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RD - Perineal Flushing

The document provides step-by-step instructions for performing perineal flushing on a patient. The procedure involves cleaning and drying the perineal area using cotton balls and warm water. Key steps include inspecting and flushing the perineal area, cleaning from the pubic area to the anus using separate cotton balls for each area, thoroughly drying the area after flushing, and recording the treatment after completion. The goal is to clean and dry the area while preventing contamination between different regions.

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Jiwi Yu
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327 views3 pages

RD - Perineal Flushing

The document provides step-by-step instructions for performing perineal flushing on a patient. The procedure involves cleaning and drying the perineal area using cotton balls and warm water. Key steps include inspecting and flushing the perineal area, cleaning from the pubic area to the anus using separate cotton balls for each area, thoroughly drying the area after flushing, and recording the treatment after completion. The goal is to clean and dry the area while preventing contamination between different regions.

Uploaded by

Jiwi Yu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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RD: PERINEAL FLUSHING

1. Perform hand hygiene and prepare all the needed materials.

R: Performing hand hygiene will deter the spread of microorganism, it is also important because it is
considered as a universal precaution. While preparing all the needed materials before starting the
procedure will save time and energy.

2. Screen the patient or lock the door of the patient’s room.

R: This is to provide privacy for the patient and it also lessens the risk that someone will enter while the
procedure is being perform.

3. Introduce yourself to the client, and explain the procedure to the client.

R: Introducing yourself to the patient will establish trust and rapport to the patient, while explaining the
procedure to the client will allow the patient to understand the procedure and gain her cooperation as
well.

4. Put patient on bed pan. Drape the patient, exposing only the part to be cleansed such as the
perineum. Make sure that the legs and feet are covered by the blanket to avoid the patient from
shivering.

R: Minimum exposure of the body part will lessen the patient’s feeling of embarrassment. While
covering the other part of the body except for the perineum will provide and maintain warmth.

5. Position the patient on dorsal recumbent

R: Dorsal recumbent is the appropriate position for perineal flushing because it allows visualization and
access to the perineal area.

6. Inspect the perineum then flush the area with warm water, make sure to start flushing the area away
from you.

R: Inspecting the perineum would allow us to note particular areas of inflammation, swelling, excessive
discharges or secretion from the orifice or presence of odor which are needed to be addressed as it
might cause infection if left untreated. While using warm water to flush the perineal area prevents
chilling and dissolves the blood clots.
7. Get cotton balls soaked in a cleansing solution using the sterile pick-up forcep. And then transfer it to
the working forcep which will be used in cleaning.

R: This is to maintain sterility and reduces the chances of contamination.

8. Cleanse the external genitalia using the working forcep, starting from the mons pubis down to the
anus or from the cleanest area to the less clean area. And it is important to never retrace a stroke.

Rationale: To prevent contamination of the area.

9. Do likewise on the opposite side with the next cotton ball.

10. With the third cotton ball clean starting from mons pubis in figure of 7 by way of INTERNAL labium
towards the anus. Then Discard.

11. Do likewise on the opposite side with the next cotton ball.

12. Clean genitalia from midline of mons pubis, urinary meatus, clitoris, vaginal orifice, perineum down
to the anus. Never retrace a stroke.

R: To prevent contamination of the area.

13. Clean the groin area: from groin going up to the thigh utilizing each side of the cotton balls. Do
likewise on the opposite side.

14. Flush perineum thoroughly with sterile warm water.

15. Using dry cotton ball, dries the perineum with the same stroke as mentioned from the previous
procedure. So again, start drying the area away from you. So first, dry the area from external genitalia
starting from the mons pubis down to the anus utilizing each side of the cotton ball, but you can use
another cotton ball only if it is needed, and then do it to the opposite side with a new cotton ball. So
after drying the external genitalia, repeat the figure 7 to the dry the internal labium down to the anus.
Then, using another cotton ball, this time, dry the area starting from the midline of mons pubis down to
the urinary meatus, clitoris, vaginal orifice, and perineum down to the anus. Lastly, dry the area starting
from the groin to the thigh with a check direction utilizing each side of the cotton ball, then repeat with
another cotton ball to the opposite side.
R: So we need to dry the perineum to prevent the growth of many microorganism as moisture can be a
medium for it. And we need to utilized cotton balls as possible to preserve the tools and equipment of
the institution. And of course, using another cotton ball from each figure prevents contamination.

16. Remove the bedpan gently and turn the patient to side. Assist the patient if needed.

17. If necessary, take one cotton ball to wipe one side of the buttocks. Take another cotton ball and wipe
the other side of the buttocks to dry.

R: So this is to provide comfort.

18. Turn patient on her back and make her comfortable.

19. Put on the perineal pad

20. Do after care of the materials used. Wash hands thoroughly to prevent contamination after leaving
the patient’s room.

21. Record the treatment done to patient and discharges observed.

R: Documenting the procedure means that it was done to the patient, it can also protect the nurse
against lawsuits. It is indeed essential for good clinical communication to support the multidisciplinary
team to deliver great care.

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