Sequence of perineal irrigation

Most women are interested in protecting their vaginal hygiene, so they also wash their perineum every day. Because only by keeping the area around the vagina clean and tidy can you reduce the chance of developing gynecological diseases. However, many women may not know that perineal irrigation also requires a certain order and steps. Let’s learn about the relevant order of perineal irrigation today.

Perineal scrub

Purpose:

Reduce perineal secretions, keep the perineum and anus clean, remove odor, make patients comfortable, and promote perineal wound healing

Prevent or reduce retrograde infections of the reproductive and urinary systems Indications:

It is used for patients who are bedridden for a long time and cannot take care of themselves, those with indwelling catheters after delivery or surgery, those with perineal wounds or those suffering from acute or chronic vulvitis. 1. Check the doctor's orders 2. Prepare

1. Nurse quality requirements: dignified appearance and kind attitude. Wash your hands and wear a mask 2 assessment:

Ask and understand the patient's condition, consciousness and cooperation level. Understand the local skin condition. Whether there is a urinary catheter and whether it is unobstructed.

Is the environment hidden to protect patient privacy?

3. Inform the patient: operation method and purpose, guide the patient to cooperate, and assist the patient in urination

4 Wash your hands and prepare the following items: 1 perineum scrub bag (containing two curved plates, a medicine cup, and two scrubbing forceps), PE gloves, disposable midline scrub, hand disinfectant, doctor's order, medical waste bin, and domestic waste bin.

5. Prepare disinfectant: 100ml water for injection + 4ml iodine stock solution, and concentration 0.02%

6. Open the perineal scrub bag, pour the prepared disinfectant into a curved plate, and soak the gauze ball fully. If there is a wound, take one or two dry cotton balls into the medicine cup, pour the iodine stock solution into the medicine cup, soak the cotton balls fully and set aside.

3. Operation

1. Trolley to the end of the bed 45 degrees

2. Check and explain the purpose and method of the operation to the patient and obtain the patient's cooperation

3. Environmental preparation: Close doors and windows, draw curtains, adjust temperature and humidity, and ask family members or other people to stay away

4 Loosen the blanket, take off the contralateral trousers of the patient, and place the patient in supine position with knees bent to keep warm and protect privacy. Cover the contralateral lower limb with a blanket, cover the proximal lower limb with a large towel, and place the treatment towel under the buttocks. 5 Scrubbing order: (I) Scrub three times in general

First time: Wipe off secretions, blood stains, etc. from the perineum from outside to inside and from top to bottom. The order of scrubbing is: mons pubis → inner thigh → labia majora → labia minora → urethral opening → vaginal opening → anus. The second time: scrub from inside to outside, from top to bottom: mons pubis - urethral opening - opposite labia minora - proximal labia minora - opposite labia majora - proximal labia majora - upper 1/3 of the inner thigh - upper 1/3 of the inner thigh - perineum wound or catheter - anus. The third time: same as the second time

(ii) urethral opening, vaginal opening, labia minora, labia majora, mons pubis,

The inner third of the thigh, from the perineum to the anus, from the inside to the outside, from top to bottom 6. Disinfect the wound: Use cotton balls soaked in disinfectant to disinfect the wound from the inside to the outside 7. Abandon all the items under the treatment cart, help put on pants, and make the bed unit