Skill 11: Modified Bed Bath

Overview

• Purpose: Perform a modified bed bath, including face, one arm, hand, and underarm.
• Preparation: Bed head raised for demo, but not during actual skill exam.

Steps for Bed Bath

Initial Steps

1. Address Client
   • Use client's name.
   • Introduce self by name.
   • Example: "Hi, Mrs. Jones, my name is Mark."
2. Explain Procedure
   • Speak clearly, slowly, directly.
   • Maintain face-to-face contact.
3. Provide Privacy
   • Use a curtain, screen, or door.
   • Ensure bed is low and locked, call light within reach.

Preparing for Bath

4. Check Water Temperature
   • Ensure safety and comfort.
   • Ask client to verify.
5. Wear Clean Gloves
   • Before washing client.
6. Remove Gown
   • Place in soiled linen container.
   • Cover client's chest and lower body.

Washing Process

Face

7. Wash Eyes and Face
   • Use washcloth without soap.
   • Different area of washcloth for each stroke.
   • Inner to outer aspect for eyes; proceed to wash face.
8. Dry Face
   • Use dry cloth or towel.
   • Blotting motion; different part for each area.

Arm

9. Expose One Arm
   • Place cloth towel underneath.
10. Apply Soap
    • Use wet washcloth.
11. Wash Hand and Arm
    • Include fingers, fingernails, hand, arm, underarm.
    • Keep rest of body covered.
12. Rinse and Dry
    • Same areas as washed.
13. Gentle Movements
    • Avoid force and overextension.

Final Steps

14. Dress Client
    • Put on clean gown.
15. Clean Basin
    • Empty, rinse, dry basin.
16. Dispose of Basin
    • Place in dirty supply area.
17. Dispose of Linens
    • Use soiled linen container.
18. Avoid Contamination
    • Between student clothing and used linens.

Completion

19. Remove Gloves
    • Dispose without contaminating self.
20. Final Checks
    • Ensure signaling device is within reach.
    • Bed in low position.
21. Conclude
    • Wash hands; skill complete.