clean one butt cheek, another corner to clean other butt cheek and use last corner to clean anal opening going up one last time

Question 12

What do you use the fourth washcloth for?

Answer 12

Use the fourth washcloth to rinse all of those areas the same way we washed