PERAWATAN LUKA JAHITAN PERINIUM

Summary

This transcript outlines a detailed postpartum care procedure, focusing on a nurse’s routine examination and care of a mother after childbirth. The process involves assessing the healing of the perineum, monitoring vital signs, ensuring hygiene, and checking for complications like infection or hematomas. The nurse cleanses and inspects the area, administers necessary treatments, and provides positive feedback to the patient. The session concludes with counseling, ensuring the patient is informed and comfortable before returning to the ward. A key element of the care is maintaining privacy, respect, and clear communication throughout the process.

Takeaways

• 😀 The script describes a post-delivery medical procedure to inspect and care for a new mother after childbirth.
• 😀 The first step involves creating a comfortable and private environment for the patient by closing curtains or doors.
• 😀 The nurse explains the procedure to the patient, ensuring that she understands the purpose and process of the examination.
• 😀 The patient is asked to empty her bladder before the examination begins.
• 😀 The nurse prepares various medical tools and materials, including clean gloves, anatomical forceps, and antiseptic solutions.
• 😀 Proper handwashing and the use of personal protective equipment (PPE) are emphasized throughout the procedure.
• 😀 The patient is positioned in a dorsal recumbent position for the examination, similar to the position for childbirth.
• 😀 The nurse inspects the perineum, urethra, vagina, and anus for signs of infection, hematomas, edema, or hemorrhoids.
• 😀 The nurse evaluates the lochia (postpartum discharge) for color, consistency, and odor, noting it is still red and has a characteristic odor of blood.
• 😀 The nurse cleanses the vulva and perineum using sterile techniques and inspects any stitches or tears in the perineum for signs of healing or infection.
• 😀 The procedure concludes with a verbal summary of the findings, positive reinforcement for the patient's recovery, and documentation of the entire process.

Q & A

What is the primary action being performed in the script?

The primary action in the script involves a medical procedure where a nurse or healthcare professional is performing a post-delivery checkup on a patient, focusing on cleaning and examining the perineum, inspecting for potential complications like infection, and performing necessary hygiene care.

Why is it important to maintain privacy during this procedure?

Maintaining privacy is crucial to ensure the patient's comfort and dignity. The healthcare professional mentions closing the curtains or doors to safeguard the patient's personal space during the examination, which also helps in preventing unnecessary exposure.

What instruments and tools are prepared for the procedure?

The healthcare professional prepares various tools such as clean gloves, anatomical forceps, sterile gauze, NaCl solution, and a disinfectant solution. These are essential for maintaining sterility and preventing infection during the examination and cleaning process.

What are the key steps involved in the perineal examination?

Key steps in the perineal examination include positioning the patient, wearing sterile gloves, inspecting the urethra, vagina, perineum, and anus for signs of hematoma, edema, or varices, cleaning the labia and perineum, and evaluating the healing of any episiotomy or laceration.

What is the significance of inspecting the perineal wound for signs of infection?

Inspecting the perineal wound for signs of infection is critical to ensure proper healing after delivery. The healthcare professional checks for redness, swelling, or discharge (like pus) from the wound, which could indicate an infection or improper healing.

How is the hygiene of the vulva and perineum maintained during the procedure?

Vulva hygiene is maintained by carefully cleaning the labia majora, labia minora, and the area from the urethra to the anus. The healthcare provider uses sterile gloves and wipes to prevent contamination while cleaning, ensuring that the area remains sterile.

What does the healthcare provider do if no issues are found during the inspection?

If no issues are found, the healthcare provider informs the patient that the examination is normal, with no signs of infection or complications. The healthcare provider also reassures the patient about the healing process of the perineal area and provides necessary advice.

Why is it important to perform a final check and documentation after the procedure?

The final check ensures that the procedure has been completed properly, and all steps have been followed. Documentation is important for medical records, providing a detailed account of the procedure and any findings, which could be crucial for future reference or medical follow-up.

What actions are taken after the procedure is completed?

After completing the procedure, the healthcare provider helps the patient get dressed, disposes of used materials in the appropriate waste containers, sterilizes equipment if necessary, and performs hand hygiene to prevent cross-contamination. The session concludes with counseling for the patient before leaving.

What kind of patient feedback or communication occurs during the procedure?

Throughout the procedure, the healthcare provider communicates with the patient, providing explanations, obtaining consent, and answering any questions. Positive feedback is given at the end of the procedure, confirming that everything is normal and offering reassurance about the recovery process.