VULVAL TOILETING OF A PUERPERAL CLIENT

REQUIREMENTS #

1. Trolley containing the following:
   1. Sanitary pad
   2. Sterile gloves
   3. HLD Gloves
   4. Galipot
   5. Jug with warm water
   6. Bed pan
   7. Savlon, Dettol or Hibitane)
   8. Macintosh
   9. Draw sheet
   10. Drapes
   11. Sponge holding forceps (Sterile)
   12. Sterile swabs
   13. Receiver

STEPS #

1. Establish rapport (refer steps)
2. Explain procedure to client (refer steps)
3. Provide privacy and let client assume dorsal position with knees flexed
4. Wear rubber apron
5. Send trolley to bedside
6. Mix warm water for swabbing with lotion
7. Test the water temperature with elbow
8. Place mackintosh under client and drape her
9. Wear gloves and place bedpan under client
10. Remove perineal pad using one hand
11. Inspect the lochia (colour, amount, odour)
12. Discard soiled perineal pad
13. Inspect vulva and perineum
14. Remove glove, perform hand hygiene and wear sterile gloves
15. Pour water gently over vulva and clean the vestibule
16. Clean the labia minora, majora and then pour water gently over the vulva
17. Clean and dry client and remove bedpan  
18. Place clean pad at the vulva and make client assume desirable position
19. Educate client on proper perineal care
20. Communicate findings and appreciate client for her cooperation
21. Disposed off and decontaminate used items
22. Perform hand hygiene
23. Record into Maternal and Child Health Record Book (Manual and Electronic)
24. Record and report findings to the officer in-charge