CNA Peri Care Procedure

Introduction

• CNA Introduction: Patti introduces herself as the CNA to the patient, Miss Jones.
• Permission: Asks for permission to perform peri care.
• Preparation:
  • Closes curtain for privacy.
  • Washes hands.
  • Gathers supplies.

Supplies Needed

• Two chucks
• Four washcloths
• Privacy blanket
• Towel
• Basin
• Soap
• Gloves

Preparing the Basin

• Uses a paper towel to turn on water (warm temperature).
• Miss Jones checks water temperature.
• Washcloth placed in the basin.

Privacy and Setup

• Privacy Blanket:
  • Spread out over Miss Jones to keep warm and maintain privacy.
  • Sheet pulled down to knees.
• Chucks Preparation:
  • Unfolds and rolls chucks toward self.
• Gloves: Put on before starting the procedure.

Changing the Chucks

1. Patient Positioning:
   • Miss Jones scoots toward Patti.
   • Rolls Miss Jones onto her side to change soiled chucks.
2. Replacement Process:
   • Rolls soiled chucks toward patient.
   • Unrolls clean chucks.
   • Repeats from the other side.

Cleaning Process

Front Cleaning

• Uncovers Peri Area:
  • Blanket rolled up to waist.
  • Gown rolled with blanket.
  • Upper legs covered with towel.
• Washcloth Use:
  • Soaks five corners.
  • Cleaning Steps:
    1. Top to bottom middle clean.
    2. Outside labia clean, each side.
    3. Skin fold clean, each side.
  • Rinsing: Uses second washcloth to rinse in the same order.
  • Drying: Gentle pats or short strokes to dry.

Back Cleaning

• Repositioning:
  • Scoots Miss Jones and rolls onto side.
  • Evaluator holds mannequin in place.
• Washcloth Use:
  • Soaks four corners for cleaning.
  • Cleaning Steps:
    1. Start at the anal opening, up the center crease.
    2. Cleans each buttocks and crease.
  • Rinsing: Uses another washcloth to rinse in the same manner.
  • Drying: Pat dry all areas.

Final Steps

• Change Chucks:
  • Removes soiled chucks and replaces with clean.
• Clean Up:
  • Puts away soiled items, cleans basin with paper towel, discards waste.
  • Basin cleaned, dried inside and out, and stored.
  • Disposes of paper towels and barrier.
  • Gloves removed.
• Comfort and Final Check:
  • Privacy blanket removed and sheet pulled up.
  • Asks Miss Jones if comfortable or needs anything.
  • Provides call light.
  • Curtain opened, hands washed.
  • Reviews procedure steps and confirms completion with evaluator.