UPHSD-LP-CON-SHA-082

01-06-2018-00

College of Nursing

Clinical Performance Evaluation Checklist

Shampooing the Hair of a Client Confined to Bed
Name :________________________________________________ Score ____________
Year and Section: _______________________________________ Date: ____________

PERFORMED
PREPARATION REMARKS
WEIGHT YES NO
1 Assess
● Determine routinely used shampoo products
● Any scalp problems
● Activity tolerance of the client
2 Determine
● Whether a physician's order is needed before a shampoo can be given.
● The type of shampoo to be used
● The best time of day for the shampoo
3 Assemble equipment and supplies:
● Comb and brush
● Plastic sheet or pad
● Two bath towels
● Shampoo basin
● Washcloth or pad
● Bath blanket
● Receptacle for the shampoo water
● Cotton balls (optional)
● Pitcher of water
● Bath thermometer
● Liquid or cream shampoo

 Hair Dryer
PROCEDURE
Explain to the client what you are going to do, why it is necessary, if
1
appropriate, and

how he can cooperate.

Wash hands and observe other appropriate infection control procedures as
2
needed.
3 Provide for client privacy.
4 Position and prepare the client appropriately.

Assist the client to the side of the bed from which you will work.
Remove pins and ribbons from the brush and brush and comb it to remove
any tangles.
5 Arrange equipment.

Put the plastic sheet or pad on the bed under the head.
Remove the pillow from under the client's head, and place it under the
shoulders, unless
there is some underlying condition.
Tuck a bath towel around the client's shoulders.
 UPHSD-LP-CON-SHA-082
01-06-2018-00

Place the shampoo basin under the head, putting a folded washcloth or pad
where the
client's neck rests on the edge of the basin. If the client is on a stretcher, the
next can
rest on the edge of the sink, with the wash-cloth as padding.
Fanfold the top bedding down to the waist, and cover the upper part .
Place the receiving receptacle on a table or chair at the bedside. Put the
spout of the
shampoo basin over the receptacle.

6 Protect the client's eyes and ears.

Place a damp washcloth over the client's eyes.
Place cotton balls in the client's ears, if indicated.

7 Shampoo the hair.

Wet the hair thoroughly with the water.
Apply shampoo to the scalp. Make a good lather with the shampoo while
massaging the
with the pads of your fingertips.
Rinse the hair briefly and apply shampoo again.
Make a good lather and massage the scalp as before.
Rinse the hair thoroughly this time to remove all the shampoo.
Squeeze as much water as possible out of the hair with your hands.
8 Dry the hair thoroughly.
Rub the client's hair with a heavy towel.
Dry the hair with the dryer. Set the temperature at "warm".
Continually move the dryer to prevent burning the client's scalp.
9 Ensure client comfort.
Assist the person confined to bed to a comfortable position.
Arranged the hair using a clean brush and comb.
Document the shampoo and any assessment.
TOTAL

Remarks;____________________________________________________________________________________________
____________________________________________________________________________________________

Signature of Student over Printed Name: ____________________________________________________________

Date: _____________________________

Evaluated by: ________________________________________________________________________________

Signature of Clinical Instructor over printed name
Date: ______________________________