Initial Revision: June 2012
Perineal Care Level II
Purpose
The purposes of this procedure are to provide cleanliness and comfort to the resident, to prevent infections and
skin irritation, and to observe the resident’s skin condition.
Preparation
1. Review the resident’s care plan to assess for any special needs of the resident.
2. Assemble the equipment and supplies as needed.
Equipment and Supplies
The following equipment and supplies will be necessary when performing this procedure:
1. Wash basin;
2. Towels;
3. Washcloth or approved wipes;
4. Soap (or other authorized cleansing agent); and
5. Personal protective equipment (e.g., gowns, gloves, mask, etc., as needed).
Steps in the Procedure
1. Place the equipment on the bedside stand. Arrange the supplies so they can be easily reached.
2. Wash and dry your hands thoroughly.
3. Fill the wash basin one-half (1/2) full of warm water. Place the wash basin on the bedside stand within
easy reach. May use cleansing wipes if indicated.
4. Fold the bedspread or blanket toward the foot of the bed.
5. Fold the sheet down to the lower part of the body. Cover the upper torso with a sheet.
6. Raise the gown or lower the pajamas. Avoid unnecessary exposure of the resident’s body.
7. Put on gloves.
8. Instruct the resident to bend his or her knees and put his or her feet flat on the mattress. Assist as
necessary.
9. For a female resident:
a. Wet washcloth/wipes and apply soap or skin cleansing agent.
b. Wash perineal area, wiping from front to back.
(1) Separate labia and wash area downward from front to back. (Note: If the resident has an
indwelling catheter, gently wash the juncture of the tubing from the urethra down the catheter
about 3 inches. Gently rinse and dry the area.)
(2) Continue to wash the perineum moving from inside outward to and including thighs, alternating
from side to side, and using downward strokes. Do not reuse the same washcloth or water to
clean the urethra or labia.
(3) Rinse perineum thoroughly in same direction, using fresh water and a clean washcloth. (Note: If
the resident has an indwelling catheter, hold the tubing to one side and support the tubing against
the leg to avoid traction or unnecessary movement of the catheter.)
(4) Gently dry perineum.
c. Instruct or assist the resident to turn on her side with her top leg slightly bent, if able.
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