Purpose: • Topreventandcontrolthespreadofinfection

• Topreventskinbreakdown

• Topromotecomfort

• Tomaintaincleanliness

• Topromotedignity

Equipment & Supplies:• Facility-designatedcleansingproduct(chooseone:non-alkalinesoap(4.5pH),periwash,orwetwipes)

• Facility-designatedbarriercreamproduct

• Basin,washclothwithsoap,orperiwash(notneededwithwipes)

• Bathtowelandblanketorsheet

• Toilettissue

• Disposablegloves

• Protectiveequipmentifneeded(gown,mask,etc.)

Key Points:• Knockbeforeenteringroom

• Provideprivacyatalltimes

• Explainprocedureevenifresidentisdisabledorcognitivelyimpaired

• Washhandsbeforeandafterprocedure

• Useglovesperfacilityprotocol

Procedure:• Raisebedtocomfortable,workingposition

• Draperesidentwithbathblanket

• Placetowelunderbuttocks

• Movebathblanketupontoabdomentoonlyexposetheregionthatyouarecleaning

• FollowFemaleandMaleCareChecklist

• Assureresidentsafetyatalltimes

Document or Report:• Allabnormalobservations(i.e.discharge)

• Conditionofgenitaliaandperineumandbuttocks(rash,skinbreakdown,colorchange,etc.)

• Urineodororabnormalityincolor

• Anycomplaintsorexpressionofpain

Resident Skin/Peri Care

15HampshireStreetMansfield,MA02048

1-800-962-9888508-261-8000

www.covidien.com

Photo credit: Photos.com

COVIDIEN, COVIDIEN with logo, Covidien logo and positive results for life are U.S. and internationally registered trademarks of Covidien AG.

© 2012 Covidien.

H6458 – 5M – 0112

Skin Care/Early Treatment Guideline:• Completeskinassessmentonadmission

• InspectskinatleastonceadayCheckfolds,wrinkles,etc.

• IndividualizebathingscheduleUseamildcleanser,andavoidhotwaterandpowders

• MinimizeenvironmentalfactorsLowhumidityandcoldair

• Moisturizedryskin

• Avoidmassagingreddenedbonyprominences

• Washperinealareaaftereachincontinentepisode

• Afterwashing,patskindry(donotrub)

• Applythinlayerofmoisturebarriercreamforat-riskskinperfacilityprotocol

• Ifneeded,useabsorbentproductsthatwickurineawayfromskin

• Monitoranddocumenthydrationandnutritionalstatusifrequiredbyfacilityprotocol

If Resident Is Confined to Bed:• Repositionperindividualizedcareplan

• Usepositioningdevicestokeepbonyprominencesfromdirectcontact

• Usepressure-relievingdevicestototallypreventpressureonheels

• Avoidpositioningdirectlyontrochanterifpossible

• Useliftingdevicestomoveindividualduringtransferandpositionchange(donotdrag)

• Placeat-riskresidentsonpressure-reductionsurfacesperfacilityprotocol

If Resident Is Chair Bound:• Repositionperindividualcareplan

• Encouragetheresidenttoshiftweightevery15minutesifpossible

• Placepressure-reductiondevicesonseatingsurface

Note:• Useawrittenplan

• Monitoranddocumentallinterventionsandoutcomesperfacilityprotocol

Guidelines for Prevention of Skin Breakdown

Resident Skin/Peri Care