Checklists for Clinical Nursing Skills

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Chapter 7 Hygiene

Name __________________________________________________________ Date ____________________________________ Course _________________________________________________________ Year ____________________________________ Instructor/examiner _ ____________________________________________ Position _ _______________________________

SKILL 7-1 Giving a bed bath

Refer to Dempsey, Hillege and Hill, Fundamentals of Nursing and Midwifery: A Person-Centred Approach to Care 2e , Chapter 37, Hygiene

Comments

Goal: The patient will be clean and fresh.

Excellent

Satisfactory

Needs practice

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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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