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Bed Bath - Full

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Question
Answer
Step 1   Knock before entering the room. Identify and greet resident. Explain procedure. Wash your hands. Provide for privacy. Ask for consent.  
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Step 2   Fill bath basin 2/3 full of warm water. 110° - 115°F  
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Step 3*   Raise bed rails. Raise the bed to best level for good body mechanics.  
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Step 4   Lower bed rail and position resident in supine position.  
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Step 5   Cover the resident with a bath blanket and remove top linens.  
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Step 6   Remove the gown without exposing the resident and place towel across resident’s chest.  
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Step 7   Make mitten of washcloth and wet with water; squeeze out excess.  
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Step 8   Wash eyes first. Start at inner corner and work out. Use different area of mitten for each eye.  
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Step 9   Wash, rinse, and dry the face.  
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Step 10   Wash, rinse, and dry the ears and then neck.  
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Step 11   Expose arm farthest from the side. Place bath towel under arm up to axilla.  
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Step 12   Place basin of water on bed and immerse resident’s hand in water and wash. Remove the basin and dry hand well.  
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Step 13   Wash and rinse shoulders, axillae and arms. Dry the area.  
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Step 14   Repeat steps 12, 13, & 14, using nearest arm. (May Verbalize This Step)  
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Step 15   Place towel across chest and fold bath blanket to waist.  
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Step 16   Wash, rinse, and dry chest while lifting towel.  
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Step 17   Fold bath blanket to pubic area; keep chest covered with towel.  
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Step 18   Wash, rinse and dry abdomen. Remove the towel and cover with bath blanket.  
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Step 19 *   Raise the side rail before leaving the bedside. Change bath water in basin. 110° - 115°F  
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Step 20   Lower bed rail.  
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Step 21   Expose the far leg; flex leg and place bath towel lengthwise under the leg up to the buttocks.  
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Step 22   Place basin on towel and put foot into it. Support leg at knee joint with hand.  
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Step 23   Wash and rinse leg and foot.  
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Step 24   Remove basin of water and dry leg, foot, and between toes.  
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Step 25   Repeat steps #21 - #24 for near leg. (May verbalize this step)  
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Step 26 *   Raise the side rail before leaving the bedside. Change bath water in basin. 110° - 115°F  
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Step 27   Lower bed rail and assist resident to turn on side with back facing the aide.  
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Step 28   Fold the bath blanket over resident’s side to expose back and buttocks; place towel parallel to resident’s back.  
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Step 29   Wash, rinse and dry back and buttocks.  
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Step 30   Give back rub (3-5 min.) and remove towel and turn resident onto back  
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Step 31 *   Raise the bedrail before leaving the bedside. Change the water for perineal care. 105° - 109°F  
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Step 32   Lower bed rail.  
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Step 33   Put on disposable gloves. Wash, rinse, and dry the perineum. (may verbalize, perineal care tested on separate skill) . Remove and discard gloves. Wash your hands.  
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Step 34 *   Raise the bedrail before leaving the bedside. Lower the bedrail  
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Step 35   Lower the bedrail nearest you. Apply lotion and deodorant.  
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Step 36   Without exposing the resident, dress him/her in a clean gown. Provide for comfort.  
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Step 37 *   Raise the bedrails. Lower bed. Lower bedrails. Attach signal light within resident’s reach. Empty, clean and store supplies.  
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Step 38   Wash hands and report & record observations.  
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Created by: na3
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