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Procedure #33

CNA Procedure: Bed Bath/ Perineal Care

Step NumberStep
Step 1 (Bed Bath) Do initial steps.
Step 2 Offer resident urinal or bedpan.
Step 3 Provide resident privacy.
Step 4 Fill bath basin with warm water and have resident check water temperature for comfort, if able.
Step 5 Put on gloves.
Step 6 Fold washcloth and wet.
Step 7 Gently wash eye from inner corner to outer corner, using a different part of cloth to wash other eye.
Step 8 Wet washcloth and apply soap, if requested. Wash, rinse, and pat dry face, neck, ears, and behind ears.
Step 9 Remove resident's gown.
Step 10 Place towel under far arm.
Step 11 Wash, rinse, and pat dry hand, arm, shoulder, and underarm.
Step 12 Repeat steps with other arm.
Step 13 Place towel over chest and abdomen. Lower bath blanket to waist.
Step 14 Lift towel and wash, rinse, and pat dry chest and abdomen.
Step 15 Pull up bath blanket and remove towel.
Step 16 Uncover and place towel under far leg.
Step 17 Wash, rinse, and pat dry leg and foot. Be sure to wash, rinse, and dry well between the toes.
Step 18 Repeat with other leg and foot.
Step 19 Change bath water and gloves, wash hands and use clean gloves and towel.
Step 20 Assist resident to spread legs and lift knees, if possible.
Step 21 Wet and soap folded washcloth.
Step 22 (Catheter Care) If resident has catheter, check for leakage, secretions, or irritation. Gently wipe four inches of catheter from meatus out.
Step 23 (Perineal Care) Wipe from front to back and from center or perineum to thighs. If washcloth is visibly soiled, change cloths.
(For Females) Separate labia. Wash urethral area first. Wash between and outside labia in downward strokes, alternating from side to side and moving outward to thighs. Use different part of washcloth for each stroke.
(For Males) Pull back foreskin if male is uncircumcised. Wash and rinse the tip of penis using circular motion beginning with urethra. Continue washing down the penis to the scrotum and inner thighs. Rinse off soap and dry. Return foreskin over the tip of the penis.
Step 24 Change water in basin. Wash hands and change gloves. With a clean washcloth, rinse area thoroughly in the same direction as when washing.
Step 25 Gently pat area dry with towel in same direction as when washing.
Step 26 Assist resident to lateral position, facing away from you.
Step 27 Wet and soap washcloth.
Step 28 Clean anal area from front to back. Rinse and pat dry thoroughly.
Step 29 Change bath water and gloves. Use clean washcloth and towel.
Step 30 Wash, rinse, and pat dry from neck to buttocks.
Step 31 Return to supine position.
Step 32 Wash hands and change gloves.
Step 33 Help resident put on clean gown.
Step 34 Do final steps.
Step 35 Report any reddened areas, abrasions, or bruises to the nurse.
Created by: Gabsbailey
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