Father Saturnino Urios University

NURSING PROGRAM
Butuan City

Name of student: Mary Grace M. Mangmang Section: BSN 1- N13

Date of lecture: ________________________Date of return demonstration: ________

THE CLEANSING BED BATH

DEFINITION: The act of washing the body with soap and water while the patient is in bed.
OBJECTIVES:
1. To cleanse the skin as bathing removes perspiration, some bacteria, sebum and dead skin cells.
2. To stimulate circulation.
3. To promote a positive self image
4. To reduce body odors.
5. To promote range of motion (ROM).
ASSESSMENT:
1. Vital signs
2. degree of assistance needed.
3. patient’s preference for bathing procedure
4. availability of bathing supplies and equipment
5. need as to what bed linen is to be changed.
6. patient’s activity order
7. environmental and procedural modification needed.
PLANNING:
1. Recall relevant principles to be threaded through.
2. complete materials and equipment’s to be used:
a. wash cloth
b. face towel (optional)
c. bath towel
d. bath blanket
e. soap in a soap dish
f. comb (patient’s own)
g. talcum powder (patient’s own)
h. deodorant (patient’s own)
i. nail cutter
j. newspaper
k. clean linen (as needed)
l. clean gown
m. bath basin ½ full of warm water (approximately 43-46 C or 110-115 F) tested by pouring
on wrist)
n. screen as needed.
o. bedpan or urinal (at bedside)
p. pail, basin (2), pitcher (2)
3. Conserve steps in doing the procedure.
4. plan for modification if indicated.

PROCEDURE:
STEPS
1. Before beginning the bath, determine:
a. vital signs
b. other care the patient is receiving as
roentgenography, physiotherapy.
c. aspects of the patient’s health status that affects
the bathing process.
2. explain the procedure to the patient
KEY POINTS
It could help the nurse in determining needed
information to prevent any problems for the
patient.
The patient has the right to be told of the
procedure that will be undertaken, as well as to
be handled with respect. And, to obtain the
 cooperation of the patient.
3. Inspect linens and determine which linen, needs to To help in the prevention of the transmission of
be changed. microorganisms and the elimination of sources
of inflammation to the patient's skin.
4. Clear bedside table. Table cover should be It is a form of safety inspection because the
removed after clearing table. Line the tabletop with newspapers absorb liquid quickly and a way to
newspaper before placing bath basin on it. prevent water spoilage.
5. Close the windows and door to make sure the The nurse is in charge of preventing invasions of
room is free from drafts. privacy.
6. Screen patient especially if he is in a semi-private To protect privacy and avoid unnecessary
room or ward. exposure.
7. Offer the patient a bedpan or urinal or ask whether An order to save time and resources. Also, such
he or she wishes to use the toilet or commode. that interruptions during the procedure can be
prevented.
8. Wash hands To avoid spread of microorganisms.
9. Prepare and bring all the necessary articles to the To conserve time and energy and prevents delay.
bedside.
10. Arrange linen in order of use on a chair To provide comfort to the patient.
11. Adjust bed to appropriate height To make it easier to serve the patient while
reducing pressure on the nurse's back.
12. Loosen top bedding at foot bed. Place bath It saves time and energy by avoiding arm
blanket over the top sheet is being removed. Fold top stretching.
sheet and place on chair.
13. Assist patient to move to side of bed nearest you It ensures the patient's safety while also making
the nurse's job easier.
14. Remove clothing keeping patient covered with
bath blanket. Avoid exposing the patient In order to prevent exposure and chilling.
unnecessarily. If patient’s arm or shoulder is injured,
begin removal of clothing from uninjured side.
15. place bath towel under head and face towel under To keep the patient from feeling uncomfortable
chin in a humid or wet bed.
16. make a bath mitt with the washcloth.
a. Triangular method
- lay your hand over one corner of the
washcloth
- fold the top corner over your hand Uncomfortable for the patient is seeing loose
- fold the side corners over the hand ends of fabric drag over his or her skin.
- tuck the second corner under the cloth on the
palmar side to secure the mitt
b. Rectangular method:
- lay your hand over the washcloth, and fold one
side over your hand.
- fold the second side over your hand
- fold the top of the cloth down and tuck it under
the folded side against your palm to secure the mitt.
17. Wash region around the eyes with clear water. To cleanse the eye region and eliminate dirt.
Wipe from inner canthus outward and use a separate
position of the washcloth for each eye.
18. Wash face, neck, and ears thoroughly with soap
and water. Rinse well then dry. Cleaning thoroughly removes dirt, grease, and
a. consult patient first as to his preference before several organisms. Pleasant cleaning allows the
applying soap to the area. patient to feel safe and at ease.
b. use firm, gentle motion on face using upward
strokes. Clean ears well.
c. rinse off soap thoroughly and dry area well
19. Remove face towel and place over rack To prevent cross contamination since the face
towel is contaminated. Its removal avoids the
spread of dirt.
20. Remove bath towel under head
21. Uncover farther arm and place bath towel
lengthwise under it. Wash the arm with soap and
water using firm long strokes from distal to proximal
areas.
22. Soap are paying particular attention to the axilla.
Rinse well and dry.
23. Do the same procedure for the nearer arm.
24. Place a towel directly on the bed and put basin on
it. Place patient’s hands in the basin. Assist him/her
to wash, rinse and dry them paying particular
attention to spaces between the fingers.
25. Change the water
26. Cover chest and abdomen with bath towel and
fold bath blanket down to the pubic area
27. Soap chest and abdomen working under towel.
Rinse well and dry. Cover area with bath blanket. Pay
particular attention to the navel and to area under
breasts of female patients.
28. Turn patient on his side. Have patient’s back
towards the nurse with body slightly diagonal to bed.
29. Place bath towel lengthwise on bed alongside
back and soap area (including back of neck) rinse
thoroughly and dry.
Do back rub after.
a. rub in circular motion over sacral area
b. moves your hands up the center of the back
and then over both scapulae.
c. massage in circular motion over the scapulae
d. move hands down the sides of the back
e. massage areas over right and left iliac crests.
f. repeat steps as needed.
g. massage pressure areas gently and only if there
is no evidence of underlying tissue damage.
h. pat dry any excess solution with a towel
30. Put on patient’s gown or pajama top if any
31. Change water
32. Bathe thighs and legs in the same manner and
order as the arms paying particular attention to the
inguinal areas. Drape bath blanket around groin.
33. Flex patient’s knees and wrap blanket around legs. To provide warmth and comfort.
Have edge of blanket come just below knees and be
sure patient is unnecessarily exposed.
34. Place bath towel under feet
35. Place basin on towel
36. Put feet flat into basin (feet may be placed in
basin one at a time) Avoid pressure on patient’s
calves and ankles.
37. Wash feet thoroughly with soap and water using
washcloth. Particular attention should be given to
areas between toes and heels
38. Remove feet from basin by placing one hand
under patient’s legs while the other hand draws basin preventing pressure, make sure the feet are
out. When washing one foot at a time, place cleaned
To decrease the spread of organisms.
To scrub the upper portion of the arm and to
minimize the distribution of microbes by using
soap.
To prevent discomfort, ensure that all inner
areas are thoroughly cleaned, rinsed, and dried.
Allowing the patient to feel more refreshed and
properly washed.
Helping the client allows to feel more at ease
and relaxed, allowing for proper cleaning of the
hands and places between the fingers.
Since the water is soapy, clean water is needed to
prevent cross contamination.
To ensure warmth to the patient and avoid
exposure.
Thorough cleaning removes dirt and oil.
To avoid muscle strain proper posture should be
established.
The usage of a bath towel and the application of
soap assist in the thorough cleansing of the
back. As strong, smooth, even, and lighter
strokes are used in a backrub and massage, the
patient relaxes and feels more at ease.
To avoid chills and make the patient feel
warmth.
To avoid cross contamination a clean water is
needed.
To provide the patient with warmth and
satisfaction by thoroughly cleaning the thighs
and legs as well as the inner regions.
To decrease the spread of organisms.
To avoid dripping of water.
To avoid discomfort and strain.
To have extensive cleaning and dirt removal
while ensuring that the inner areas behind the
toes are cleaned.
To provide support to the feet and legs while
clean.
foot on bath towel before proceeding with other foot.
Lotion may be applied to rough and calloused areas.
39. Dry feet paying close attention to areas between The nurse can prevent skin irritation by steadily
toes. drying the inner areas.
40. Bring basin and washcloth to utility room Basin and washcloth are considered to be
contaminated.
41. Clean washcloth and basin well with soap and To help decrease the spread of microorganisms.
water. Refill basin with water.
42. Bring wash cloth and basin back to patient’s unit Microorganisms spread less as supplies are
modified.
43. Place needed articles within reach of patient and
instructs him or her to finish bath or crotch care. Going to bring supplies to the patient's bedside
a. “finishing the bath” is the term used to wash saves time and energy while still providing
the genital area. This is done by the patient. warmth for the patient. Furthermore, for quick
b. the nurse may leave the unit placing a call bell access if the patient must call for help.
within easy reach while patient is finishing the bath
unless his/her condition requires the nurse’s
presence.

c. If the patient is unable to finish the bath, the

female nurse does this for female patients while a
male nurse or orderly may do it for male patients.
Careful cleansing of the hands must be done by nurse
or orderly afterwards.
44. Have patient wash his hands (while patient is To avoid spread of microorganisms.
finishing his bath, the nurse brings in a small pitcher
of water to wash patient’s hands with)
45. Put on rest of clothing, if any To provide warmth and comfort.
46. Make patient’s bed (occupied bed) To avoid spread of dirt and avoid
contamination.
47. Do hair and nail care To maintain proper hygiene.
48. Make patient comfortable in bed Increase level of relaxation.
49. Do after care of unit Cleaning up decreases the spread of
microorganisms.
50. Clean equipment used and return to their proper To prevent cross-contamination and to keep
places items intact for potential use.
51. Wash hands To avoid spread of microorganisms
52. Chart the following: To be able to accurately record necessary
a. time bed bath was given. information.
b. signs and symptoms observed.
c. complains made.
d. condition of the patient
 Father Saturnino Urios University
NURSING PROGRAM
Butuan City

Name of student: Mary Grace M. Mangmang Section: BSN 1- N13

Date of lecture: ______________________ Date of return demonstration: _______

HAIR SHAMPOO

CONCEPT: Cleansing the hair to keep it free from dirt and make the patient feel fresh and comfortable.
OBJECTIVES:
1. To cleanse the patient’s hair and head
2. to promote the physical and mental comfort
3. to complete a treatment for pediculi
ASSESSMENT:
1. Assess the condition of hair and scalp.
2. degree of assistance and modification needed.
3. availability of supplies and equipment
PLANNING:
1. Check doctors needed.
2. confer with the patient as to the best time of the day for the shampoo.
3. provide privacy.
4. Prepare all equipment needed.
a. Hairbrush and comb
b. Shampoo of patient’s choice
c. Jar of cotton balls
d. Pitcher of water with desired temperature 43-44 C (110 F)
e. Pail
f. Kelly pad (inflated) or rubber sheet
g. Bath towel
h. Plastic sheet
i. Wash cloth or pad
j. Hair dryer (optional)
5. Recall relevant principles.
6. plan for modification, if indicated

PROCEDURE:
STEPS
1. Wash hands
2. Offer bedpan or encourage patient to use toilet.
(if ambulatory or with bathroom privileges)
3. Position the patient diagonally in bed with the
head near the side of the bed in which you will work
4. Remove pins and ribbons from the hair; brush
and comb it.
5. Place the plastic sheet or pad on the bed under
the head over the pillow
6. Remove pillow from under the client’s head, and
place it under the client’s head, and place it under
the shoulders
7. Tuck a bath towel around the patient’s shoulders
8. Line the floor with newspaper
9. Place inflated Kelly pad under the head, with the
KEY POINTS
To prevent the spread of microorganisms
To save time and energy Including, to prevent
interruptions and disruptions in the procedure's
implementation.
For ease of access and patient comfort.
To avoid interruption and for easy hair wash.
The pad will gather and absorb water drains,
preventing water drips in the back.
To prevent discomfort for the patient and to
provide quick access to the patient's hair.
Is used to dry or wipe away any residual water that
has been splashed on the client's forehead, ears, or
hair.
The paper absorbs excess water which prevents it
from dissolving. Also, avoid making the patient feel
uneasy in a cold or wet area/floor.
To provide comfort to the customer and to prevent
tail into the pail. Place a folded washcloth or pad
where the patient neck rests on the edge of the
Kelly pad
10. Place a damp washcloth over the patient’s eyes
11. Stuff the patient’s ears with dry cotton balls
12. Wet hair thoroughly with water of the desired
temperature
13. Apply shampoo to the scalp. Make a good lather
with the shampoo while massaging the scalp using
the pads of the fingertips. Massage all areas of the
scalp systematically e.g., starting at the front and
working to the back f the head.
14. Rinse well. Apply shampoo again. Make a good
lather and massage scalp as before.
15. Repeat step 14 until hair is sufficiently clean
16. Rinse hair thoroughly to remove all the
shampoo
17. Squeeze as much water as possible out of the
hair with your hands. Do not pull hair
18. Remove wash cloth and dry face
19. Remove cotton balls and drop into coil
20. Remove Kelly pad under the head and drop into
the pail
21. Wrap the patient’s hair with towel.
22. dry hair and assist the patient in combing
23. Tidy the bed and make the patient comfortable
24. Do after care of the unit and equipment used
25. wash hands
26. Chart:
a. assessment finding of hair and scalp.
b. date and time shampoo were given.
c. name of shampoo used.
d. reaction of the patient
cross-contamination by placing the pad.
To protect the patient from water splash and
shampoo.
To prevent moisture.
For easy application of shampoo.
Distribute the shampoo equally between the hair
and scalp.
To prevent irritation, the shampoo should be left on
the hair and scalp after removal.
To guarantee that the hair and scalp are clean all
over.
To avoid irritation.
To remove excess water to keep the client's hair
from dripping.
To guarantee that the patient does not feel cold or
uneasy.
To prevent spread of microorganisms.
Since the Kelly pad is considered contaminated,
cross contamination must be avoided.
To encourage better drying of the client's hair
because towels absorb water.
To prepare the client for styling, loosen the hair to
prevent it from being tangled.
To establish comfort to the client.
To prevent cross-contamination and to keep things
intact for potential use.
To prevent the spread of microorganisms.
Accurate and necessary records must be reported
and recorded.
To make it easy to have an up-to-date care plan.
 Father Saturnino Urios University
NURSING PROGRAM
Butuan City

Name of student: Mary Grace M. Mangmang Section: BSN 1 – N13

Date of lecture: _________________________ Date of return demonstration: __________

OCCUPIED BED MAKING

CONCEPT: Making a bed safely for a bedridden patient

OBJECTIVES:
1. To change the linens of the bed without unnecessarily exposing the patient's body
2. To free the bed from wrinkles by having a good foundation of the bed thus preventing skin irritation to
the patient
3. To provide patient's comfort and safety
ASSESSMENT:
1. Assess the linens to be changed.
2. Check the general condition of the patient including the vital signs.
3. Determine positions that maybe contraindicated to the patient.
4. Degree of assistance needed.
5. Type of linen/s needed.
6. Availability of linens
7. Safety and special precautions to be observed in moving the patient.
- locking the wheels of the bed
- adjusting the height of the bed to its working level
- side rails
- facing the direction of movement
PLANNING:
1. Greeting, introduction, asking, explain.
2. Prepare needed supplies and equipment.
- linens arranged in order of use
- linen hamper
- chair
- bath blanket
- screen if necessary

PROCEDURE:
STEPS KEY POINTS
1. Wash hands. Gather all equipment and bring to To minimize the spread of microorganisms
bedside. place linens on chair and hamper at
bedside. To encourage quick access to equipment while
saving time and effort

To prevent unnecessary delay

2. Provide privacy by putting up the screen of
closing the door
3. Adjust the bed to a comfortable working height.
Put upside rails at the opposite the worker.
4. Remove any equipment attached to bed and any
patient's belonging on the bed
5. Loosen all top linens at the foot of the bed
6. Remove bed spread and blanket carefully. If to be
re-used fold each in a manner that readily reapplied
to bed later and place on the back of the chair. If
soiled, discard into the hamper.
7. Leave top sheet over the patient if it is to be
To avoid exposure from other patients.
To prevent straining the nurse's back and to
facilitate easy access to the patient.
To avoid messy and uncomfortable area for the
patient.
For easy pulling of the linens.
To have fresh clean linens and to build a clean and
comfortable bed.
To make it easier to replace discarded linens.
changed it replaced with bath blanket as follows:
A spread the bath towel over the top sheet. To make way for new clean linen replacements.
b. asks the client to hold the top edge of the towel.
c. holding the bottom edge of the towel over the
top sheet to the head part. Grasp together bottom
edge of bath towel and top edge of top sheet and
pull down until patient is adequately covered by
bath towel.
d. removes the sheet from the bed, fold and place at
the back of the chair.
e. reaching under the blanket from the side, grasp
the top edge of the sheet and draw it down to the
feet of the bed, leaving the blanket in place
8. Loosen drawsheet, rubber sheet and bottom sheet For easy take off the soiled linens.
9. Move patient nearer to the worker To protect the patient from collapsing and to make
it possible to execute the procedure.
10. Assist patient to assume the Sim's lateral To make the patient feel comfortable.
position facing away from the worker. Move the
pillow with the patient
11. Roll the draw sheet, rubber sheet and bottom Tucking it behind the patient's back makes for
sheet piece by piece, towards the back of the patient convenient access to the linens on the other side of
and tuck under patient's back and buttocks the bed.
12. proceed to the basic bed making, fan folding To keep the customer comfortable while avoiding
vertically the clean bottom sheet at the center of the wrinkles on the linens.
bed. Tuck in at top, miter corner and finish tucking
the side
13. Apply rubber sheet and cotton draw sheet and To prevent wrinkle and for linens tight foundation.
tuck in well under the mattress
14. Help the patient to roll over the folded linen and When the patient rolls over, it is possible to work
on to the clean linen and let lie in supine position. on and adjust the linens on the unoccupied side.
Adjust the pillow under patient's head
To place the customer in a comfortable role.

15. Raise the side rail, if necessary, before leaving To provide safety of the patient and prevent from
the side of the bed falling.
16. Move to the other side of the bed and lower the To facilitate easy stripping of soiled linens.
side rail
17. Assist the patient to Sim's lateral position away To facilitate better stripping.
from the worker
18. loosen the side foundation linens from the bed For easy pulling of the soiled linens.
19. Unfold each piece of clean linen towards you
and proceed to the basic bed making until bottom Using firm and sterile linens helps prevent the
sheet, rubber sheet and draw sheet are well tucked presence of microorganisms.
under the mattress
20. Reposition pillow at the center of the bed and To provide comfort to the patient.
assist patient to the center of the bed in a position
preferred or requires
21. Return to first side and lower side rail For easy reach to the client.
22. Place top sheet over the patient so that To make the patient more at ease and capable of
centerfold is in the center of the bed and the top moving about.
edge is at the client shoulder
23. Ask the patient to hold the top edge of the sheet For easy replacement of linens.
as you pull the bath blanket from top to bottom
24. Fold the bath blanket if to be reused To prevent confusion and to distinguish between
clean and soiled blankets.
25. Add the blanket and the bed spread and proceed For the linens to be securely in place.
by tucking the top sheet, blanket and bed spread at
the foot part and make a modified miter at both
corners
26. Instead of a toe pleat, you may have the patient To keep feet comfortable.
point his or her toes up, which allows room for the
toes after the bed has been made
27. Change pillowcase and slip under the patient's To position the patient comfortably.
head
28. re-attach signal cord and other equipment Put back all what has been removed to prevent
removed earlier. confusions and malfunctions.
29. Tidy the unit or remove screen Do not place clean linen on another patients.

30. Return hamper with soiled linens to laundry Transport immediately soiled linens secured to the
room laundry to prevent cross contamination.
31. wash hands To wash off the bacteria and prevent spread of
microorganisms
Name of student: ___________________________ Section: ___________________________
Date of lecture: ___________________________Date of return demonstration: ____________

PERFORMANCE CHECKLIST

1 2 3 4 5
Cleansing Bed Bath
ASSESSMENT:
Vital signs
degree of assistance needed
patient’s preference for bathing procedure
availability of bathing supplies and equipment
need as to what bed linen is to be changed
patient’s activity order
environmental and procedural modification needed
PLANNING
Recalled relevant principles to be threaded through.
Materials and equipment to be used is complete
Conserved steps in doing the procedure
Planned for modification if indicated
PROCEDURE
Introduced self and verified client’s identity
Before beginning the bath, determined:
a. vital signs
b. other care the patient is receiving as roentgenography, physiotherapy.
c. aspects of the patient’s health status that affects the bathing process.
Explained the procedure to the patient
Inspected linens and determined which linen, needs to be changed.
Lined the table and floor with newspaper
Closed the windows and door to make sure the room is free from drafts.
Screened patient especially if he is in a semi-private room or ward.
Offered the patient a bedpan or urinal or ask whether he or she wishes to use
the toilet
Washed hands
Prepared and bring all the necessary articles to the bedside.
Arranged linen in order of use on a chair
Adjusted bed to appropriate height
Loosened top bedding at foot bed. Place bath blanket over the top sheet is
being removed. Fold top sheet and place on chair.
Assisted patient to move to side of bed nearest you
Removed clothing keeping patient covered with bath blanket. Avoid exposing
the patient unnecessarily. If patient’s arm or shoulder is injured, begin
removal of clothing from uninjured side.
Placed bath towel under head and face towel under chin

Made a bath mitt with the wash cloth: Triangular or Rectangular

Washed region around the eyes with clear water. Wipe from inner canthus
outward and use a separate position of the wash cloth for each eye.
Washed face, neck and ears thoroughly with soap and water. Rinse well then
dry.
Removed face towel and place over rack
Removed bath towel under head
Uncovered farther arm and place bath towel lengthwise under it. Wash the
arm with soap and water using firm long strokes from distal to proximal areas.
Soap paying particular attention to the axilla. Rinse well and dry.
Did the same procedure for the nearer arm.
Placed a towel directly on the bed and put basin on it. Place patient’s hands in
the basin. Assist him/her to wash, rinse and dry them paying particular
attention to spaces between the fingers.
Changed the water
Covered chest and abdomen with bath towel and fold bath blanket down to
the pubic area
Applied soap on chest and abdomen working under towel. Rinse well and dry.
Cover area with bath blanket. Pay particular attention to the navel and to area
under breasts of female patients.
Turned patient on his side. Have patient’s back towards the nurse with body
slightly diagonal to bed.
Placed bath towel lengthwise on bed alongside back and soap area (including
back of neck) rinse thoroughly and dry.
Done with back rub
Put on patient’s gown or pajama top if any
Changed water
Bathed thighs and legs in the same manner and order as the arms paying
particular attention to the inguinal areas. Drape bath blanket around groin.
Flexed patient’s knees and wrap blanket around legs. Have edge of blanket
come just below knees and be sure patient is unnecessarily exposed.
Placed bath towel under feet
Placed basin on towel
Placed feet flat into basin. Avoid pressure on patient’s calves and ankles.
Washed feet thoroughly with soap and water using washcloth. Particular
attention should be given to areas between toes and heels
Removed feet from basin by placing one hand under patient’s legs while the
other hand draws basin out. When washing one foot at a time, place cleaned
foot on bath towel before proceeding with other foot. Lotion may be applied
to rough and calloused areas.
Dried feet paying close attention to areas between toes.
Brought basin and washcloth to utility room
Cleansed washcloth and basin well with soap and water. Refill basin with
water.
Brought wash cloth and basin back to patient’s unit
Placed needed articles within reach of patient and instructs him or her to
finish bath or crotch care.
Have patient wash his hands
Put on rest of clothing, if any
Do hair and nail care
Hair Shampoo
ASSESSMENT
Assessed the condition of hair and scalp
Assessed degree of assistance and modification needed
Availability of supplies and equipment
PLANNING:
Checked doctor’s order as needed
Conferred with the patient as to the best time of the day for the shampoo
Provided privacy
Prepared all equipment needed
Recalled relevant principles
Planned for modification, if indicated
PROCEDURE
Position the patient diagonally in bed with the head near the side of the bed in
which you will work
Removed pins and ribbons from the hair; brush and comb it.
Placed the plastic sheet or pad on the bed under the head over the pillow
Removed pillow from under the client’s head, and place it under the client’s
head, and place it under the shoulders
Tucked a bath towel around the patient’s shoulders
Placed inflated Kelly pad under the head, with the tail into the pail. Place a
folded washcloth or pad where the patient neck rests on the edge of the Kelly
pad
Placed a damp washcloth over the patient’s eyes
Stuffed the patient’s ears with dry cotton balls
Wet hair thoroughly with water of the desired temperature
Applied shampoo to the scalp. Make a good lather with the shampoo while
massaging the scalp using the pads of the finger tips. Massage all areas of the
scalp systematically e.g. starting at the front and working to the back f the
head.
Rinsed well. Apply shampoo again. Make a good lather and massage scalp as
before.
Squeezed as much water as possible out of the hair with your hands. Do not
pull hair
Removed wash cloth and dry face
Removed cotton balls and drop into coil
Removed Kelly pad under the head and drop into the pail
Wrapped the patient’s hair with towel.
Dried hair and assist the patient in combing
Occupied Bed Making
ASSESSMENT:
Assessed the linens to be changed
Checked the general condition of the patient including the vital signs
Determined positions that maybe contraindicated to the patient
Degree of assistance needed
Type of linen/s needed
Availability of linens
Safety and special precautions to be observed in moving the patient
PLANNING:
Prepare needed supplies and equipment
PROCEDURE:
Loosened drawsheet, rubber sheet and bottom sheet
Moved patient nearer to the worker
Assisted patient to assume the Sim's lateral position facing away from the
worker. Move the pillow with the patient
Rolled the draw sheet, rubber sheet and bottom sheet piece by piece, towards
the back of the patient and tuck under patient's back and buttocks
Proceed to the basic bed making, fan folding vertically the clean bottom sheet
at the center of the bed. Tuck in at top, miter corner and finish tucking the
side
Applied rubber sheet and cotton draw sheet and tuck in well under the
mattress
Helped the patient to roll over the folded linen and on to the clean linen and
let lie in supine position. Adjust the pillow under patient's head
Raised the side rail, if necessary, before leaving the side of the bed
Moved to the other side of the bed and lower the side rail
Assisted the patient to Sim's lateral position away from the worker
Loosened the side foundation linens from the bed
Unfolded each piece of clean linen towards you and proceed to the basic bed
making until bottom sheet, rubber sheet and draw sheet are well tucked under
the mattress
Repositioned pillow at the center of the bed and assist patient to the center of
the bed in a position preferred or requires
Returned to first side and lower side rail
Placed top sheet over the patient so that centerfold is in the center of the bed
and the top edge is at the client shoulder
Asked the patient to hold the top edge of the sheet as you pull the bath
blanket from top to bottom
Folded the bath blanket if to be reused
Added the blanket and the bed spread and proceed by tucking the top sheet,
blanket and bed spread at the foot part and make a modified miter at both
corners
Instead of a toe pleat, you may have the patient point his or her toes up,
which allows room for the toes after the bed has been made
Change pillowcase and slip under the patient's head
Tidy the bed and make the patient comfortable
Do after care of the unit and equipment used
Washed hands
Chart the following:
Date and time bed bath and hair shampoo was given
Assessment findings of the patient’s skin, hair, and scalp
Name of Soap, lotion/oil, shampoo/conditioner used

Comments and Suggestions:

Rating: ____________________

____________________________________ __________________________
Name and Signature of Student Clinical Instructor