Bed Bath Notes

COMPLETE BED BATH
EQUIPMENT
➤ Basin or sink with warm water ➤ Personal hygiene articles (e.g.,deodorant, lotions)
➤ Soap and soap dish ➤ Shaving equipment
➤ Linens: bath blanket, two bath towels, washcloth, ➤ Table for bathing equipment
clean gown or pajamas or clothes as needed,
additional bed linen and towels, if required
➤ Clean gloves, if appropriate (e.g., presence of body ➤ Laundry bag

fluids or open lesions)
PERFORMANCE
ACTION RATIONALE
1. Prior to performing the procedure, introduce self and

verify the client’s identity using agency protocol.
Explain to the client what you are going to do, why it
is necessary, and how he or she can participate.
Discuss with the client their preferences for bathing
and explain any unfamiliar procedures.
2. Perform hand hygiene and observe other appropriate
infection prevention procedures.
3. Provide for client privacy by drawing the curtains Hygiene is a personal matter.
around the bed or closing the door to the room.
Some agencies provide signs indicating the need for
privacy.
4. Prepare the client and the environment.
• Invite a family member or significant other to
participate if desired or requested by the client.
• Close windows and doors to ensure the room is Air currents increase loss of heat from the body by
a comfortable temperature. convection.
Offer the client a bedpan or urinal or ask whether Warm water and activity can stimulate the need to void.
•
The client will be more comfortable after voiding, and
the client wishes to use the toilet or commode.
voiding before cleaning the perineum is advisable.
• Encourage the client to perform as much This promotes independence, exercise, and self-esteem.
personal self-care as possible.
• During the bath, assess each area of the skin
carefully.
Reference: Kozier & Erb’s fundamentals of nursing : concepts, practice, and process / Audrey Berman, Shirlee Snyder, and Geralyn Frandsen.—Tenth edition.
5. Prepare the bed and position the client appropriately.
• Position the bed at a comfortable working height. This avoids undue reaching and straining and promotes
Lower the side rail on the side close to you. Keep good body mechanics. It also ensures client safety.
the other side rail up. Assist the client to move
near you.
• Place bath blanket over top sheet. Remove the The bath blanket provides comfort, warmth, and privacy.
top sheet from under the bath blanket by starting
at client’s shoulders and moving linen down
toward client’s feet. Ask the client to grasp and
hold the top of the bath blanket while pulling
linen to the foot of the bed.
Note: If the bed linen is to be reused, place it over the
bedside chair. If it is to be changed, place it in the linen
hamper, not on the floor.
• Remove client’s gown while keeping the client
covered with the bath blanket. Place gown in
linen hamper.
6. Make a bath mitt with the washcloth. A bath mitt retains water and heat better than a cloth
loosely held and prevents ends of washcloth from
dragging across the skin.
7. Wash the face. Begin the bath at the cleanest area and work downward
toward the feet.
• Place towel under client’s head.

• Wash the client’s eyes with water only and dry
them well.  
Use a separate corner of the washcloth for each Using separate corners prevents transmitting
eye.   microorganisms from one eye to the other.
Wipe from the inner to the outer canthus.  This prevents secretions from entering the nasolacrimal
ducts.
• Ask whether the client wants soap used on the Soap has a drying effect, and the face, which is exposed
face. to the air more than other body parts, tends to be drier.
• Wash, rinse, and dry the client’s face, ears, and
neck.
• Remove the towel from under the client’s head.
8. Wash the arms and hands.

Place a towel lengthwise under the arm away It protects the bed from becoming wet.
•
from you.
• Wash, rinse, and dry the arm by elevating the Firm strokes from distal to proximal areas promote
client’s arm and supporting the client’s wrist and circulation by increasing venous blood return.
elbow. Use long, rm strokes from wrist to
shoulder, including the axillary area.
• Apply deodorant or powder if desired. Special Powder is not recommended for these clients due to the
caution is needed for clients with respiratory potential respiratory adverse effects.
alterations.
• Optional: Place a towel on the bed and put a Many clients enjoy immersing their hands in the basin
washbasin on it. Place the client’s hands in the and washing themselves. Soaking loosens dirt under the
basin. Assist the client as needed to wash, rinse, nails.
and dry the hands, paying particular attention to
the spaces between the fingers.
• Repeat for hand and arm nearest you. Exercise A clear transparent dressing will keep water from an IV
caution if an IV infusion is present, and check its site; however, a gauze dressing becomes contaminated
flow after moving the arm. Avoid submersing the when it becomes wet with the water.
IV site if the dressing site is not a clear,
transparent dressing.
9. Wash the chest and abdomen.

• Place bath towel lengthwise over chest. Fold Keeps the client warm while preventing unnecessary
bath blanket down to the client’s pubic area. exposure of the chest.
• Lift the bath towel off the chest, and bathe the
chest and abdomen with your mitted hand using
long, rm strokes. Give special attention to the
skin under the breasts and any other skinfolds,
particularly if the client is overweight. Rinse and
dry well.
• Replace the bath blanket when the areas have
been dried.
10. Wash the legs and feet.

• Expose the leg farthest from you by folding the Covering the perineum promotes privacy and maintains
bath blanket toward the other leg, being careful the client’s dignity.
to keep the perineum covered.
• Lift leg and place the bath towel lengthwise Washing from the distal to proximal areas promotes
under the leg. Wash, rinse, and dry the leg using circulation by stimulating venous blood flow.
long, smooth, firm strokes from the ankle to the
knee to the thigh.
• Reverse the coverings and repeat for the other
leg.
• Wash the feet by placing them in the basin of
water.
• Dry each foot. Pay particular attention to the
spaces between the toes. If preferred, wash one
foot after that leg before washing the other leg.
• Obtain fresh, warm bathwater now or when
necessary.  
Because surface skin cells are removed with Water may become dirty or cold
washing, the bathwater from dark-skinned clients
may be dark, however, this does not mean the
client is dirty. Lower the bed and raise the side This ensures the safety of the client.
rails when refilling the basin.
11. Wash the back and then the perineum.
• Assist the client into a prone or side-lying This provides warmth and prevents undue exposure.
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.
• Wash and dry the client’s back, moving from the
shoulders to the buttocks, and upper thighs,
paying attention to the gluteal folds.
• Remove and discard gloves if used.
• Perform a back massage now or after completion
of bath.
• 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.
12. Assist the client with grooming aids such as powder,
lotion, or deodorant.
• Use powder sparingly. Release as little as Rationale: This will avoid irritation of the respiratory tract
possible into the atmosphere. by powder inhalation. Excessive powder can cause
caking, which leads to skin irritation.
• Help the client put on a clean gown or pajamas.
• Assist the client to care for hair, mouth, and nails.
Some people prefer or need mouth care prior to
their bath.
Document the following:
• Type of bath given (i.e., complete, partial, or self-

help). This is usually recorded on a ow sheet.
• Skin assessment, such as excoriation, erythema,

exudates, rashes, drainage, or skin breakdown.
• Nursing interventions related to skin integrity.
• Ability of the client to assist or participate with

bathing.
• Client response to bathing. Also, document the

need for  
reassessment of vital signs if appropriate.

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COMPLETE BED BATH

➤ Soap and soap dish ➤ Shaving equipment

➤ Clean gloves, if appropriate (e.g., presence of body ➤ Laundry bag

1. Prior to performing the procedure, introduce self and

• Place towel under client’s head.

8. Wash the arms and hands.

9. Wash the chest and abdomen.

10. Wash the legs and feet.

Document the following:

• Type of bath given (i.e., complete, partial, or self-

• Skin assessment, such as excoriation, erythema,

• Nursing interventions related to skin integrity.

• Ability of the client to assist or participate with

• Client response to bathing. Also, document the

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