Hi Miss Jones my name is Patti I'm your CNA today how are you? Good I need to do a partial bed bath is that okay? I'm going to close your curtain let me wash my hands get my supplies and I'll be right back. For this skill I'm going to need a barrier for the table this will give me a clean place to put my cleaning supplies. For this skill I will need four washcloths, two towels, a clean gown, and a privacy blanket. It's a washing skill so I will also need a basin, soap, and lotion and I'll need a set of gloves. Miss Jones let me go get some water I'll be right back. Miss Jones is this water an appropriate temperature? Okay, and now I'm going to spread the privacy blanket out over you this will help keep you warm and protect your privacy while we do this skill. I'm going to spread the blanket without snapping or shaking the blanket and I'm going to pull your sheet down to about your waist. Okay Miss Jones I'm going to ask you to sit forward for me in just a moment so I can untie your gown and I'm going to spread this towel out underneath you to keep your sheets dry while we bathe you. Can I assist you to sit up please? Thank you. I'm going to untie your gown and spread the towel out on the bed, go ahead and lay back down Miss Jones. Thank you very much and now I'm going to spread the towel out underneath the arm I'll remove the gown on the side closest to me supporting the elbow as I lift it and I'm going to relocate the gown to the other side of the patient this leaves the patient uncovered underneath the privacy blanket for bathing the blanket will keep you warm now I can apply my gloves. I'll take the first washcloth and wring it out and I'm going to use four corners we'll wash the face first no soap on the face. Miss Jones I'm going to wash your eyes I'll start with the closest eye to me I'm going to wash from the inner to outer corner very gently and then we'll fold this leaf over to prevent contamination from spreading to the other eye. Miss Jones I'll wash your other eye now inner to outer corner. We'll fold that leaf over and then I'm going to wash the remainder of the face. Using very gentle strokes, and keeping control over the washcloth we'll fold that leaf over and use the final washcloth for the nose and then we'll set that aside. I'm gonna take the towel and pat dry all areas of her face making sure not to use too much force. We'll set the towel aside. We're going to take the second washcloth and wring it out and we'll apply soap to the top leaf. We do not need to use the leaves method because all of her skin from this point is intact. We're going to wash behind the ear, under the chin, across the neck, the upper torso, we're going to lift the blanket to protect privacy but keep the patient covered while we wash down to the abdomen and up the side. Now for the exam you are going to make sure the patient remains covered until the evaluators ask you to remove the blanket at that point you will just continue on. I am going to repeat these actions so that you can see what I have done. I'll remove the blanket for better visualization. Behind the ears, across the chin, the neck, the upper torso, around the breasts, down the abdomen, and up the side. Then we'll clean down the front of the arm, the hand, up the back of the arm lifting at the elbow, and the armpit last. We'll set this washcloth aside because it has soap on it. We'll take the third washcloth in the basin and wring it out and we're going to rinse all the areas that we just washed. So behind the ear, under the chin, across the neck, the upper torso, around the breasts, the abdomen, up the side, down the front of the arm, keeping the elbow supported on the bed. We'll rinse the hand, the back of the arm, and the armpit while supporting the arm. The rinse washcloth can go back in the basin for later use. Now we're going to dry all of those areas so we're going to pat dry or use short soft strokes but nothing vigorous. Go ahead and lift your arm Miss Jones. We'll set the towel aside now the patient has a clean torso so we'll place the clean gown on her. Miss Jones can you reach your arm through here I'll help you put your gown on. We'll lift the arm at the elbow supporting it as we lift and we'll spread the gown out. Okay Miss Jones I'm going to go around to the other side of the bed now and we'll dress the other arm. Since the care plan said that we only needed to wash one arm we do not need to cleanse this other arm that's per the care plan but we do need to dress it so I'll remove the soiled gown and we're going to place this in dirty linen and then I'll put the new gown on. Miss Jones can you reach through this arm hole? Thank you and go ahead and lift, thank you. Okay Miss Jones I'm going to ask you to turn onto your left side now this is going to allow me to wash your back and give you a brief back rub so I'm going to ask you to scoot toward me and we're gonna roll you onto your left side, ready, go ahead and scoot toward me. 1, 2, 3. Now the evaluator will hold the mannequin in place while you complete your cleaning. I'm going to take the third washcloth wring it out and we'll soap the top leaf. I'm going to wash the back of the neck, the shoulders, and the back down to the waist. We'll set that washcloth aside. We'll take the final wash cloth then wring it out and we're going to rinse all of those areas the back of the neck, the shoulders, and the back down to the waist and then finally we'll dry all of those areas. Back of the neck, and the shoulders, the back, down to the waist. Now our care plan asks us to give the patient a brief back rub so we're going to use a little bit of lotion making sure to warm the lotion in our hands before we give them a back rub. Miss Jones I'm going to give you a little back rub now. I'm going to start at the small of your back and work my way up in small circles to your shoulders. We'll do this three times. This is for circulation purposes. One, two, one more and three. I'm going to wipe off the excess lotion. Now I can tie the patient's gown and remove the towel that's protecting the linens. Miss Jones come on back onto your back please and scoot to the middle of the bed, thank you. I do not want to touch that sheet that's going to go right up next to her face with soiled gloves but I need my soil gloves to take care of all of my dirty linens. Miss Jones I'll be right back. These items are going to go into dirty linen. Now I'm going to go clean the basin. I'll empty the basin and rinse it and then pick it up with a paper towel. I'll dry the inside with one paper towel and throw it away and then dry the outside with a paper towel and throw that away. I'll get one for the drawer. I'll collect the soap and the lotion placing them in the basin and return the basin to its drawer for storage. Paper towels can be thrown away. This barrier is going to be discarded and now I can remove my gloves. Okay Miss Jones I'm going to remove your privacy blanket now and pull your sheet back up. Are you comfortable? Good. We're going to roll the privacy blanket in a ball so that the trailing edges don't contaminate other surfaces. This will be placed in dirty linen. Okay Miss Jones is there anything else I can get for you while I'm here such as a magazine? No? Okay here's your call light if you should need anything at all please let me know. I'm going to open the privacy curtain and wash my hands. After washing my hands I'll think about the steps of my skill make any corrections and tell the evaluator my skill is done.