Full Bed Bath

Front 1

1. Knock before entering the room

Identify and greet resident. Explain procedure. Perform hand hygiene. Provide for privacy.

Back 1

2. Fill bath basin 2/3 full of warm water.

Front 2

**3. Raise bed rails. Raise the bed to best level for good body mechanics.

Back 2

4. Lower bed rail and position resident in supine position.

Front 3

5. Cover the resident with a bath blanket and remove top linens.

Back 3

6. Place towel across resident's chest. Remove the gown without exposing the resident.

Front 4

7. Make mitten of washcloth and wet with water; squeeze out excess.

Back 4

8. Wash eyes first. Start at inner corner and work out. Use different area of mitten for each eye.

Front 5

9. Wash, rinse, and dry the face.

Back 5

10. Wash, rinse, and dry the ears and then neck.

Front 6

11. Expose arm farthest from the side. Place bath towel under arm up to axilla.

Back 6

12. Place basin of water on bed and immerse resident's hand in water and wash. Remove the basin and dry hand well.

Front 7

13. Wash, rinse, and dry the shoulders, axillae, and arms.

Back 7

14. Repeat steps 11,12, and 13 using nearest arm. (May verbalize)

Front 8

15. Place towel across chest and fold bath blanket to waist.

Back 8

16. Wash, rinse, and dry chest while lifting towel.

Front 9

17. Fold bath blanket to pubic area; keep chest covered with towel.

Back 9

18. Wash, rinse, and dry abdomen. Remove the towel and cover with bath blanket.

Front 10

**19. Raise the side rail before leaving the bedside. Change bath water in basin.

Back 10

20. Lower bed rail.

Front 11

21. Expose the far leg; flex leg and place bath towel lengthwise under the leg up to the buttocks.

Back 11

22. Place basin on towel and put foot into it. Support leg at knee joint with hand.

Front 12

23. Wash and rinse leg and foot.

Back 12

24. Remove basin of water and dry leg, foot, and between toes.

Front 13

25. Repeat steps 21-24 for near leg. (May verbalize)

Back 13

**26. Raise the side rail before leaving the bedside. Change bath water in basin.

Front 14

27. Lower bed rail and assist resident to turn on side with back facing the aide.

Back 14

28. Fold the bath blanket over resident's side to expose back and buttocks; place towel parallel to resident's back.

Front 15

29. Wash, rinse, and dry back and buttocks.

Back 15

30. Give back rub and remove towel and turn resident onto back.

Front 16

**31. Raise the bedrail before leaving the bedside. Change the water for perineal care.

Back 16

32. Lower bed rail.

Front 17

**33. Put on disposable gloves. Wash, rinse, and dry the perineum. (May verbalize, perineal care tested on separate skill). Remove and discard gloves. Perform hand hygiene.

Back 17

34. Raise the bedrail before leaving the bedside.

Front 18

35. Lower bed rail on side nearest you. Apply lotion and deodorant.

Back 18

36. Without exposing the resident, dress him/her in a clean gown.

Front 19

**37. Raise the bedrails. Lower bed

Lower bedrails. Attach signal light within resident's reach.

Back 19

38. Perform hand hygiene and report & record observations.