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CNA-SKILLS TESTING
Giving a Bed Bath
| Question | Answer |
|---|---|
| Step 1 | Assemble Equipment (water should be appropriate temperature) |
| 2 | Pre-steps |
| 3 | Communicate with person throughout the skill |
| 4 | Fill basin with warm water. Change water if it becomes cool |
| 5 | Raise side rails or have two care givers to provide persons safety |
| 6 | Raise bed to a level for best body mechanics |
| 7 | Adjust the bed to a comfortable position |
| 8 | Lower side rail on the side you are working on |
| 9 | Perform hand hygiene. Do gloves according to standard precautions |
| 10 | Place bath blanket over bedspread and remove bedspread and top sheet from under the bath blanket |
| 11 | Remove the persons gown while maintaining privacy |
| 12 | Place a towel over the persons chest |
| 13 | Wash the eyes (no soap) from the nose towards the ear, using a different area of the washcloth for each stroke |
| 14 | Wash and rinse the face, ears, and neck (do not use soap on the face unless requested) |
| 15 | Pat all areas dry |
| 16 | Leaving the towel on the chest, reach under the towel and fold the bath blanket to the waist |
| 17 | Lifting the towel one part at a time, wash with soap chest, abdomen, and naval (observe under persons breasts or skin folds for redness) |
| 18 | Rinse and pat dry the chest, abdomen and navel |
| 19 | Cover the chest and abdomen with bath blanket and remove the towel from the chest without exposing the person |
| 20 | Place a towel lengthwise under the arm nearest you |
| 21 | Wash and rinse the hand, arm, axilla and shoulder area |
| 22 | Pat dry and remove towel from under the arm and replace bath blanket |
| 23 | Turn the person on their side, facing away from you and towards the raised side rail or the other care giver |
| 24 | Place a towel on the bed against their back |
| 25 | Wash and rinse the back and back of the neck |
| 26 | Pat dry and remove towel |
| 27 | Reposition the person on their back |
| 28 | Place bath towel lengthwise under leg nearest you |
| 29 | wash and rinse leg and foot |
| 30 | pat dry and remove towel |
| 31 | Raise the side rail or trade places with the other care giver |
| 32 | rinse bath basin and refill with clean water |
| 33 | Go to other side of bed and lower side rail, or trade places with other care giver |
| 34 | repeat steps for cleaning arm and leg on other side |
| 35 | provide perineal care (see skill) |
| 36 | remove gloves and perform hand hygiene |
| 37 | assist the person to dress and groom |
| 38 | replace linen and remove drape while maintaining privacy |
| 39 | ensure linens are placed in a laundry receptacle, not thrown or placed on the floor |
| 40 | clean and put equipment away |
| 41 | post steps |
| Note 1 | Sequence of washing is not important as long as eyes are cleaned first and perineum is cleaned last |
| Note 2 | During testing you will be expected to give a modified bed bath and follow care plan that states to wash face, ears, neck, chest, one hand, arm and axilla area including assisting person to dress in a clean gown |
Created by:
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