iRubric: Provide perineal care to a female who is incontinent (urine) rubric

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Provide perineal care to a female who is incontinent (urine)

Provide catheter care to a female who has an indwelling cath

You are asked to provide perineal care to a female resident who is incontinent of urine. Resident is lying in bed with a soiled chuck under her.

Rubric Code: CXA52BC

By taniamendez

Ready to use

Public Rubric

Subject: Health

Type: Assessment

Grade Levels: 9-12, Undergraduate

Perineal Care
	Excellent 4 pts	Good 3 pts	Fair 2 pts	Poor 1 pts
Beginning procedure Wash hands Read dr orders Gather supplies - 3 barriers, gloves, bath blanket, bag, 15 wash clothes, 2 towels Knock Introduce self Identify pt Explain procedure Place supplies on overbed table Lock bed Provide privacy	Excellent All completed without assist of instructor.	Good Performed at or 75% of the combined skill and care measures that will need to master to be proficient	Fair Performed at or 50% of the combined skill and care measures that will need to master to be proficient	Poor Unable to complete OR Unable to complete without assistance (< 50%) from instructor.
Skill prepping resident PUT ON GLOVES ( or right after obtaining water in basin) Give resident call bed and state you will be back ( filling basin 3/4 of the way with water 105 degrees) place basin on overbed table. siderails up and raise bed to working level fanfold sheet and place bath blanket on resident count of 3 turn resident to CHANGE barrier under them. legs in lithotomy position while keeping blanket in triangular shape.	Excellent All completed without assist of instructor.	Good Performed at or 75% of the combined skill and care measures that will need to master to be proficient	Fair Performed at or 50% of the combined skill and care measures that will need to master to be proficient	Poor Unable to complete OR Unable to complete without assistance (< 50%) from instructor.
Skill 1st half of peri-area place washcloth mit on and add water and soap from top to bottom and begin to WASH middle SWITCH outter small labia SWITCH large labia SWITCH groin area RINSE middle SWITCH outter small labia SWITCH large labia SWITCH groin area DRY with towel on bed middle SWITCH outter small labia SWITCH large labia SWITCH groin	Excellent All completed without assist of instructor.	Good Performed at or 75% of the combined skill and care measures that will need to master to be proficient	Fair Performed at or 50% of the combined skill and care measures that will need to master to be proficient	Poor Unable to complete OR Unable to complete without assistance (< 50%) from instructor.
Skill 2nd half of peri-area place washcloth mit on and add water and soap 2nd SIDE: from top to bottom and begin to WASH middle SWITCH outter small labia SWITCH large labia SWITCH groin area RINSE middle SWITCH outter small labia SWITCH large labia SWITCH groin area DRY with towel on bed middle SWITCH outter small labia SWITCH large labia SWITCH groin	Excellent All completed without assist of instructor.	Good Performed at or 75% of the combined skill and care measures that will need to master to be proficient	Fair Performed at or 50% of the combined skill and care measures that will need to master to be proficient	Poor Unable to complete OR Unable to complete without assistance (< 50%) from instructor.
Skill buttocks place washcloth mit on and add water and soap you can start at either side of buttocks: WASH Start anal area and move up, then center anal area and up then last side anal area up ( 3 wash areas) Repeat with RINSE Repeat with DRY	Excellent All completed without assist of instructor.	Good Performed at or 75% of the combined skill and care measures that will need to master to be proficient	Fair Performed at or 50% of the combined skill and care measures that will need to master to be proficient	Poor Unable to complete OR Unable to complete without assistance (< 50%) from instructor.
Ending skill remove barrier and throw in garbage (count 3 to turn) make sure gown is down and remove blanket and place sheet back on resident place bed in lowest position not letting the bag touch the floor give call bell to resident stating you are going to empty and clean the basin use proper IC tech to open, shut water and barriers wash, rinse and dry basin	Excellent All completed without assist of instructor.	Good Performed at or 75% of the combined skill and care measures that will need to master to be proficient	Fair Performed at or 50% of the combined skill and care measures that will need to master to be proficient	Poor Unable to complete OR Unable to complete without assistance (< 50%) from instructor.
Ending procedure Place basin back in bedside cabinet Ask resident if would like TV, water or magazine Give call bell clean area open curtain place soiled linen in dirty utility bag take your gloves off Wash hands document	Excellent All completed without assist of instructor.	Good Performed at or 75% of the combined skill and care measures that will need to master to be proficient	Fair Performed at or 50% of the combined skill and care measures that will need to master to be proficient	Poor Unable to complete OR Unable to complete without assistance (< 50%) from instructor.

Keywords:

perineal care

Subjects:

Health

Types:

Assessment

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