Good morning my name is Juvel C.

Orquinaza and I will be performing the tepid

sponge bath, tepid sponging is the application of water to the patient’s skin
surface to promote dispersal of body heat whose temperatures tend to rise
very high rapidly. The procedure is based on the principles of evaporation and
conduction.

TEPID SPONGEBATH

Purpose:

To lower down temperature to the body’s normal range.

Equipment’s/ Materials needed for the following procedure are:

 Bath Basin
 Tepid Water (37 C or 98.6 F)
 Bath Barometer
 Soap and Soap Dish
 6 Wash cloth
 Waterproof pad
 Bath Blanket (Towel)
 Thermometer
 Small cloth for drying 4 extremities, 1 back and 1 chest

1 Procedure 3 Ginagawa 2 Rationales

ASSESSMENT
1. Identify the client.
What is your name Ask their name to know
po? I am Nurse if the procedure is
Juvs, I will be your intended for the
nurse According to patient.
chart you have a
hyperthermia.

2. Explain the procedure to (I will be To encourage

the client and how he or she
can cooperate.
performing the cooperation and alleviate
tepid sponge bath anxiety.
thru application of
water to your skin.
To relieve your
fever and disperse
your body heat.
Are you willing to
cooperate?

3. (Clean your thermometer Kunin ung Assessing axillary

before and after you use it thermometer temperature would be
with rubbing alcohol) kuhanin yung bulak preferable.
punasan ung tip up
to thermometer’s
 body.

Obtain the patient’s body Kuhanan ng For comparison on the

temperature.(The patients temperature si later result after TSB
temperature is 38.4 C) patient. Pag
tumunog I-clean
gamit ng alcohol
ulit bago ibalik sa
lagayan.

(Chart the temperature

Isulat sa chart.
before doing the procedure)

PLANNING
4. Assemble all the articles Nakaayos na ung The nurse can work at
needed. gamit sa isang ease and promotes
table. efficiency to save time
and effort.

5. Provide the client privacy. Close the curtain To promote comfort and
and door. lessen anxiety
6. Close window and air- Pinatay ung aircon To avoid the patient
conditioning units. kunwari. getting chill and cold.

7. Raise the bed at a Papakita na wait Facilitates the proper

comfortable working height. level ung bed body mechanics and
Raise the side rails. ensures patient safety.

8. Invite a family member or To show and teach them

a significant other to how to do procedure
participate if desired. properly.

9. Offer bed pad or urinal Offeran ng arinola. To collect urine if the

as desired. patient has urge to do
so.
(Generally men prefer to use
a bedpan for bowel
movements and a urinal
bottle to collect urine,
For women preferably to
used bedpan to collect urine
or feces)

10. Wash hands then put on Pinakita na wash na To reduce cross

gloves. yung hands and put contamination; protect
ng gloves the nurses from body
fluids.
 IMPLEMENTATION
11. Loosen the top sheet Lagyan muna ng Bath blanket provide
and replace it with a bath bath blanket sa warmth.
blanket. ibabaw ng top
sheet tas ipahawak
mo kay patient.

(From foot of the bed, Pwesto mo nasa

remove top sheet by rolling foot of the bed
while keeping the soiled part Remove yung top
inside; discard it in the sheet by rolling.
hamper) Ilagay sa labahin.

12. Assist the patient to the Three segment Client will be closer to
side of the bed closer to the nurse’s center
you. gravity.

Side lying the patient I-side lying si

patient kasi
lalagyan n rubber
sheet

13. Place rubber sheet under Kunin ung rubber To prevent bed wetting
the client’s body. On sheet I fan fold I and absorb moisture or
perineal area sidelying si patient body fluids.
ilagay sa ilalaim ung
rubber sheet at
ispread.

14. Remove the patient’s
gown under the covering of
the bath blanket.
Turn to side lying To ensure that all body
position non- areas will be washed.
working area.
Remove the strings.
Back to supine
position. Remove
sleeves in the arm.
From foot to bed,
roll the gown and
discard in the
hamper.

15. Pour tepid water into Kunin ung basin Too cold will cause
the basin and soak lagyan ng tubig discomfort to patient.
washcloths. Too hot may cause burn
to patient.
(If there is no barometer we Isawsaw ung elbow
may use the elbow test to para itest ung
determine if the bath is in water.
correct temperature at 37
C)
16. Wring washcloths so
that they are adequately
moist but not dripping.
Place them in the forehead,
axillae and groin. Check then
every 5 minutes. Soak and
replace as necessary.
17. Place the bath towel
across the chest.
18. With another adequately
saturated wash clothes,
sponge the face and the
neck for 3 minutes using the
S patting stroke. Change
wash cloths as needed.
19. Pat dry lightly with
towel.
20. For 3-5 minutes each,
using long light patting
strokes, sponge the anterior
surface of the body in the
following sequence: chest,
abdomen, upper extremities,
and lower extremities. Place
or transfer towel under the
area where you will do the
sponging.
Chest: up and down stroke,
from farther to nearer
Abdomen: side to side stroke
from father to nearer.
Upper extremities: From
finger to shoulder; supine
and prone position
Soak ung wash Axillae and groins emits
cloth pigain para di the most heats because
tumulo. I fold siya it contain numerous
pores and sweat glands.
Ilagay sa forehead Leaving wash cloths in
2 kili-kili ung 2 these area helps losing
wash cloth at sa the heat.
singit ganun din.
Lagyan ng towel sa For drying the face and
chest naka neck.
horizontal.
Kumuha ka ulit
towel lublob,
pigain, tas I-mitt
mo ung towel.
S patting stroke
mula sa noo to chin
ung pag punas.
kailangan umiikot
ung hands.
Punasan mukha
gamit yung towel na
nasa chest.
Ilagay muna ung Rubbing the surface of
towel kung sang body may cause friction
area ka and may cause skin
magpupunas. irritation and rise in
temperature.
Ilagay towel na
pang dry sa chest
Sponge chest idry
agad
Sponge abdomen
punasan agad
Tanggalin ung towel
na pangdry sa
chest ilagay sa
ilalim ng arm.
Sponge arms pat

Lower extremities: From
finger to legs; ilalim ng legs
Note: if the patient
complaints of feeling chilly,
the chest and abdomen may
not be sponged.
21. Dry each part lightly
with towel after sponging.
22. Remove the washcloths
from forehead, axillae and
groin. Pat dry lightly with
extra towel.
23. Reassess client’s pulse
and body temperature.
Observe client’s response to
the therapy. (Let’s assume
patients temperature lower
down into 37.8 C)
24. Assists the patient to
turn to his side with his back patient.
towards to you
25. Sponge the entire
posterior part of the body in
the same manner as in the
anterior. (Up and down
stroke.) Dry lightly.
26. Remove the rubber
sheet.
Replace the patient’s
clothing. Position the patient
into supine to insert the
arms on the gown. Turn the
client into side lying position.
Tie the strings. Back to
dry agad.
Tanggalin ung towel
na pangdry sa arm
ilagay sa ilalim ng
legs. Sponge legs
pat dry agad.
Dry agad pag
pinunasan.
Tanggalin yung We dry it because the
wash cloths sa kili- moist reacts with
kili at singit. bacteria on the skin
punasan ng extra that can cause body
towel. odor.
Kuhanan ng To monitor if the tepid
temperature ulit si sponge bath works to
patient at i-chart. lower the body
temperature of the
client.
I-side lying si
I-ready ung towel To reduce the heat in
na pamunas sa likod posterior part of the
ni patient. Kumuha body.
ulit ng panibagong
wash cloth. I-mitt.
Punasan ung likod ni
patient up and
down stroke. At i-
Dry.
Tanggalin si rubber
sheet I-fan fold
tas tanggali din sa
isang side.tas ifold
i-supine position si To prevent chilling and
patient isuot ung maintain their
sleeves. I sidelying cleanliness and the
si patient para i- feeling of freshness
tie ung strings. I
supine ulit si
supine.
27. Change beddings if
necessary. (Top Sheet)
28. Clean and return used
equipment. (Raise the side
rails to reduce the risk of
falls.)
29. Discard the gloves and
Wash hands.
EVALUATION
30. Check the patient’s
temperature after 30
minutes. (Lets assume the
patients temperature is now
36.7 C)
including pulses and
respiration. (Lets assume the
patient respiration is 18
breaths per minute and
pulse of the patient is 90
beats per minute)
30. Assess for signs of
fever e.g., skin warmth,
flushing, complaints of heat
or chilling, diaphoresis, etc.
DOCUMENTATION
31. Consistently reports and
documents findings
appropriately
32. Chart the following:
•Body temperature before
the procedure.
•Other manifestation related
to fever.
•Time of rendering the
procedure.
•Patient’s responses including
patient.
Ibalik ung Prevent having them
equipment. Itaas si misplaced, stolen or
side rails become unnecessary
clutters in area than
can cause accidents
Discard ung gloves. To prevent the spread
Ipakita na of microorganism.
nakaangat ung
hands
Tumingin sa relo at It monitors if the body
I-thermometer ulit temperature stable
si patient sulat sa within normal range.
chart. Also, it indicates
whether the treatment
is effective to patient.
Check respirations
and pulse. Ilagay
ung hands sa pulse
ng kamay. Tingin sa
relo.
Inspect the patient Inspect the patient to
ask the patient determine the client’s
kung may complain response.
ba siya.
Nagsusulat sa To monitors the patient
chart. condition.
his body temperature after
the procedures