Bed Bath Procedure Checklist

Central Mindanao University
College of Nursing
FUNDAMENTALS OF NURSING PRACTICE,
RLE
Procedure Checklist
Name of Student:
Clinical Instructor:
Bed Bath
A. Direction: Write your answers on the space

provided.
Assessments:
Assess the patient's knowledge of hygiene

practices and bathing preferences
Possible Nursing Diagnoses:
1. Bathing self-care deficit

2. Disturbed body image
Materials:
Towels
Wash basin
Warm Water
Skin Cleansing Agent
Laundry Bag
PPE
B. Directions: Provide your assessment findings/rationale on the box. You are rated based on the
performance rubrics.
PROCEDURE RATIONALE
Preparatory Phase:
1. Confirm physician’s
Confirming prevents
order. Check client patient discomfort and
identification and injury
condition
2. Prepare room and provide
privacy Lessen Anxiety
3. Explain the purpose and Promotes reassurance
procedure to the client.
and provides knowledge
about the procedure
4. If he or she is alert or
Increases participation
oriented, question the
client about personal
hygiene preferences and
ability to assist with the
HYGIEN 1
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College of Nursing
RLE
Procedure Checklist
bath.
5. Gather and bring all Saves time and energy
required equipment to
bed side Prevent Error
6. Offer the client a Voiding before bath lessens
bedpan. Ask whether the
patient wishes to use the
the likelihood that the bath
toilet or commode. will be interrupted
7. Wash your hands and
put on gloves. Prevents strain
8. Close the curtain or the
door. Provide safety and
privacy
9. Place the bed in a high
position. Prevents strain
PROCEDURE RATIONALE
Performance Phase:
10. Remove the client’s Removal of these devices
cloth. Cover the client’s allows for assessment
body with a top sheet or
blanket. If an IV is
present on the client’s
upper extremity, thread
the IV tubing and bag
through the sleeve of the
soiled cloth. Rehang the
IV solution. Check the IV
flow rate.
11. Fill two basins about Warm water is soothing
two-thirds full with
warm water (43-46 ℃ or for the patient
110-115 degrees F).
12. Assist the client to Stimulates circulation
move toward the side of
the bed where you will and provide more
be working. effective cleansing
Face, neck, ears:
13. Place bath towel under Prevents chilling and
the client’s body from keeps bath blanket dry
the head to shoulders.
Place face towel under
the chin which is also
covered the top sheet.
HYGIEN 2
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College of Nursing
RLE
Procedure Checklist
14. Make a mitt with the Stimulates circulation
sponge towel and
moisten with plain-water. and effective cleansing
15. Wash the client’s eyes. Prevents carrying debris
Cleanse from inner to
outer corner. Use a toward the nasolacrimal
different section of the duct
mitt to wash each eye.
16. Wash the client’s face, To ensure and maintain
neck, and ears. Use
soap on these areas only skin integrity
if the client prefers.
Rinse and dry carefully.
Upper Extremities
17. Place the bath towel Facilitates thorough
lengthwise under the washing of the hands
arm, wash, and rinse
and dry the arm, using and between the fingers
long, firm strokes from and arms in removing
distal to the proximal
areas. Wash the axilla
debris from the skin
well.
18. Place a towel directly Keeps the bed dry
on the bed and put
basin on it. Place the
patient’s hands in the
basin. Assist her or him
to wash, rinse, and dry
Chest and Abdomen
19. Fold the bath blanket Avoid unnecessary
down to the patient’s exposure and chilling
pubic area and place the
towel alongside the
chest and abdomen.
20. Wash, rinse, and dry Avoid unnecessary
the chest and abdomen,
giving special attention exposure and chilling
to skin under breasts.
21. Keep chest and Avoids chilling
abdomen covered with
the towel.
Lower Extremities
22. Wrap one of the Promotes venous return
patient’s legs with bath
blanket, ensuring that
HYGIEN 3
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College of Nursing
RLE
Procedure Checklist
the pubic area is well
covered. Place the bath
towel lengthwise under
the other leg and wash
that leg.
PROCEDURE RATIONALE
23. Use long, smooth, firm Washing from ankle to
strokes, washing from
ankle to the knee, and groin promotes venous
from the knee to the return
thigh.
24. Rinse and dry that leg, Drying the leg is
reverse the coverings and
repeat for the other leg. important to prevent
irritation
25. Wash each foot by Prevent possible
placing them in the
basin of water. Dry each irritation
foot. Pay particular
attention to the spaces
between the toes.
Back and Buttocks
26. Assist patient to turn Protects patient privacy
to a prone position or
side lying position. Place
the bath towel
lengthwise alongside the
back, buttocks and
upper thighs.
27. Wash with soap, rinse
and Dry. Clean prevents chilling,
maintaining patient
comfort
28. Back rub if needed
 Move the client near A back rub improves
towards you.
 Expose the client's circulation to the tissues
back fully and observe and is an aid to
it whether if there are
any abnormalities. relaxation
 Put some lotion or oil
into your palm. Apply
the oil or the lotion and
massage at least 3-5
minutes by placing the
HYGIEN 4
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College of Nursing
RLE
Procedure Checklist
palms from sacral
region to neck from
upper shoulder
to the lowest parts of
buttocks.
29. Return the client Provides client comfort
to the supine
position.
30. Assist the client to wear clean

cloth. A clean cloth deters
discomfort and odor
Follow up Phase Ensures comfort

31. Make the bed tidy and
keep the client in
comfortable position.
32. Check the IV flow and Checking deters error in
maintain it with the rate
prescribed if the client is procedure
given IV.
33. Document assessments Legal documentation
made during the bath
and progress in relief of
previous problems.
Bathing is not normally
recorded.
References: (Kozier, Erb, Berman, & Snyder, 2014); (Nettina, 2006)
C. Write medical terms and abbreviations related to this procedure. Provide meaning for each.
HYGIEN 5
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College of Nursing
RLE
Procedure Checklist
HYGIEN 6
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Central Mindanao University

A. Direction: Write your answers on the space

Assess the patient's knowledge of hygiene

1. Bathing self-care deficit

30. Assist the client to wear clean

Follow up Phase Ensures comfort

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