REPUBLIC OF THE PHILIPPINES

SULTAN KUDARAT STATE UNIVERSITY

ACCESS Campus, EJC Montilla, Tacurong City
COLLEGE OF HEALTH SCIENCES

BACHELOR OF SCIENCE IN NURSING PROGRAM

Name:
Year/Course/Section: Inclusive Date:

Direction: In using the checklist, please use the following rating scale in determining the
performance of the student.
5 Excellent: Student performs the procedure correctly, and perfectly. Student states
the rationale correctly and completely. Student is able to answer questions
accurately.
4 Very Satisfactory: Student performs the procedure correctly. Student states the
rationale correctly but incompletely. Student is able to answer questions.
3 Satisfactory: Student performs the procedure correctly but failed to states the
rationale. Student is able to answer questions when cued.
2 Fair: Student performs the procedure when cued. Student fail to states the
rationale. Student is able to answer questions when cued.
1 Poor: Student fails to perform the procedure correctly even when cued. Student
does not know the rationale.

GIVING A BED BATH

 Bathing is an essential component of nursing care and a critical time to assess the client.

Types of Bath:
1. Therapeutic
2. Cleaning - routine client care; for personal hygiene

Types of Cleaning Bath:

1. Shower
2. Tub
3. Self-help or assisted bath
4. Complete bed bath
5. Partial bath

Purpose:
 Provide hygienic care to a dependent client confined to bed

Expected Outcome:
1. Client will be cleaned without damage to their skin
2. Client’s privacy will be maintained throughout the procedure
3. Client will participate in their own hygiene as much as possible
4. Client will not feel discomfort
5. The patient will vocalize feeling clean and fresh.

Equipment:
1. Bath towels - 2
2. Wash cloths/Face towel - 4
3. Bath blanket/ Blanket - 2
4. Wash basin - 2
 REPUBLIC OF THE PHILIPPINES
SULTAN KUDARAT STATE UNIVERSITY
ACCESS Campus, EJC Montilla, Tacurong City
COLLEGE OF HEALTH SCIENCES

BACHELOR OF SCIENCE IN NURSING PROGRAM

5. Urinal/Bedpan
6. Soap in a soap dish
7. Lotion
8. Deodorant
9. Clean gown
10. Sando
11. Shorts
12. Clean linen
13. Disposable gloves
14. Warm water
15. Linen saver or plastic trash bag

GIVING A BED BATH

Procedure Performance Rating Remarks

5 4 3 2 1
1. Review chart for any limitations in physical activity. 5 4 3 2 1
2. Identify the patient. 5 4 3 2 1
3. Discuss procedure with the client 5 4 3 2 1
4. Assess the patient’s ability to assist in the bathing 5 4 3 2 1
5. Assess the patient’s personal hygiene 5 4 3 2 1
preferences.
6. Close curtains around bed and close the door to 5 4 3 2 1
the room, if possible. Adjust the room
temperature, if necessary.
7. Perform hand hygiene and put on gloves and/or 5 4 3 2 1
other PPE, if indicated.
8. Gather the necessary supplies and bring to the 5 4 3 2 1
bedside stand or over bed table.
9. Offer patient bedpan or urinal. 5 4 3 2 1
10. Remove gloves and perform hand hygiene. 5 4 3 2 1
11. Adjust the bed to a comfortable working height; 5 4 3 2 1
usually elbow height of the caregiver
12. Put on gloves. 5 4 3 2 1
13. Lower side rail nearer to you and assist patient to 5 4 3 2 1
side of bed where you will work. Have patient lie
on his or her back.
14. Place bath blanket over patient and then remove 5 4 3 2 1
top sheet while patient holds bath blanket in place.
 If linen is to be reused, fold it over a chair.
 Place soiled linen in laundry bag.
 Take care to prevent linen from coming in
contact with your clothing.
15. Remove patient’s gown and keep bath blanket in 5 4 3 2 1
place.
 If patient has an IV line and is not wearing a
 REPUBLIC OF THE PHILIPPINES
SULTAN KUDARAT STATE UNIVERSITY
ACCESS Campus, EJC Montilla, Tacurong City
COLLEGE OF HEALTH SCIENCES

BACHELOR OF SCIENCE IN NURSING PROGRAM

gown with snap sleeves, remove gown from

other arm first.
16. Raise side rails. 5 4 3 2 1
17. Fill basin with a sufficient amount of comfortably 5 4 3 2 1
warm water (43-46 Degree Celsius).
 Change as necessary throughout the bath.
18. Lower side rail closer to you when you return to 5 4 3 2 1
the bedside to begin the bath.
19. Put on gloves, if necessary. 5 4 3 2 1
 Fold the washcloth like a mitt on your hand
so that there are no loose ends.
20. With no cleanser on the washcloth, wipe one eye 5 4 3 2 1
from the inner part of the eye, near the nose, to
the outer part.
 Rinse or turn the cloth before washing the
other eye.
21. Wash the face. 5 4 3 2 1
 Ask the client about preferences for using
soap on the face.
 Use a separate corner of the wash cloth for
each eye, wiping from inner to outer
canthus.
 Rinse and pat dry
22. Wash neck and ear. Rinse and pat dry 5 4 3 2 1
 Ask male clients if they want to be shaved.
Assist if needed.
23. Expose patient’s far arm and place towel 5 4 3 2 1
lengthwise under it.
 Using firm strokes, wash hand, arm, and
axilla, lifting the arm as necessary to
access axillary region.
 Rinse, if necessary, and dry.
24. Place a folded towel on the bed next to the 5 4 3 2 1
patient’s hand and put basin on it. Soak the
patient’s hand in basin.
 Wash, rinse if necessary, and dry hand.
25. Repeat actions 23-24 for the arm nearer you. 5 4 3 2 1
 An option for the shorter nurse or one
susceptible to back strain might be to bathe
one side of the patient.
 Move to the other side of the bed to
complete the bath.
26. Spread a towel across patient’s chest. 5 4 3 2 1
 Lower bath blanket to patient’s umbilical
area. Wash, rinse, if necessary, and dry
chest.
 Keep chest covered with towel between the
 REPUBLIC OF THE PHILIPPINES
SULTAN KUDARAT STATE UNIVERSITY
ACCESS Campus, EJC Montilla, Tacurong City
COLLEGE OF HEALTH SCIENCES

BACHELOR OF SCIENCE IN NURSING PROGRAM

wash and rinse.

 Pay special attention to the folds of skin
under the breasts.
27. Lower bath blanket to the perineal area. Place a 5 4 3 2 1
towel over patient’s chest.
28. Wash, rinse, if necessary, and dry abdomen. 5 4 3 2 1
Carefully inspect and clean umbilical area and any
abdominal folds or creases.
29. Return bath blanket to original position and 5 4 3 2 1
expose far leg.
 Place towel under far leg
 Using firm strokes, wash, rinse, if
necessary, and dry leg from ankle to knee
and knee to groin.
30. Wash, rinse if necessary, and dry the foot. Pay 5 4 3 2 1
particular attention to the areas between toes
31. Repeat actions 29-30 for the leg nearer you. 5 4 3 2 1
 An option for the shorter nurse or one
susceptible to back strain might be to bathe
one side of the patient.
 Move to the other side of the bed to
complete the bath.
32. Make sure patient is covered with bath blanket. 5 4 3 2 1
Change water and washcloth at this point or
earlier, if necessary.
33. Assist patient to prone or side-lying position. 5 4 3 2 1
 Put on gloves, if not applied earlier.
 Position bath blanket and towel to expose
only the back and buttocks.
34. Wash, rinse, if necessary, and dry back and 5 4 3 2 1
buttocks area.
 Pay particular attention to cleansing
between gluteal folds, and observe for any
redness or skin breakdown in the sacral
area.
35. If not contraindicated, give patient a backrub 5 4 3 2 1
36. Raise the side rail. Refill basin with clean water. 5 4 3 2 1
Discard washcloth and towel. Remove gloves and
put on clean gloves.
37. Clean perineal area or set patient up so that he or 5 4 3 2 1
she can complete perineal self-care. If the patient
is unable, lower the side rail and complete
perineal care
38. Help patient put on a clean gown and assist with 5 4 3 2 1
the use of other personal toiletries, such as
deodorant or cosmetics.
39. Protect pillow with towel and groom patient’s hair. 5 4 3 2 1
 REPUBLIC OF THE PHILIPPINES
SULTAN KUDARAT STATE UNIVERSITY
ACCESS Campus, EJC Montilla, Tacurong City
COLLEGE OF HEALTH SCIENCES

BACHELOR OF SCIENCE IN NURSING PROGRAM

40. Change bed linens. 5 4 3 2 1

41. Do after care. 5 4 3 2 1
42. Perform hand hygiene. 5 4 3 2 1
43. Document findings in patient chart. 5 4 3 2 1
SKILLS AND ATTITUDE RATING (For Clinical Instructor only…)
44. Manifests body mechanics throughout the 5 4 3 2 1
performance of the procedures.
45. Receptive to criticisms and observes courtesy. 5 4 3 2 1
46. Shows calmness while performing the procedure. 5 4 3 2 1
47. Uses correct English and shows mastery of the 5 4 3 2 1
procedure.
Sub-Total =
Total Score:
RD Grade:

Instructors’ Remarks:

_
_

_
Signature over Printed Name of Clinical Instructor
 REPUBLIC OF THE PHILIPPINES
SULTAN KUDARAT STATE UNIVERSITY
COLLEGE OF HEALTH SCIENCES
ACCESS Campus, EJC Montilla, Tacurong City