5.19: Skills Checklist- Perineal Care (Male)

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Gather Supplies: Basin, warm water, soap, four washcloths, one towel, barrier, gloves, and linen bag or hamper
Routine Pre-Procedure Steps:
- Knock on the resident’s door.
- Perform hand hygiene.
- Maintain respectful, courteous, and professional communication at all times.
- Introduce yourself and identify the resident.
- Provide for privacy.
- Explain the procedure to the resident.
Procedure Steps:
- Raise one side rail of the bed. Check the resident’s mobility and their preferred side to lie on.
- Put on gloves.
- Raise the bed height if needed.
- Fill the basin with warm water and place it on a flat surface with a barrier underneath. Have the resident check the water temperature by placing their hand in the basin or putting a wet washcloth on the back of their hand.
- Turn the resident or raise the hips and place a barrier (a towel, waterproof soaker pad, disposable pad, etc.) under their buttocks.
- Expose the perineum only.
- Use water and a soapy washcloth.
- If the resident is not circumcised, gently move the foreskin away from their urethra toward the base of the penis.
  - Using a clean portion of the first washcloth, start from the urethra and clean in a circular motion toward their scrotum.
  - Using a clean portion of the first washcloth, clean one groin fold and the scrotum.
  - Using a clean portion of the first washcloth, clean the other groin fold and the other side of scrotum.
  - Put the first washcloth in a linen bag.
  - Using the second clean washcloth, rinse from the urethra in a circular motion toward the scrotum.
  - Using a clean portion of the second washcloth, rinse one groin fold and the scrotum.
  - Using a clean portion of the second washcloth, rinse the other groin fold and the other side of the scrotum.
  - Put the second washcloth in the linen bag.
  - Avoid overexposure throughout the procedure.
  - Pat dry.
- If uncircumcised, gently return the foreskin toward the urethra.
  - Cover the exposed area with the bath blanket.
  - Assist the resident to turn onto their side away from you and ask the resident to hold onto the raised side rail.
  - Using the third clean washcloth, apply water and soap.
  - Using a clean portion of the third washcloth, clean one side of the buttock wiping away from the urethra.
  - Using a clean portion of the third washcloth, clean the other side of the buttock wiping away from the urethra.
  - Using a clean portion of the third washcloth, clean the rectal area wiping away from the urethra.
  - Put the third washcloth in the linen bag.
  - Using the fourth washcloth, rinse one side of the buttock wiping away from the urethra.
  - Using a clean portion of the fourth washcloth, rinse the other side of the buttock wiping away from the urethra.
  - Using a clean portion of the fourth washcloth, rinse the rectal area wiping away from the urethra.
  - Put the fourth washcloth in the linen bag.
  - Pat dry.
- Safely remove the waterproof pad from under the buttocks.
- Remove the gloves, turning them inside out.
- Perform hand hygiene.
- Position the resident on his back.
- Put on clean gloves.
- Dispose of soiled linen in the designated laundry hamper.
- Empty the equipment.
- Rinse the equipment.
- Dry the equipment.
- Return the equipment to storage.
- Remove the gloves, turning them inside out.
- Dispose of gloves in an appropriate container.
Post-Procedure Steps:
- Perform hand hygiene.
- Check for resident comfort and ask if anything else is needed.
- Ensure the bed is low and locked. Check the brakes.
- Place the call light or signaling device within reach of the resident.
- Open the door and privacy curtain.
- Perform hand hygiene.
- Document and report any skin issues or changes noted with the resident.

View a YouTube video^[1] of an instructor demonstrating male perineal care:

Chippewa Valley Technical College. (2022, December 3). Perineal Care (Male). [Video]. YouTube. Video licensed under CC BY 4.0. https://youtu.be/n3Ed36YSz9w ↵