Providing Perineal Care CNA skills checklist

Perform hand hygiene and apply clean gloves

Critical step

Address resident by name and explain the procedure

Provide privacy by closing door and curtain

Critical step

Fill basin with warm water (100-105°F / 38-41°C) and test temperature

Critical step

Position resident on back with knees bent and separated, or on side if unable

Cover resident with bath blanket, exposing only perineal area

Critical step

Place waterproof pad under resident's buttocks

Apply soap to wet washcloth

For female: Separate labia and wash from front to back (urethral area to rectal area) using single strokes

Critical step

For male: Wash tip of penis first, then shaft, then scrotum; retract foreskin if uncircumcised and return after cleaning

Critical step

Use clean area of washcloth for each stroke

Critical step

Rinse perineal area thoroughly with clean wet washcloth

Dry perineal area thoroughly by patting

Turn resident to side to wash rectal area from front to back

Rinse and dry rectal area thoroughly

Apply barrier cream if ordered

Remove waterproof pad and reposition resident comfortably

Place soiled linens in appropriate container

Remove gloves and perform hand hygiene

Critical step

Report any abnormalities to nurse (redness, rash, sores, discharge, odor)