HHC Health & Home Care Clinical Policy And

HHC HEALTH & HOME CARE Section: 10-12
Postpartum/Maternal/Newborn: Care of Non-Monilial Diaper Rash __RN
PURPOSE:
To aid in healing of skin eruption in the diaper area.
CONSIDERATIONS:
1. Diaper dermatitis (rash) can occur from various
causes: wetness, increased Ph, and fecal irritants.
2. If open blisters are apparent, notify the physician.
3. If rash is monilial, report to physician. Medication
will need to be ordered.
4. Change diaper as soon as it becomes wet or soiled.
5. To aid the healing of diaper rash, increase the
airflow to the diaper region by letting the child go
without a diaper for short periods of time and using
oversized diapers until the rash goes away.
6. If using disposable diapers, use "super absorbent"
to reduce skin wetness.
7. If using cloth diapers, avoid rubber pants. Use only
overwraps that allow air to circulate.
8. Expose healthy or only slightly irritated skin to air
(not heat) to dry completely.
9. Avoid use of prepackaged diaper wipes due to
possible exacerbation of rash.
EQUIPMENT:
Mild, unscented soap and water
Diaper
Ointments (consult with Pediatrician)
Gloves
PROCEDURE:
1. Adhere to Universal Precautions.
2. Remove diaper.
3. Wash diaper area with mild soap and water, rinse
with water, and gently pat dry. Note: heavy
scrubbing or rubbing will only damage the skin
more.
4. Apply ointment to protect the skin.
5. Reapply diaper.
6. Change diaper at night when baby awakens.
AFTER CARE:
1. Properly dispose of diaper.
2. Rinse cloth diapers in cold water; soak in diluted
powder bleach and water solution or diluted laundry
soap and water solution. Launder in mild detergent
and double rinse.
3. Document in patient's record:
a. Description of skin in diaper area.
b. Treatment provided.
c. Patient's response to treatment.
d. Teach caregiver how to prevent and treat diaper
rash
4. Document physician notified of skin rash/condition.
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