Wesleyan University-Philippines

Mabini Extension, Cabanatuan City

Phone: (044)463-2074/2162 loc.126, Fax: (044)463-0596
C ol l e g e of Nu r s ing
NCM-100 (SKILLS)

BED BATH

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Procedure
Assess patient
Introduce self and explain the procedure
Check patients chart for doctors order
Check patients temperature
Perform hand hygiene
Provide privacy
Prepare client and environment
Position the bed in a comfortable working height
Lower Room Temperature
Assist the patient to the side of the bed for convenience and ease
working
Loosen the sheet( replace top sheet with a bath blanket)
Remove the patients clothing under cover of bath blanket
Fill the basin with - 2/3 warm water
Spread the bath towel across the patients chest
Wet the wash cloth or face towel and squeeze out excess water.
-Make a mit
-Make sure to use all four corners of the mit.
Wrap the wash cloth around the palm and fingers to form mitten.
Apply soap
Wash face
a. Place towel under clients head and across patients chest
b. Wash face, ears and neck, rinse and dry (S-technique)
c. Wash eyes (inner to outer canthus) and dry them.
Note: NO soap on the face area.
Remove towel under the clients head and place towel under the
patients arm and hand away from you.(spread the towel
lengthwise)
Expose, wash, rinse and dry, (pay particular attention to the
axilla).
Immerse patients hand on basin with water. Wash rinse and dry.
Repeat number 18, 19, 20 to hand of patients nearest to you.
Fold bath blanket down to umbilical area then cover patients
chest with a bath towel. Expose, wash, rinse and dry( female
pay particular attention on areas under womans breast)
Fold blanket down to umbilical area, then wash, rinse and dry
abdomen. Replace bath blanket.
Wash the back
Assist client in prone position or side-lying facing away from
you. Side rail up on the other side of bed.

CONTINUATION
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a. Place bath towel lengthwise alongside the back and
buttocks while keeping the client covered with a bath
blanket.
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b. Wash back from shoulder to the buttocks and back upper
thighs.
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c. Pay particular attention on gluteal folds. Rinse and dry.
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d. Perform back massage
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e. Assist client to turn to supine position and

30 Wash the legs and feet.

a. Expose the leg farthest from you by folding bath blanket
toward the other leg( keep perineum covered)
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b. Lift the leg and place the bath towel lengthwise under the
leg.
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c. Wash, rinse and dry using long, firm stroke from distal to
proximal area (ankle to knee to the thigh).
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d. Wash the feet by placing them in the basin.. Rinse and
Dry. Pay particular attention spaces between the toes
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e. Reverse the covering and repeat to the other leg nearest
from you.
35 Determine if client can wash perineum on her own, if not prepare
for perineal care.
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Assist client in grooming. Aid powder, lotion or deodorant

Thank the client for his/her cooperation.
Perform after care.
Perform handwashing.
Document any unusual findings.
TOTAL

Students
Signature___________________________________Date:_______________________________
Instructor
Signature__________________________________Date:________________________________
Comments/Recommendations:_____________________________________________________
______________________________________________________________________________
_______________________

Wesleyan University-Philippines
Mabini Extension, Cabanatuan City
Phone: (044)463-2074/2162 loc.126, Fax: (044)463-0596
C ol l e g e

of

Nu r s ing

NCM-100 (SKILLS)
BED SHAMPOO

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Procedure
Assess patient
Introduce and explain the procedure.
Check patients chart and Doctors Order.
Check patients Temperature
Do handwashing and gloving
Provide privacy
Prepare the equipment
Lower Room temperature
Loosen the top sheet and replace with a bath blanket
Remove the pillow and place the patients head close to the edge
of the bed by placing her/his diagonally/ across the bed
Place pillow under the shoulder and roll bath towel at the nape
and rubber protector
Insert Kelly pad under patients head with the end directed to the
pail
Comb patients hair
Cover eyes with folded face towel
Plug the ears with cotton balls
Moisten the hair then pour the liquid shampoo slowly to the scalp
and hair.
Massage the scalp with the ball of your fingers, not the nails
Rinse. Repeat the process until the hair is thoroughly clean.
Avoid frequent turning of head
Use cold water whenever required for final rinse
Squeeze off the excess water from the hair
With one hand, raise the head of the patient while using the other
hand to remove the Kelly pad and drop it on the pail
Wrap the hair with a bath towel and readjust the pillow
Remove eye cover and ear plugs
Dry hair and comb it
Move back the patient to the center of the bed.
Leave the rubber protector until hair is completely dry
Arrange bed linen and make patient comfortable
Discard soiled linen into hamper
Do aftercare
Perform handwashing
Document time of treatment, reaction of patient, re-check
patients temperature, and check for any abnormality
TOTAL

Students Signature___________________________________Date:_______________________________
Instructor Signature__________________________________Date:________________________________

Comments/Recommendations:____________________________________________________________________
______________________________________________________________________________________