Republic of the Philippines

University of Southern Mindanao

COLLEGE OF HEALTH SCIENCES
Kabacan, Cotabato

PERFORMANCE CHECKLIST

CLEANSING BED BATH

Name:____________________________________Date:_______________________
Clinical Instructor: _________________________ Year and Section: _____________

Scal Interpretation Description

e
5 Highly Competent
4 Very Competent
3 Competent
2 Fairly Competent
1 Not Competent/Needs
Improvement
The student answers, performs and execute these steps and is
observable 90-100% accurately.
The student answers, performs and execute these steps and is
observable 70-89% accurately.
The student answers, performs and execute these steps and is
observable 50-69% accurately.
The student answers, performs and execute these steps and is
observable 31-49% accurately.
The student answers, performs and execute these steps and is
observable 1-30% accurately.

PREPARATION 5 4 3 2 1
1. Assess:
 Condition of the skin
 Fatigue
 Presence of pain and need for adjunctive measures before
the bath
 Range of motion of the joints
 Any other aspect of health that may affect the client’s bathing
process
2. Assemble equipment and supplies:
 Basin or sink with warm water
 Soap and soap dish
 Linens: bath blanket, two bath towels, washcloth, clean
gown or pajamas or clothes as needed, additional bed linen
and towels, if required
 Gloves, if appropriate
 Personal hygiene articles
 Shaving equipment for male clients
 Table for bathing equipment
 Laundry hamper
3. Determine:
 The purpose and type of bath the client needs
 Self-care ability of the client
 Any movement or positioning precautions specific to the
client
 Other care the client may be receiving
Client’s comfort level with being bathed by someone else
PROCEDURE
1. Explain to the client what you are going to do, why it is
necessary, and how she can cooperate.
2. Wash hands and observe other appropriate infection control
procedures.
3. Provide for client privacy.
4. Prepare the client and the environment:
Invite a family member or significant other to participate,
if desired.
Close windows and doors to ensure the room is a
 comfortable temperature.
Offer the client a bedpan or urinal, or ask whether the
client wishes to use the toilet or commode.
Encourage the client to perform as much personal self-care
as possible.
During the bath, assess each area of the skin carefully.
FOR A BED BATH
5. Prepare the bed and position the client appropriately.
Position the bed at a comfortable working height. Lower side rail
on the side close to you. Keep the other side rail UP. Assist the
client to move near you.
Place bath blanket over top sheet. Remove the top sheet from
under the bath blanket by starting at client’s shoulders and
moving linen down towards 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.
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.
7. Wash the face.
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 eye. Wipe from the
inner to the outer canthus.
Ask whether the client wants soap used on her face.

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 from you.
Wash, rinse, and dry the arm by elevating the client’s arm and
supporting the client’s wrist and elbow.
Apply deodorant or powder if desired.
Optional: Place a towel on the bed and put a washbasin on it.
Place the client’s hands in the basin. Assist the client as needed to
wash, rinse, and dry her hands, paying particular attention to the
spaces between her fingers.
Repeat for hand and arm nearest you.
9. Wash the chest and abdomen.
Place bath towel lengthwise over chest. Fold bath blanket down to
the client’s pubic area.
Lift the bath towel off her chest, and bathe her chest and abdomen
with your mitted hand, using long, firm strokes. 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 bath blanket
towards the other leg, being careful to keep the perineum covered
Lift leg and place the bath towel lengthwise under the leg. Wash,
rinse, and dry the leg, using 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.
Obtain fresh, warm bathwater now or when necessary.
11. Wash the back and then the perineum.
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.
Wash and dry the client’s back, moving from the shoulders to the
buttocks, and upper thighs, paying attention to the gluteal folds.
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 she 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 possible into the
atmosphere.
Help the client put on a clean gown or pajamas.
Assist the client to care for hair, mouth, and nails.
13. Document:
 Type of bath given
 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 cooperate with bathing
 Client response to bathing
 Educational needs regarding hygiene
Information or teaching shared with the client or their family

Remarks :

Percentage Score:______________