Script For TSB GRD

Good morning my name is Juvel C.
Orquinaza and I will be performing the tepid

sponge bath, tepid sponging is the application of water to the patient’s skin
surface to promote dispersal of body heat whose temperatures tend to rise very
high rapidly. The procedure is based on the principles of evaporation and
conduction.
TEPID SPONGEBATH
Purpose:
To lower down temperature to the body’s normal range.
Equipment’s/ Materials needed for the following procedure are:
 Bath Basin
 Tepid Water (37 C or 98.6 F)
 Bath Barometer
 Soap and Soap Dish
 6 Wash cloth
 Waterproof pad
 Bath Blanket (Towel)
 Thermometer
 Small cloth for drying 4 extremities, 1 back and 1 chest
1 Procedure 3 Ginagawa 2 Rationales

ASSESSMENT
1. Identify the client. What is your name Ask their name to know
po? I am Nurse if the procedure is
Juvs, I will be your intended for the
nurse According to patient.
chart you have a
hyperthermia.
2. Explain the procedure to (I will be To encourage

the client and how he or she performing the cooperation and alleviate
can cooperate. tepid sponge bath anxiety.
thru application of
water to your skin.
To relieve your
fever and disperse
your body heat.
Are you willing to
cooperate?
3. (Clean your thermometer Kunin ung Assessing axillary

before and after you use it thermometer temperature would be
with rubbing alcohol) kuhanin yung bulak preferable.
punasan ung tip up
to thermometer’s
body.
Obtain the patient’s body Kuhanan ng For comparison on the

temperature.(The patients temperature si later result after TSB
temperature is 38.4 C) patient. Pag
tumunog I-clean
gamit ng alcohol
ulit bago ibalik sa
lagayan.
(Chart the temperature Isulat sa chart.

before doing the procedure)
PLANNING
4. Assemble all the articles Nakaayos na ung The nurse can work at
needed. gamit sa isang ease and promotes
table. efficiency to save time
and effort.
5. Provide the client privacy. Close the curtain To promote comfort and
and door. lessen anxiety
6. Close window and air- Pinatay ung aircon To avoid the patient
conditioning units. kunwari. getting chill and cold.
7. Raise the bed at a Papakita na wait Facilitates the proper

comfortable working height. level ung bed body mechanics and
Raise the side rails. ensures patient safety.
8. Invite a family member or To show and teach them

a significant other to how to do procedure
participate if desired. properly.
9. Offer bed pad or urinal Offeran ng arinola. To collect urine if the

as desired. patient has urge to do
so.
(Generally men prefer to use
a bedpan for bowel
movements and a urinal
bottle to collect urine,
For women preferably to
used bedpan to collect urine
or feces)
10. Wash hands then put on Pinakita na wash na To reduce cross

gloves. yung hands and put contamination; protect
ng gloves the nurses from body
fluids.
IMPLEMENTATION
11. Loosen the top sheet and Lagyan muna ng Bath blanket provide
replace it with a bath bath blanket sa warmth.
blanket. ibabaw ng top
sheet tas ipahawak
mo kay patient.
(From foot of the bed, Pwesto mo nasa

remove top sheet by rolling foot of the bed
while keeping the soiled part Remove yung top
inside; discard it in the sheet by rolling.
hamper) Ilagay sa labahin.
12. Assist the patient to the Three segment Client will be closer to
side of the bed closer to the nurse’s center
you. gravity.
13. Place rubber sheet under Kunin ung rubber To prevent bed wetting
the client’s body. On sheet I fan fold I and absorb moisture or
perineal area sidelying si patient body fluids.
ilagay sa ilalaim ung
rubber sheet at
ispread.
14. Remove the patient’s Turn to side lying To ensure that all body
gown under the covering of position non- areas will be washed.
the bath blanket. working area.
Remove the strings.
Back to supine
position. Remove
sleeves in the arm.
From foot to bed,
roll the gown and
discard in the
hamper.
15. Pour tepid water into Kunin ung basin Too cold will cause
the basin and soak lagyan ng tubig discomfort to patient.
washcloths. Too hot may cause burn
to patient.
(If there is no barometer we Isawsaw ung elbow
may use the elbow test to para itest ung
determine if the bath is the water.
correct temperature at 37
C)
16. Wring washcloths so Soak ung wash Axillae and groins emits
that they are adequately cloth pigain para di the most heats because
moist but not dripping. tumulo. I fold siya it contain numerous
pores and sweat glands.
Place them in the axillae and Ilagay sa 2 kili-kili Leaving wash cloths in
groin. Check then every 5 ung 2 wash cloth at these area helps losing
minutes. Soak and replace as sa singit ganun din. the heat.
necessary.
17. Place the bath towel Lagyan ng towel sa For drying the face and
across the chest. chest naka neck.
horizontal.
18. With another adequately Kumuha ka ulit

saturated wash clothes, towel lublob,
sponge the face and the pigain, tas I-mitt
neck for 3 minutes using the mo ung towel.
S patting stroke. Change
wash cloths as needed. S patting stroke
mula sa noo to chin
ung pag punas.
kailangan umiikot
ung hands.
19. Pat dry lightly with Punasan mukha

towel. gamit yung towel na
nasa chest.
20. For 3-5 minutes each, Ilagay muna ung Rubbing the surface of
using long light patting towel kung sang body may cause friction
strokes, sponge the anterior area ka and may cause skin
surface of the body in the magpupunas. irritation and rise in
following sequence: chest, temperature.
abdomen, upper extremities,
and lower extremities. Place
or transfer towel under the
area where you will do the
sponging.
Chest: up and down stroke, Ilagay towel na
from farther to nearer pang dry sa chest
Sponge chest idry
agad
Abdomen: side to side stroke Sponge abdomen

from father to nearer. punasan agad
Upper extremities: From Tanggalin ung towel

finger to shoulder; supine na pangdry sa
and prone position chest ilagay sa
ilalim ng arm.
Sponge arms pat
dry agad.
Lower extremities: From Tanggalin ung towel

finger to legs; ilalim ng legs na pangdry sa arm
ilagay sa ilalim ng
Note: if the patient legs. Sponge legs
complaints of feeling chilly, pat dry agad.
the chest and abdomen may
not be sponged.
21. Dry each part lightly Dry agad pag

with towel after sponging. pinunasan.
22. Reassess client’s pulse Kuhanan ng To monitor if the tepid

and body temperature. temperature ulit si sponge bath works to
Observe client’s response to patient at i-chart. lower the body
the therapy. (Let’s assume temperature of the
patients temperature lower client.
down into 37.8 C)
23. Remove the washcloths Tanggalin yung

from axillae and groin. Pat wash cloths sa kili-
dry lightly with extra towel. kili at singit.
punasan ng extra
towel.
24. Assists the patient to I-side lying si
turn to his side with his back patient.
towards to you
25. Sponge the entire I-ready ung towel To reduce the heat in
posterior part of the body in na pamunas sa likod posterior part of the
the same manner as in the ni patient. Kumuha body.
anterior. (Up and down ulit ng panibagong
stroke.) Dry lightly. wash cloth. I-mitt.
Punasan ung likod ni
patient up and
down stroke. At i-
Dry.
26. Remove the rubber Tanggalin si rubber

sheet. sheet I-fan fold
tas tanggali din sa
isang side.tas ifold
Replace the patient’s i-supine position si To prevent chilling and

clothing. Position the patient patient isuot ung maintain their
into supine to insert the sleeves. I sidelying cleanliness and the
arms on the gown. Turn the si patient para i- feeling of freshness
client into side lying position. tie ung strings. I
Tie the strings. Back to supine ulit si
supine. patient.
27. Change beddings if

necessary.
28. Clean and return used Ibalik ung Prevent having them
equipment. (Raise the side equipment. Itaas si misplaced, stolen or
rails to reduce the risk of side rails become unnecessary
falls.) clutters in area than
can cause accidents
29. Wash hands. Discard ung gloves. To prevent the spread
Ipakita na of microorganism.
nakaangat ung
hands
EVALUATION
30. Check the patient’s Tumingin sa relo at It monitors if the body
temperature after 30 I-thermometer ulit temperature stable
minutes. (Lets assume the si patient sulat sa within normal range.
patients temperature is now chart. Also, it indicates
36.7 C) whether the treatment
Check respirations is effective to patient.
and pulse. Ilagay
including pulses and ung hands sa pulse
respiration. (Lets assume the ng kamay. Tingin sa
patient respiration is 18 relo.
breaths per minute and
pulse of the patient is 90
beats per minute)
30. Assess for signs of Inspect the patient Inspect the patient to
fever e.g., skin warmth, ask the patient determine the client’s
flushing, complaints of heat kung may complain response.
or chilling, diaphoresis, etc. ba siya.
DOCUMENTATION
31. Consistently reports and Nagsusulat sa To monitors the patient
documents findings chart. condition.
appropriately
32. Chart the following:

•Body temperature before
the procedure.
•Other manifestation related

to fever.
•Time of rendering the

procedure.
•Patient’s responses including
his body temperature after
the procedures

Script For TSB GRD

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Good morning my name is Juvel C.

Orquinaza and I will be performing the tepid

To lower down temperature to the body’s normal range.

Equipment’s/ Materials needed for the following procedure are:

1 Procedure 3 Ginagawa 2 Rationales

2. Explain the procedure to (I will be To encourage

3. (Clean your thermometer Kunin ung Assessing axillary

Obtain the patient’s body Kuhanan ng For comparison on the

(Chart the temperature Isulat sa chart.

7. Raise the bed at a Papakita na wait Facilitates the proper

8. Invite a family member or To show and teach them

9. Offer bed pad or urinal Offeran ng arinola. To collect urine if the

10. Wash hands then put on Pinakita na wash na To reduce cross

(From foot of the bed, Pwesto mo nasa

18. With another adequately Kumuha ka ulit

19. Pat dry lightly with Punasan mukha

Abdomen: side to side stroke Sponge abdomen

Upper extremities: From Tanggalin ung towel

Lower extremities: From Tanggalin ung towel

21. Dry each part lightly Dry agad pag

22. Reassess client’s pulse Kuhanan ng To monitor if the tepid

23. Remove the washcloths Tanggalin yung

26. Remove the rubber Tanggalin si rubber

Replace the patient’s i-supine position si To prevent chilling and

27. Change beddings if

32. Chart the following:

•Other manifestation related

•Time of rendering the

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