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Copyright © 2014 by Wolters Kluwer Health | Lippincott Williams & Wilkins.
Checklists for Clinical Nursing Skills by Louise Sparkes, Jennifer Bassett and Elisabeth Jacob.
Chapter 7 Hygiene
1. Identify the patient.
2. Check the medical order or clinical pathway/care plan.
Review the chart for any limitations in physical activity or
contraindications to the procedure.
3. Introduce yourself, explain the rationale for the
procedure to the patient and family, and obtain consent.
4. Gather the necessary equipment.
Equipment:
wash bowl, soap, washcloth, gown, blanket,
nightie or pyjamas, bed linen, towels.
5. Undertake a risk assessment, if indicated.
6. Perform hand hygiene.
7. Put on personal protective equipment (PPE), if indicated.
8. Ensure that patient privacy is maintained.
9. Adjust the bed to a comfortable working height.
10. Offer the patient a bedpan or urinal.
11. Remove sequential compression devices and
antiembolism stockings from the lower extremities
according to facility protocol, if required.
12. Lower the bed side rail nearest to you, if raised, and assist
the patient to the side of the bed where you will work.
Have the patient lie on their back.
13. Loosen the top covers and remove all except the top
sheet. Place a blanket over the patient and then remove
the top sheet while the patient holds the blanket in place.
If linen is to be reused, fold it over a chair. Place soiled
linen in a laundry skip. Take care to prevent linen from
coming in contact with your clothing.
14. Remove the patient’s gown and keep the blanket in place.
If the patient has an IV line and is not wearing a gown
with snap sleeves, remove the gown from the other arm
first. Lower the IV container and pass the gown over the
tubing and the container. Rehang the container and check
the drip rate.
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Goal:
The patient will be clean and fresh.
Refer to Dempsey, Hillege and Hill, Fundamentals of Nursing and Midwifery:
A Person-Centred Approach to Care 2e
,
Chapter 37, Hygiene
SKILL 7-1
Giving a bed bath
