CAREOFSKI

N-BATH
 Def
ini
ti
on:
Spongebathi
sthepr
ocedur
eofcl
eani
ngt
hebodyoft
hepat
ient
,whoi
sint
hebedi
.e
unabl
etotakebat
hhi
mself/
her
sel
f.

 Pur
pose:
 Topr
eventbact
eri
aspr
eadi
ngonski
n.

 Tocl
eant
hepat
ient
’sbody
.

 Tost
imul
ategener
almuscul
art
oneandj
oint
.

 Tomakepat
ientcomf
ortandhel
ptoi
nducesl
eep.

 Toobser
veski
ncondi
ti
onandobj
ect
ivesy
mpt
oms.

 Equi
pment:

Apairofglov
es,apron,emoll
i
net,soapwithsoapdish,
jug,basi
n,bucket
,spongecl
oth,
facetowel
,gauzepiece:2-
3,mackintosh,
bott
om sheet,t
opsheet,drawsheets,
nai
l
cutt
er,bat
htowel.

 Pr
ocedur
e:
1.expl
ainthepurposeandpr
oceduretothepati
ent;
ifhe/
sheisal
ertorori
ent
ed,
quest
ion
thepati
entaboutper
sonal
hygienepref
erenceandabil
i
tyt
oassistwit
hthebat
h.

2.Gat
heral
lrequi
redequi
pment
sneart
hepat
ientbedsi
de.

3. Assessandpl
ancar
einact
ionwi
thpat
ientandf
ami
l
y/f
ri
endi
fneeded.

4.Checkt
her
oom t
emper
atur
e;swi
tchof
fai
rcondi
ti
oner(
AC)
/fani
fnotneeded.

5.Washy
ourhandsandputongl
oves.
6. Pr
ovi
deur
inal
s,bedpanorcommodet
othepat
ient
.

7.Remov
ethegl
ovesandwashhands,
usedi
sposabl
egl
ovesandapr
on.

8. Pr
ovi
depr
operpr
ivacyt
othepat
ient
.

9. Assi
stt
oremov
ecl
othi
ngwi
thoutexposi
ngt
hepat
ient
.

10.Remov et hepati
ent’
sclot
hesandcov ert
hepat
ientbodywit
htopsheet,i
fan
i
ntrav
enous( IV)t
ubingispresentont
hepati
ent
’supperextr
emit
y,t
hreadtheIVt
ubi
ng
andbagt hroughthesleev
eoft hesoi
l
edclot
handr ehangt
heIVsol
ution;
checkt
heIV
fl
owr at
e.

11.Fi
l
ltwobasi
nsaboutt
wot
hir
dful
lwi
thwar
m wat
er(
43t
o46degr
ee)
.

12.Assi
stt
hepat
ientt
omov
etowar
dther
ightsi
deoft
hecot
.

13.Li
ftthepatient’
sheadandshoul derandputmacki nt
oshandbi gt owelunderthe
pati
ent’
sbodyf rom t
heheadt oshoulder’
splacefacet owelunderthechin,whichhas
al
socov eredthetopsheet.Makeami t
twiththesponget owelandmoi stenitwithpl
ain
water.Washt hepati
entseyes,cleanfr
om innertooutercorner,
useadi ff
erentsecti
on
ofthemitttowasheachey ewasht hepati
entface,neckandear s,usesoapont hose
areasonlyifthepat
ientprefer
srinseanddrycarefull
y.

14.Wash,ri
nseanddryupperhal
fofthebody,
start
ingwitht
hesi
def
art
hestawayf
rom y
our
si
de,car
eneedstobetakennottowetdrai
ns/dressi
ngsandI
Vdevi
ces.

15.Wash, ri
nseanddr ylegsstar
ti
ngwi t
ht hesidefarthestawayf r
om yourside,
rol
lpati
ent,
washback, thenusingdisposablepads, washsacralarea,checkpressur
epoint
sand
coverareasthatarenotbeingwashedr etur
npatientont othei
rback,ensuri
ngtheyare
covered,applynapkinasrequir
ed.

16.Clearar
easofanyobst
acles,ensur
etheenv
ironmentwar
m anddr
awcur
tai
ns,
close
doorstoguar
anteepr
ivacyanddigni
ty.

17.Changethewat
erandwashthegeni
tal
areawithpati
ent
sv er
bal
consent
,(i
fpat
ienti
s
wil
l
ingtowashthi
sareat
hemselv
es,pr
ovideenoughwatertowi
pe)
.

18.I
fpatientisonuri
narycathet
er,
weartheglov
esandwasht
het
ubi
ngawayf
rom t
he
geni
talarea;av
oidusingsoapingeni
talar
ea.

19.Turnthepatientonesideandremovethesoil
edsheetandadvancet
henewbott
om
sheetanddrawsheet ,i
ftheyaretor
emaininbed,ensur
ethatamini
mum oft
wonurses
arepresentduri
ngthisprocedur
e.

20.Dr
yandcombpat
ient
shai
rasdef
ined.
21.Cov
ert
hepat
ientwi
tht
opsheet
,posi
ti
ont
hepat
ientcomf
ort
abl
y.

22.awayal
lusedar
ti
clesandl
i
nenf
rom t
hepat
ientsi
de.

23.Removet
heapr
onandgl
ovesanddi
sposei
taccor
dingt
ohospi
tal
pol
i
cyandwasht
he
handt
hor
oughl
y.