its all about foundations of nursing containing notes about conducting bed bath of a patient to prevent cross infection

1. Robert .K .S

2. Bed bath
 This procedure is carried out to maintain a
dependent patient’s personal hygiene
 Aims;
1. To keep the skin fresh and clean
2. To stimulate circulation
3. To allow assessment of the patient’s skin
condition, joint mobility and muscle function
4. To promote patient's comfort

3. Indications
 Helpless patients and others who are confined to bed
 Unconscious patients

4. Requirements – trolley
 Top shelf
• Bath basin
• 2 jugs (One containing hot water & other containing
cold water)
• 2 or more flannels
• Tray containing;
• Toilet soap in a soap dish
• Nail brush
• Nail cutters in a receiver
• Oral hygiene equipment: tooth brush & paste, comb
• Bowel of cotton wool/ a roll of toilet paper
• Gloves

5. Requirements cont’d
Bottom shelf Bedside
•2 bath towels
•A pair of clean sheets
•A bucket for used water
•Receiver
•A dirty linen
container
•Screen
•Two chairs
•Hand washing
equipment

6. Procedure
 Identify client and talk with client about the
need for bed bath
 Encourage the client to bathe himself
 Rationale: to increase independence,
promote exercises and a sense of self worth
 Explain the procedure to the patient
 Perform hand hygiene

7. Procedure cont’d
 Collect necessary equipment and place articles within
easy reach
 Ask client if he needs to void or defecate before
starting the bath
 Rationale: warm water of the birth and movement can
stimulate the client to void
 Position the bed in a comfortable working height
 Ensure privacy

8. Bed bath cont’d
 Place bath blanket over the client and over the top
linen, loosen top linen at edges and foot of the bed
 Remove dirty top linen form under bath blanket,
starting at clients shoulders and rolling linen down
towards the client’s feet. If bath blanket is not
available use top sheet.
 Ask client to grasp and hold top edge of bath blanket
to keep it in place while you pull linene to foot of bed
 Place dirty linen in the hamper

9. Bed bath cont’d
 One nurse Helps the client to the side of the bed
close to her
 Remove the gown and keep the client cover to
maintain warmth
 Remove pillow

10. Bed bath cont’d
 Place towel under the clients head
 Put on gloves if risk of exposure to clients body
fluids to maintain standard precautions
 Bath client’s face; Rationale: Begin from cleanest area
down to the feet
 Wash around clients eyes using clear water. With one
edge of the cloth, wipe from inner canthus towards the
outer canthus.
 Wash the fore head, behind and around the clients
ears and the clients neck

11. Procedure cont’d
 Note: The second nurse dries every part that has been
washed
 Remove towel from under the client’s head
 Wash clients upper body extremities
 Wash both arms by elevating clients arms and
holding client’s wrists.
 Wash client’s axilla wash client’s hands by
soaking them in a basin or with a washcloth.
 Wash the clients chest focusing under the
breasts.

12. Bed bath cont’d
 Bath client's abdomen and replace the bath blanket
on the parts that are clean
 Bath the clients legs
 Change the bath water and ensure that water
temperature is checked before continuing with the
procedure
 During bed bath, continuously asses clients skin and
musculoskeletal system.

13. Bed bath cont’d
 Pay attention to both verbal and none verbal
statements. Rationale: This data yields
information about the patients over all condition
 Help the client turn to a side-lying of prone
position. Place towel under are to be bathed.
Cover the client with bath blanket.
 Wash the client back moving from the shoulders
to the buttocks. Rationale: move from clean to
dirty parts.

14. Procedure cont’d
 Leave the patient confortable
 Thank the patient
 Clear away
 Record any observations noted during the procedure

15. Questions ?

16. Thank you