Checklists for Clinical Nursing Skills

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135

SKILL 7-1 Giving a bed bath (continued)

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27. Fold a towel near the patient’s foot area and place the basin on the towel. Place the foot in the basin while supporting the ankle and heel in your hand and the leg on your arm. Wash, rinse and dry the foot. Pay particular attention to the areas between the toes. 28. Repeat steps 26 and 27 for the other leg and foot. 29. Make sure that the patient is covered with the sheet and/ or blanket. Change the water and washcloth at this point (or earlier, if necessary). 30. Assist the patient to a prone or side-lying position. Put on gloves, if not applied earlier. Position the blanket and towel to expose only the patient’s back and buttocks. 31. Wash, rinse and dry the back and buttocks. Pay particular attention to cleansing between gluteal folds and observe for any redness or skin breakdown in the sacral area. 32. If not contraindicated, give the patient a backrub. Back massage may also be given after perineal care. 33. Raise the bed side rail. Refill the basin with clean water. Discard the washcloth and towel. Remove gloves and put on clean gloves. 34. Clean the patient’s perineal area or set the patient up so that they can complete perineal self-care. 35. Help the patient to put on a clean gown, pyjamas or nightie and assist with the use of other personal toiletries, such as deodorant or cosmetics. 36. Protect the pillow with a towel and groom the patient’s hair. 37. When finished, make sure that the patient is comfortable, with the bed side rails up, if appropriate, and the bed in the lowest position. 38. Change the bed linen as described in Skills 7-8 and 7-9. Dispose of soiled linen according to facility policy. 39. Remove used PPE/equipment and dispose of them in the appropriate receptacle. 40. Perform hand hygiene. 41. Replace clean equipment in the appropriate storage area. 42. Document in the patient’s chart and report any abnormal results to a senior nurse, medical officer or endorsed nurse practitioner immediately.

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