Checklist Bedbath

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SAINT MICHAEL’S COLLEGE OF LAGUNA

INSTITUTE OF NURSING

NCM 103 – Skills Laboratory


PERFORMANCE CHECKLIST
Complete Bed Bath
Name: __________________ Date:_______________
Clinical Instructor:___________ Performance Grade:______
Equipment:
Basin, Soap. Face towels, bath towels, Bath blanket, comb, deodorant, lotion

Procedure:

Preparation Preparednes Completen Consistenc Remarks


s ess y
1. Identify self and identify patient using 2 identifiers.*
Explains procedure to patient. Speaks clearly, slowly,
and directly. Maintains face-to-face contact whenever
possible.
Provides for patient’s privacy with a curtain, screen, or
door.
2. Adjusts bed to a safe level, usually waist high. Locks bed
wheels.
Hand hygiene.

3. Places a bath blanket or towel over patient. Asks him to


hold onto it as bedding is folded back. Removes gown,
while keeping patient covered with bath blanket or top
sheet
4. Fills basin with warm water. Tests water temperature
with thermometer or wrist and ensures it is safe. Has
patient check water temperature. Adjusts if necessary.
Changes water when it becomes too cool, soapy, or
dirty.

5. Uncovers only one part of body at a time. Places towel


under the body part being washed.
6. Washes, rinses, and dries one part of the body at a
time. Starts at head. Works down, and completes the
front first. When washing, uses a clean area of the
washcloth for each stroke.
7. Eyes, Face, Ears, Neck:
Washes face with wet washcloth (no soap). Begins with
the eye farther away from self. Washes inner area to
outer area. Uses a different area of the washcloth for
each eye. Washes face from the middle outward.
Washes ears and behind the ears and the neck. Rinses
and pats dry with blotting motion
8. Arms and Axillae:
Removes one arm from under the towel. With a soapy
washcloth, washes upper arm and underarm. Uses long
strokes from the shoulder to the wrist. Rinses and pats
dry. Repeats for the other arm.
9. Hands:
Washes one hand in a basin. Cleans under the nails with
an orangewood stick or nail brush. Rinses and pats dry.
Makes sure to dry between the fingers. Gives nail care.
Repeats for the other hand. Puts lotion on the patient’s
elbows and hands if ordered
10. Chest:
Places towel across patient’s chest. Pulls bath blanket
down to the waist. Lifts the towel only enough to wash
the chest. Rinses it and pats dry. For a female patient,
washes, rinses, and dries breasts and under breasts.
Checks skin in this area for signs of irritation.
11. Abdomen:
Keeps towel across chest. Folds bath blanket down so
that it still covers the genital area. Washes abdomen,
rinses, and pats dry. Covers with towel. Pulls bath
blanket up to the patient’s chin. Removes towel.

12. Legs and Feet:


Exposes one leg. Places a towel under it. Washes the
thigh. Uses long, downward strokes. Rinses and pats
dry. Does the same from the knee to the ankle. Places
another towel under the foot. Moves basin to the
towel. Places foot into basin. Washes foot and between
the toes. Rinses foot and pats dry. Dries between toes.
Gives nail care if it has been assigned. Applies lotion to
the foot if ordered, especially at the heels. Does not
apply lotion between the toes. Removes excess lotion.
Repeats steps for the other leg and foot.
13. Back:
Helps patient move to center of the bed. Asks patient to
turn onto his side so his back is facing self. If the bed
has rails, raises rail on the far side for safety. Folds
blanket away from the back. Places a towel lengthwise
next to the back. Washes the back, neck, and buttocks
with long, downward strokes. Rinses and pats dry.
Applies lotion if ordered.
15. Perineal area and buttocks:
Places towel under the buttocks and upper thighs.
Changes bath water. Washes, rinses, and dries perineal
area. Works from front to back (clean to dirty).
16. Empties, rinses, and dries bath basin. Places basin in
designated dirty supply area or returns to storage,
depending on policy
17. Places soiled clothing and linens in proper containers.
Removes and discards gloves.
Washes hands
18. Provides deodorant.
Puts clean gown or clothes on patient. Assists with
brushing or combing resident’s hair
19. Removes bath blanket. Replaces bedding. Makes
patient comfortable.
Returns bed to lowest position.
Leaves call light within patient’s reach.
20. Reports any changes in patient to the nurse.
Documents procedure using facility guidelines
Comments:

Clinical Instructor name & signature

Rubrics for Return Demonstration


2 (Excellent) 1 (Needs Improvement) 0
Very Good Fair Unacceptable
Preparedness The student was able to follow the The student had done the The student is not prepared,
procedure guidelines given with procedure guidelines but there is inaccuracy, and exceed
accuracy, completeness, confidence showing a little the time allotted to finish the
and consistency within the time unpreparedness. whole procedure.
allotted to finish the whole
procedure.
Completeness The student was able to perform well The student was able to The student was able to
the whole procedure correctly. perform the procedure perform the procedure
guidelines with lot of guidelines with lot of
shortcomings and inadequacy incompleteness and absence of
of doing the procedure. some steps.
Consistency The student is very sophisticated, the The student is partly The student is not
student is observant, accurate, competent; the student is not yet competent, the
focused and confident, harmonize so observant accurate, and student entertain more
while doing the different steps of the focused while doing the distractions and showed
procedural guidelines different steps of the procedural immaturity and less focused.
guidelines

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