Bed Bath, Back Rub and Bed Making - Occupied Bed

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OLIVAREZ COLLEGE

Dr. A Santos Avenue, Brgy. San Dionisio, Parañaque City


COLLEGE OF HEALTH RELATED SCIENCES
NURSING DEPARTMENT

BED BATH

Student’s Name : _______________ Rating : ____________


Level/Group No. : _______________ CI Name : ____________
Date : _______________

Directions: Evaluate each step/task by putting (✔) under the proper heading. A numerical number may also be assigned and
a minimum passing level determined.

Rate the students from 2 - 0, where:


(2) Performed Correctly Students performed the step according to the standard procedure or guidelines
(1) Attempted Not Correctly Students unable to perform the steps/task according to procedure or guidelines
(0) Not Done Students did not do the step/task
(NO) Not Observed (NO) Evaluator unable to observe the step/task for various reasons like interruptions/inattentiveness,.

STEP Performed Performed Not Done Not


Correctly but not (0) Observed
(2) Correctly (NO)
Done
(1)
1. DO INITIAL STEPS
2. Offer resident urinal or bedpan
3. Drape client

4. Fill bath basin with warm water and have


client check water temperature
5. If client has open lesions or wounds, put on
gloves
6. Fold washcloth and wet
7. Gently wash eyes from inner corner out. Using
a different part of cloth wash other eye
8. Wet washcloth and apply soap, if requested.
Wash, rinse (2x) and pat dry face, neck, ears and
behind ears.
9. Remove client’s gown
10. Place towel under far arm
11. Wash, rinse and pat dry hand, arm, shoulder
and underarm.
12. Repeat steps 10 and11 with other arm
13. Place towel over chest and abdomen. Lower
bath blanket to waist
14. Lift towel and wash, rinse and pat dry chest
and abdomen.
15. Pull up bath blanket and remove towel
16. Place towel under far leg.
17. Wash, rinse and pat dry leg and foot
18. Repeat steps 16 and17 with other led and
foot
19. Change bath water as necessary
OLIVAREZ COLLEGE
Dr. A Santos Avenue, Brgy. San Dionisio, Parañaque City
COLLEGE OF HEALTH RELATED SCIENCES
NURSING DEPARTMENT

20. Turn client


21. Wash, rinse and pat dry from neck to
buttocks including anal area.
22. Change bath water and gloves. Use clean
washcloth and towel.
23. Provide perineal care
24. Help client put on clean gown
25. DO FINAL STEPS

Computation for student rating:


Raw score X 60 + 40
Perfect score

Student’s Signature and Date: ______________________


Signature of Clinical Instructor and Date: ______________________

PROVIDING BACK RUB 

Student’s Name : _______________ Rating : ____________


Level/Group No. : _______________ CI Name : ____________
Date : _______________

Directions: Evaluate each step/task by putting (✔) under the proper heading. A numerical number may also be assigned and
a minimum passing level determined.

Rate the students from 2 - 0, where:


(2) Performed Correctly Students performed the step according to the standard procedure or guidelines
(1) Attempted Not Correctly Students unable to perform the steps/task according to procedure or guidelines
(0) Not Done Students did not do the step/task
(NO) Not Observed (NO) Evaluator unable to observe the step/task for various reasons like interruptions/inattentiveness,.

STEP Performed Attempted Not Not


Correctly Not Done Observe
(2) Correctly (0) d
(1) (NO)
1. DO INITIAL STEPS
2. Place client onto side with back toward you.
3. Expose back and shoulders
OLIVAREZ COLLEGE
Dr. A Santos Avenue, Brgy. San Dionisio, Parañaque City
COLLEGE OF HEALTH RELATED SCIENCES
NURSING DEPARTMENT

4. Rub lotion between your hands


5. Make long, firm strokes along spine from supine from
buttocks to shoulders. Make circular strokes down on
shoulders, upper arms and back to buttocks.
6. Repeat for at least 3-5 minutes
7. Gently pat off excess lotion with towel. Cover and position
client as
requests
8. DO FINAL STEPS

Computation for student rating:


Raw score X 60 + 40
Perfect score

Student’s Signature and Date: ______________________


Signature of Clinical Instructor and Date: ______________________

OCCUPIED BED

Student’s Name : _______________ Rating : ____________


Level/Group No. : _______________ CI Name : ____________
Date : _______________

Directions: Evaluate each step/task by putting (✔) under the proper heading. A numerical number may also be assigned and a
minimum passing level determined.
Rate the students from 2 - 0, where:
(2) Performed Correctly Students performed the step according to the standard procedure or guidelines
(1) Attempted Not Correctly Students unable to perform the steps/task according to procedure or guidelines
(0) Not Done Students did not do the step/task
(NO) Not Observed (NO) Evaluator unable to observe the step/task for various reasons like interruptions/inattentiveness.

STEP Performed Attempted Not Not


Correctly Not Done Observed
(2) Correctly (0) (NO)
(1)
1. Wash hands.
2. Collect clean linen in order of use
3. Carry linen away from your uniform
4. DO INITIAL STEPS
5. Place linen on clean surface (bedside stand, over bed table or
back of chair)
6. Lower head of bed
7. Drape clients
OLIVAREZ COLLEGE
Dr. A Santos Avenue, Brgy. San Dionisio, Parañaque City
COLLEGE OF HEALTH RELATED SCIENCES
NURSING DEPARTMENT

8. Turn clients away from you toward side rail


9. Loosen bottom linens and roll linen toward client, tucking it
snugly against client’s back.
10. Fanfold bottom sheet to center of bed and fit corners over
mattress. Then rubber and draw sheet.
11. Turn client’s onto back, raise side rails, to move to other side
of bed and lower side rails
12. Turn resident away from you toward side rail
13. Loosen soiled linens. Roll linens from head to foot of bed and
place in hamper/ bag at foot of bed or in chair.
14. Unfold bottom, rubber and draw sheet and tuck. Fit corners
over mattress
15. Place resident in supine position and raise side rail
16. Remove pillowcase, change pillow case & place pillow under
clients head with open end away from the door
17. Place clean top sheet over client and remove drape.)
18. Unfold blanket over top sheet and make cuff
19. Tuck top linens under foot of mattress and miter corners.
20. Loosen top linens over client’s feet
20. DO FINAL STEPS

Computation for student rating:


Raw score X 60 + 40
Perfect score

Student’s Signature and Date: ______________________


Signature of Clinical Instructor and Date: ______________________

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