Bathing An Adult or Pediatric Client PDF

Ateneo de Zamboanga University
COLLEGE OF NURSING
PERFORMANCE EVALUATION CHECKLIST
NAME: _____________________________________ DATE PERFORMED: _________________

YEAR & SECTION: ______________
BED BATH
DEFINITION: A body wash that you give to who is unable to leave their bed someone
need to maintain their good personal hygiene,
Bed Bath means cleaning patients body from head to toe, or removing of
dirt and promoting skin care and promote personal hygiene.
PURPOSE:
1. To remove accumulated waste products and dirt from the skin.
2. To stimulate the functions of the skin.
3. To sooth and refresh the body.
4. To observe and detect abnormalities.
5. To stimulate circulation of skin.
6. To promote relaxation and comfort.
Legend (Rating Criteria):

5 – Expert (student performs all tasks proficiently and independently).
4 – Competent (student performs efficiently in an effective and efficient manner).
3 – Progress Acceptable (performance is usually effective and but not always).
2 – Needs Improvement (progress in performance is too slow to judge satisfactorily; task
performance is not most of the time).
1 – Progress Unacceptable (no progress in performance has been demonstrated, and or
performance is consistently ineffective and inefficient).
BEFORE BATHING AN ADULT OR PEDIATRIC CLIENT
PREPARATION 1 2 3 4 5
1. Assess:
• The condition of the skin.
• Physical or emotional factors.
• The presence of pain and need for adjunctive measures
before the bath.
• Range of motion of the joints.
• Any other aspect of health that might affect the client’s
bathing process.
• Determine the need for use of clean gloves during bath.
2. Next, Assemble equipment:

• Basin the sink with warm water
• Soap and soap dish
• Linens: bath blanket; two bath towels; washcloth; clean
gown, pajamas, or clothes, and additional bed linen and
towels, if required
• Gloves, if appropriate
• Personal hygiene articles
• Table for bathing equipment and
• Laundry hamper
3. Determine:
• The purpose and type of bath the client needs.
• The self-care ability of the client.
• Any movement or positioning precautions specific to the
client.
• Other care the client might be receiving.
• The client’s comfort level with being bathed by someone
else.
• Necessary bath equipment and linens.
FOR THE PROCEDURE

4. Introduce yourself and verify the client’s identity. Explain to the
client what you are going to do, why it is necessary, and how the
client can cooperate.
5. Perform hand hygiene and observe other appropriate infection
control procedures.
6. Provide for client privacy by drawing curtains or closing the door
to the room.
7. Prepare the client and the
environment:
8. Invite a family member or significant other to participate, if
desired.
9. Close the windows and doors to ensure the room is at a
comfortable temperature.
10. Offer the client a bedpan or urinal, or ask whether the client
wishes to use the toilet or commode.
11. Encourage the client to perform as much personal self-care as
possible.
12. Wash the face.
13. Next, Prepare the bed and position the
client appropriately.
14. Position the bed at a comfortable working height. Lower the side
rail on the side close to you. Keep the other side rail up. Assist
the client to move near you.
15. Place a bath blanket over the top sheet. Ask the client to grasp
and hold the top of the bath blanket while pulling the linen to the
foot of the bed.
Remove the top sheet from under the bath blanket by starting at
the client’s shoulders and moving the linen down towards the
client’s feet.
16. Remove the client’s gown while keeping the client covered with
the bath blanket. Place the gown in the linen hamper.
17. Put on clean gloves.
18. Place towel under the client’s head.
19. Make a bath mitt with the washcloth.
20. Wash the client’s eyes with water only, and dry them well. Use a
separate corner of the washcloth for each eye. Wipe from the
inner to the outer canthus.
21. Ask whether the client wants soap used on her face.
22. Wash and rinse the client’s face, ears, and neck. Then, pat dry.
23. Discard water from the basin and replace it with clean water.
24. Remove the towel from under the client’s head.
25. Wash the arms and hands.
26. Place a towel lengthwise under the arm farther from you.
27. Wash and rinse the arm by elevating the client’s arm and
supporting the client’s wrist and elbow. Pat dry. Wash the hands
by placing them in a basin of water. After washing the arms, you
may proceed with washing the hand.
28. Apply deodorant or powder, if desired.
29. Repeat for the hand and arm nearer you. Exercise caution if an
IV infusion is present, checking flow after moving the arm.
30. Wash the chest and abdomen.

31. Place a bath towel lengthwise over chest. Fold the bath blanket
down to the client’s pubic area.
32. Lift the bath towel off the chest, and bathe chest and abdomen
with your mitted hand, using long, firm strokes. Rinse and dry
well.
33. Replace the bath blanket when the areas have been dried.
34. Wash the legs and feet.

35. Expose the leg farther from you.
36. Lift the leg and place the bath towel lengthwise under it. Wash
and rinse the leg, using long, smooth, firm strokes from the ankle
to the knee to the thigh. Pat dry.
37. Reverse the coverings and repeat for the other leg.
38. Wash the feet by placing them in the basin of water.
39. Dry each foot.

40. Obtain fresh, warm bath water now or when necessary.
41. Wash the back and then the perineum.
42. Assist the client into a prone or side-lying position facing away
from you. Place the bath towel lengthwise alongside the back
and buttocks while keeping the client covered with the bath
blanket as much as possible.
43. Wash the client’s back, moving from the shoulders to the
buttocks and upper thighs, paying attention to the gluteal folds.
Pat dry.
44. Perform a back massage now or after completion of bath.
45. Assist the client to the supine position and determine whether
the client can wash the perineal area independently. If the client
cannot do so, drape the client and wash the area.
46. Assist the client with grooming aids,

such as powder, lotion, or deodorant.
47. And lastly, Document:
• Skin assessment, such as excoriation,
Erythema, or other forms of skin breakdown.
• Record also Nursing interventions related to skin integrity
• The ability of the client to assist or cooperate with
bathing.
• Client response to bathing.
• Educational needs regarding hygiene, and
• Information or teaching shared with the client or their
family.
TOTAL
________________________
Clinical Instructor
(Sign over printed name)

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Ateneo de Zamboanga University

NAME: _____________________ DATE PERFORMED: _

Legend (Rating Criteria):

BEFORE BATHING AN ADULT OR PEDIATRIC CLIENT

2. Next, Assemble equipment:

FOR THE PROCEDURE

30. Wash the chest and abdomen.

34. Wash the legs and feet.

38. Wash the feet by placing them in the basin of water.

39. Dry each foot.

41. Wash the back and then the perineum.

46. Assist the client with grooming aids,

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