Partial Bed Bath Procedure

Introduction

• Role & Introduction: Patti, the Certified Nursing Assistant (CNA), introduces herself to Miss Jones.
• Permission & Preparation:
  • Asks for permission to perform a partial bed bath.
  • Closes curtain for privacy.
  • Washes hands and gathers supplies.

Supplies Needed

• Barrier for the table.
• 4 washcloths.
• 2 towels.
• Clean gown.
• Privacy blanket.
• Basin, soap, lotion.
• Gloves.

Procedure

Pre-Bathing Steps

• Temperature Check: Ensures water is at an appropriate temperature.
• Privacy & Protection: Spreads privacy blanket without snapping or shaking.
• Preparation:
  • Lowers the sheet to the waist.
  • Assists Miss Jones to sit up, unties gown, and spreads towel to keep sheets dry.
  • Supports the elbow while removing gown on one side.

Bathing Process

Face Wash

• No Soap: Uses first washcloth with four corners, no soap on face.
• Eyes: Washes from inner to outer corner, using separate parts of the washcloth for each eye.
• Drying: Pats dry with towel.

Upper Body Wash

• Soap Application: Uses second washcloth with soap.
• Areas Covered:
  • Behind the ear, under chin, across neck, upper torso, down to abdomen, up side.
  • Cleans down front of arm, hand, back of arm, and armpit.
• Rinsing: Uses third washcloth to rinse the same areas.
• Drying: Pats dry the rinsed areas.

Dressing

• Gown Application: Assists Miss Jones with putting on a clean gown.
• Dressing Other Arm: Dresses the other arm per care plan without washing.

Back Clean & Rub

• Position Change: Helps Miss Jones turn onto her left side.
• Washing:
  • Uses third washcloth to wash back of neck, shoulders, back down to waist.
  • Rinses and dries using fourth washcloth.
• Back Rub:
  • Uses warmed lotion, rubs back in small circles for circulation.
  • Wipes off excess lotion.

Post-Bathing Steps

• Final Arrangements:
  • Ties gown, removes towel protecting linens.
  • Assists Miss Jones to return to the back and center of the bed.

Cleaning Up

• Linen Disposal: Places dirty linens in designated area.
• Basin Cleaning:
  • Empties, rinses, and dries basin using paper towels.
  • Stores soap and lotion in basin.
• Privacy Blanket: Removes carefully, rolls it for disposal.

Conclusion

• Final Check: Ensures Miss Jones is comfortable, offers additional items (magazine).
• Hand Hygiene: Washes hands.
• Completion: Reviews steps mentally, informs evaluator that skill is done.