Female Paricare (CNA)

Step 1

Assemble equipment (Basin of warm water, periwash, washcloths, towels, pericream, incontinent brief, toilet tissue, bath blankets, disposable gloves, bed protector, and linen bag)

Step 2

Preform KIPWS

Step 3

Fill basin half full of warm water; place on covered overbed table

Step 4

Position bed to a comfortable working height and lock wheels

Step 5

Apply Gloves

Step 6 *

Fanfold top linens down and cover resident with a bath blanket or towel to maintain privacy

Step 7

Ensure the bed is flat and place the bed protector under resident if needed

Step 8

Assist the resident to bend their knees and place feet on the mattress if possible; otherwise, spread legs

Step 9

Draw the bath blanket up to expose the genitalia

Step 10

Observe for drainage, bleeding, irritation, or pain

Step 11 *

*Wet Washcloths in water, wring out, and apply periwash

Procedure note: Use different section of washcloth for each wipe. Do not put washcloths back in basin of water. Change washcloths as needed putting used cloths in plastic bags. Never place used washcloths on bed or overbed table.

Step 12

Gently spread the labia and hold this position

Step 13 *

*Wash down the center of the genitalia over the meatus and perineum towards the anus in one smooth stroke

Step 14

Wash the inner and outer labia using downward strokes, alternating side to side moving outwar with each stroke to the thigh creases, wash over the lower abdomen/mons pubis

Step 15

using clean washcloths, rinse and pat dry in the same order as washed

Step 16

Cover resident with bath blanket; turn resident with back towards you; exposing only the buttocks. If feces is present; remove with toilet tissue; change gloves

Step 17 *

*Wash the buttocks, perineum, and anal areas with a soapy washcloth; wash from front to back away from the vagina

Step 18

Using clean washcloths, rinse and pat dry in the same order as washed

Step 19

Change gloves, wash hands to apply pericream. If the pericream is being used to treat a wound-ask a nurse to apply it

Step 20

Change gloves and wash hands

Step 21

Apply incontient brief if used. Remove or replace the bed protector

Step 22

Remove gloves wash hands

Step 23

Assist resident to a comfortable position; adjust bed linens and clothing

Step 24

Clean the equipment and return to storage. Dispose of waste in plastic bag. Take dirty linen to proper area

Step 25

Preform POWRS