BULACAN STATE UNIVERSITY

City of Malolos
COLLEGE OF NURSING

FIRST YEAR

NAME: _________________________________________ RATING: ____________

YEAR / SECTION / GROUP: _________________________ DATE: ______________

TEPID SPONGE BATH

Purposes:
To lower down temperature to the body’s normal range

Equipments / Materials:
Bath Basin
Tepid Water (37o C or 98.6 o F)
Bath Barometer
Soap and Soap Dish
Wash cloth
Waterproof pad
Bath Blanket
Thermometer

DON NOT REMARK

Procedure RATING
E DONE S
Assessment:
1. Identify the client.
2. Explain the procedure to the client and how he or
she can cooperate.
3. Obtain the patient’s body temperature.
Planning:
4. Assemble all the articles needed.
5. Provide the client privacy.
6. Close window and air-conditioning units.
7. Raise the bed at a comfortable working height. Raise
the side rails.
8. Invite a family member or a significant other to
participate if desired.
9. Offer bed pad or urinal as desired.
10. Wash hands then put on gloves.
Implementation:
11. Loosen the top sheet and replace it with a bath
blanket.
12. Assist the patient to the side of the bed closer to
you.
13. Place rubber sheet under the client’s body.
14. Remove the patient’s gown under the covering of
the bath blanket.
15. Pour tepid water into the basin and soak
washcloths.
16. Wring washcloths so that they are adequately moist
but not dripping. Place them in the 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, lower extremities. Place or transfer
towel under the area where you will do the
sponging.
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. Reassess client’s pulse and body temperature.
Observe clients response to the therapy.
23. Assists the patient to turn to his side with his back
towards to you
24. Sponge the entire posterior part of the body in the
same manner as in the anterior. Dry lightly.
25. Replace the patient’s clothing.
26. Change beddings if necessary.
27. Clean and return used equipment.
28. Was hands.
Evaluation:
29. Check the patient’s temperature after 30 minutes
including pulses and respiration.
30. Assess for signs of fever e.g. skin warmth, flushing,
complaints of heat or chilling, diaphoresis, etc.
Documentation:
31. Chart the following:
 Body temperature before the procedure.
 Other manifestation related to fever.
 Time of rendering the procedure.
 Patient’s responses including his body temperature
after the procedures.
TOTAL

______________________ _______________________ _______________________

Student’s Signature Clinical Instructor’s Date
Printed Name& Signature