QUALIFICATION: CAREGIVING NC II

UNIT OF COMPETENCY: PROVIDE CARE AND SUPPORT TO ELDERLY

Giving a Complete Bed Bath/Making an Occupied Bed

PRE-PROCEDURE

1. Identify the client, according to employer policy. This eliminates the possibility of mistaking one client for another.

2. Explain the procedure to the client.

3. Perform hand hygiene.

4. Collect the following supplies:

□ Laundry bag (if available) □ Washcloth

□ Clean linen (see Making a Closed Bed, pp. 758–761) □ Two bath towels and two face towels

* Clean linen □ Mattress pad (if used) □ Flat sheet

□ Clean gown, pyjamas, or clothing of the client’s choice

* Bottom sheet (flat or fitted sheet)
□ Items for oral hygiene
* Incontinence or turning pad (if used) □ Lotion

□ Powder
* Top sheet
□ Deodorant or antiperspirant
* Blanket or comforter (if used)
□ Brush and comb

* Bedspread (if used) □ Other grooming items if requested by client

□ Paper towels
* Two pillowcases (may be only one, depending on facility policy)
□ Gloves (Wear only when contact with blood, body fluids, secretions, or

* Gloves excretions is likely or when bathing the genital and rectal [perineal]

areas.)
* Laundry bag (follow employer policy for disposal of dirty linen)
By collecting all the necessary equipment
□ Wash basin
beforehand, you will not have to leave your client’s
□ Soap
side and can eliminate wasting time and energy in
□ Bath thermometer, if available
obtaining the forgotten equipment.
□ Orange stick, nail file, or soft nail brush

5. Place paper towels on the overbed table (in facilities) or on a work area within easy reach. Arrange items on top of paper towels.

6. Close doors and windows. This helps prevent drafts.

7. Place linen on a clean surface.

8. Provide for privacy.

9. Remove the call bell.*

10. Place the laundry bag (if available in your facility) near the bed or follow your employer’s policy.

11. Raise the bed to a comfortable working height. Follow the care plan for bed rail use.* Raising the bed will reduce your risk for back

strain.

12. Lower the head of the bed. It should be as flat as possible. Lower the bed rail near you if it is up.*
QUALIFICATION: CAREGIVING NC II
UNIT OF COMPETENCY: PROVIDE CARE AND SUPPORT TO ELDERLY

PROCEDURE

13. Provide oral hygiene if necessary (see the

procedure Brushing the Client’s Teeth on pp. 615–617).

14. Cover the client with the top sheet. This ensures

client warmth and privacy.

15. Lower the head of the bed until flat if the client can

tolerate this position.* Ensure the client has at

least one pillow.

16. Raise the bed rail near you if bed rails are used. Fill the wash basin two thirds with

water, and test the water by using a bathwater thermometer (FIGURE 30–9) to

ensure that the water is a safe and comfortable temperature.

17. Place the basin on the overbed table or work area.

18. Lower the bed rail if it is up. 17 Help the client move to the side of the bed near you.

19. Place a bath towel over the client’s chest.

20. Make a mitt with the washcloth (FIGURE 30–10), and use it for the entire bath.

21. Wash around the client’s eyes with water. Do not use soap. Gently wipe from the inner part of the eye to the outer with a corner of the mitt (FIGURE 30–11).

Clean around the far eye first. Repeat this step to clean around the near eye, using a clean part of the mitt. This helps prevent the transfer of

possible microbes from one eye to the other.

22. Ask the client if you can use soap on the face. Some clients do not want soap used on the face, as it can cause drying.

23. Wash the face, ears, and neck. Rinse and pat dry with the towel that is on the chest.

24. Remove the client’s garments, but take care not to expose the client. Keep the client’s body,

except the area you are washing, covered with a sheet. Having waited until this time

to remove garments helps the client feel less exposed and more

comfortable with the bath.

25. Place a bath towel lengthwise under the client’s far arm. This helps protect the

linen.

26. Support the arm, with your palm under the client’s elbow and the client’s forearm resting on

your forearm.

27. Wash the arm, shoulder, and underarm (axilla) using long, firm strokes (FIGURE 30–12).

Using long, firm strokes increases circulation. Rinse and pat dry.
QUALIFICATION: CAREGIVING NC II
UNIT OF COMPETENCY: PROVIDE CARE AND SUPPORT TO ELDERLY

28. If the client’s hands and nails are visibly soiled with dried food or feces, place the basin on the towel, and place the client’s hand into the water (FIGURE

30–13). Follow your employer’s policy, as not all facilities allow placing the basin on the bed. Soaking is the only way to soften dried food or

feces on hands and nails.

Wash the hand well, and clean under fingernails with the client’s own orange stick, nail file, or soft nail brush. Ensure the wash basin is thoroughly cleaned

afterwards according to agency policy. Some agencies do not allow basins on the bed because if it spills on the floor, it creates

a safety hazard.

29. Have the client exercise the hand and fingers.

30. Remove the basin, and dry the hand well. Cover the client’s arm with the bath blanket.

31. Replace water in the basin if it is cooled, too soapy, or soiled. Repeat steps 25 to 30 for the near arm.

32. Place a bath towel across the client’s chest, and hold the towel in place. Pull the sheet from under the towel to the waist.

33. Lift the towel slightly, and wash the chest. While washing the chest and abdomen, observe the skin condition under the breasts, in the abdominal folds,

and in the groin. Do not expose the client. Rinse and pat dry, especially under the breasts (FIGURE 30–14). These areas can reveal the first sign

of skin breakdown and will need special skin care, which will be directed by the care plan. Your observations and

reporting of any changes will ensure that changes in skin condition will be addressed.
QUALIFICATION: CAREGIVING NC II
UNIT OF COMPETENCY: PROVIDE CARE AND SUPPORT TO ELDERLY

34. Turn the towel so that it is lengthwise over the chest and abdomen. Do not expose the client. Pull the sheet down to the pubic area. This helps ensure

privacy as much as possible.

35. Lift the towel slightly, and wash the abdomen (FIGURE 30–15). Rinse and pat dry.

36. Pull sheet up to the shoulders, covering both arms. Remove the towel.

37. If bed rails are used, raise the bed rail. Change soapy, soiled, or cooled water. Measure temperature as in step 16. Lower the bed rail when you return.

38. Uncover the far leg. Do not expose the genital area. Place a towel lengthwise under the foot and leg.

39. Bend the client’s knee if it is comfortable for your client, and support the leg with your arm. Wash the leg with long, firm strokes. Rinse and pat dry.

40. Place the towel under the client’s feet. Wash the client’s feet. If the client’s feet are visibly dirty, and they need to soak in water to remove the dirt, it is

usually safer and easier to wash them during a tub bath.

41. Use an orange stick, nail file, or soft nail brush to clean under toenails if necessary. If the client cannot bend the knee, wash the foot, carefully separating

and washing between the toes. Rinse and pat dry. Bacteria can grow in the area between toes if not dried properly.

42. Repeat steps 38 to 401 for the near leg.

43. If bed rails are used, raise the bed rail near you. Change the water. Measure temperature as in step 16. Lower the bed rail when you return. This helps

ensure the safety of the client.

44. Turn the client onto the side facing away from you. Keep the client covered with the bath towel or a sheet.

45. Uncover the back and buttocks. Do not needlessly expose areas not being bathed. This helps to keep the client warmer and respects

the client’s right to privacy. Place a towel lengthwise on the bed along the back.

46. Wash the back. Work from the back of the neck to the lower end of the buttocks. Use long, firm, continuous strokes (FIGURE 30–16). Rinse and dry well.
QUALIFICATION: CAREGIVING NC II
UNIT OF COMPETENCY: PROVIDE CARE AND SUPPORT TO ELDERLY

47. After the bath, give a back massage (see the procedure Giving a Back Massage

on p. 641) if the client wants one.

48. Turn the client onto the back. Cover the client with the sheet.

49. If bed rails are used, raise the bed rail near you. Change the water to provide

perineal care. Measure water temperature as in step 16. Lower the bed rail when

you return.

50. Allow the client to wash the genital area, if able. Place the wash basin, soap,

and towels within easy reach. Place the call bell (in facilities) within reach. Ask

the client to call you when finished. Make sure the client understands what to do.

Answer calls for assistance promptly.

51. If the client cannot do perineal self-care, put on gloves, and provide perineal care for the client (see the procedures on pp. 642 and 646).

52. Apply deodorant or antiperspirant and lotion, as directed by the care plan or by the client.

53. Put clean garments on the client.

54. Comb and brush the hair (see Chapter 31).

55. Put on gloves when handling linens soiled with blood, body fluids, secretions, or excretions.

56. Loosen top linen at the foot of the bed.

57. Remove the bedspread and blanket separately. Fold them as shown in FIGURE 34–25 if you will reuse them. Place each over a chair.

58. Leave the top sheet on your client to provide warmth and privacy.

59. Slide the mattress to the head of the bed.

60. Position the client on the side of the bed opposite to where you will begin

changing the bed. Adjust the pillow for comfort and ensure that side rails are

up (if available).

61. Loosen old bottom linen from the head of the bed to the foot of the bed.

62. Fan-fold old bottom linens one at a time toward the client. Start with the

old incontinence pad (if used) (FIGURE 34–26). If the incontinence pad is

heavily soiled, remove the pad or roll it tightly to contain the soiling.
QUALIFICATION: CAREGIVING NC II
UNIT OF COMPETENCY: PROVIDE CARE AND SUPPORT TO ELDERLY

63. Cleanse the client’s buttock and genital area if necessary. (See the procedure Giving a Complete Bedbath on page 628 of Chapter 30.)

64. Place a clean incontinence pad over the old incontinence pad. Fan-fold toward the client, tucking it next to the client, preventing further contact between

the wet or soiled incontinence pad and the client’s skin. If the client is left to lie on a wet or soiled incontinence pad, skin

breakdown can occur.

65. If your facility uses a mattress pad on the bed, unfold it lengthwise, with the centre crease in the middle.

66. If using a flat bottom sheet, place the clean sheet on the mattress pad (if used) or on the mattress, with the hem stitching away from the client. Unfold the

sheet so that the crease is in the middle and the small hem is even with the bottom of the mattress. If using a fitted bottom sheet, place and unfold the sheet

in the same way as with a flat sheet, but fit the sheet one corner at a time.

67. Make a mitred corner at the head of the bed (if using a flat sheet). Tuck the sheet under the mattress from the head to the foot.

68. Pull the clean incontinence pad (if used) toward you over the bottom sheet. Fan-fold both toward the client.

69. Raise the bed rail if it was used. Go to the other side, and lower the bed rail.* This reduces the risk for client injury.

70. Explain to the client that the client will roll over a bump. Assure the client that there is no risk for a fall.

71. Help the client turn to the other side. Adjust the pillow for the client’s comfort.

72. Remove the soiled incontinence pad and loosen bottom linen. Remove one piece at a time, and place each piece in the laundry bag (if available), or follow

your employer’s policy for care of dirty linens.

73. Remove and discard gloves if they were worn. Wash your hands.

74. Straighten and smooth the mattress pad (if used).

75. Pull the fan-folded clean bottom sheet and incontinence pad toward you, ensuring the client is now on a smooth, lump-free surface. Make a mitred corner

at the top if using a flat sheet. Tuck the sheet under the mattress from the head to the foot of the bed. If using a fitted sheet, pull over each corner. A

smooth, tight foundation reduces the chance of skin irritation and discomfort.

76. Pull the incontinence pad tightly toward you.

77. Place the client in the supine position in the centre of the bed. Adjust the pillow for comfort.

78. Put a clean top sheet on the bed. Unfold it lengthwise. The crease is in the middle, and the large hem is even with the top of the mattress. Hem stitching is

on the outside. This helps decrease skin irritation.

79. Ask the client to hold on to the clean top sheet so that you can remove the old top sheet from beneath. If the client is unable to help, tuck the clean top

sheet under the client’s shoulders. Remove the old top sheet.

80. Place the blanket (if used) on the bed. Unfold it so that the crease is in the middle and it covers the client. The upper hem should be 15 to 20 cm (6 to 8 in.)

from the top of the mattress.

81. Place the bedspread (if used) on the bed. Unfold it so that the centre crease is in the middle and it covers the client. The top hem is even with the mattress

top.

82. Turn the top hem of the bedspread under the blanket to make a cuff.

83. Bring the top sheet down over the bedspread to form a cuff.

84. Go to the foot of the bed.

QUALIFICATION: CAREGIVING NC II
UNIT OF COMPETENCY: PROVIDE CARE AND SUPPORT TO ELDERLY

85. Make a toe pleat using the top linens. Make a 5-cm (2-in.) pleat across the foot of the bed. The pleat is about 15 to 20 cm (6 to 8 in.) from the foot of the

bed. This allows circulation in the client’s feet.

86. Lift the mattress corner with one arm. Tuck all top linens under the mattress together. Make a mitred corner.

87. Raise the bed rail if it was used. Go to the other side, and lower the bed rail.*

88. Straighten and smooth top linens.

89. Tuck the top linens under the mattress. Make a mitred corner.

90. Change the pillowcase(s).

91. Raise the head of the bed to a level appropriate for the client, or use pillows to position the client.

POST-PROCEDURE

92. Provide for safety and comfort.

93. Place the call bell within reach.* This provides an easy, safe way for the client to contact staff, if necessary.

94. Lower the bed to its lowest position. Follow the care plan for bed rail use.*

95. Empty and clean the wash basin. Return it and other supplies to their proper places. This makes them easier to find the next time they are needed.

96. Wipe the overbed table or work area with paper towels. Discard the paper towels.

97. Follow your employer’s policy for care of soiled linen.

98. Remove privacy measures, as needed.

99. Perform hand hygiene.

100. Report and Record your actions and observations, according to employer policy. This is done for legal reasons and to keep the rest of

the health care team informed.

*Steps marked with an asterisk may not apply in community settings.

QUALIFICATION: CAREGIVING NC II
UNIT OF COMPETENCY: PROVIDE CARE AND SUPPORT TO ELDERLY

NAME: ________________________________________________ DATE: _______________________

Giving a Complete Bed Bath/Making an Occupied Bed

PERFORMANCE CRITERIA CHECKLIST YES NO

1. Identify the client, according to employer policy.

2. Explain the procedure to the client.

3. Perform hand hygiene.

4. Collect the following supplies:

□ Wash basin

□ Soap

□ Bath thermometer, if available

□ Orange stick, nail file, or soft nail brush

□ Washcloth

□ Two bath towels and two face towels

□ Flat sheet

□ Clean gown, pyjamas, or clothing of the client’s choice

□ Items for oral hygiene

□ Lotion

□ Powder

□ Deodorant or antiperspirant

□ Brush and comb

□ Other grooming items if requested by client

□ Paper towels

□ Gloves (Wear only when contact with blood, body fluids, secretions, or excretions is likely or when bathing the genital and rectal
[perineal] areas.)

□ Laundry bag (if available)

□ Clean linen (see Making a Closed Bed, pp. 758–761)

* Clean linen □ Mattress pad (if used)

* Bottom sheet (flat or fitted sheet)

QUALIFICATION: CAREGIVING NC II
UNIT OF COMPETENCY: PROVIDE CARE AND SUPPORT TO ELDERLY

* Incontinence or turning pad (if used)

* Top sheet

* Blanket or comforter (if used)

* Bedspread (if used)

* Two pillowcases (may be only one, depending on facility policy)

* Gloves

* Laundry bag (follow employer policy for disposal of dirty linen)

5. Place paper towels on the overbed table (in facilities) or on a work area within easy reach. Arrange items on top of paper towels.

6. Close doors and windows.

7. Place linen on a clean surface.

8. Provide for privacy.

9. Remove the call bell.*

10. Place the laundry bag (if available in your facility) near the bed or follow your employer’s policy.

11. Raise the bed to a comfortable working height. Follow the care plan for bed rail use.*

12. Lower the head of the bed. It should be as flat as possible. Lower the bed rail near you if it is up.*

PROCEDURE

13. Provide oral hygiene if necessary.

14. Cover the client with the top sheet. This ensures client warmth and privacy.

15. Lower the head of the bed until flat if the client can tolerate this position.*

16. Raise the bed rail near you if bed rails are used. Fill the wash basin two thirds with water, and test the water by using a bathwater
thermometer.

17. Place the basin on the overbed table or work area.

18. Lower the bed rail if it is up. Help the client move to the side of the bed near you.

19. Place a bath towel over the client’s chest.

20. Make a mitt with the washcloth (FIGURE 30–10), and use it for the entire bath.

21. Wash around the client’s eyes with water. Do not use soap. Gently wipe from the inner part of the eye to the outer with a corner of the
mitt. Clean around the far eye first. Repeat this step to clean around the near eye, using a clean part of the mitt.
QUALIFICATION: CAREGIVING NC II
UNIT OF COMPETENCY: PROVIDE CARE AND SUPPORT TO ELDERLY

22. Ask the client if you can use soap on the face. Some clients do not want soap used on the face, as it can cause drying.

23. Wash the face, ears, and neck. Rinse and pat dry with the towel that is on the chest.

24. Remove the client’s garments, but take care not to expose the client. Keep the client’s body, except the area you are washing, covered
with a sheet.

25. Place a bath towel lengthwise under the client’s far arm.

26. Support the arm, with your palm under the client’s elbow and the client’s forearm resting on your forearm.

27. Wash the arm, shoulder, and underarm (axilla) using long, firm strokes.

28. If the client’s hands and nails are visibly soiled with dried food or feces, place the basin on the towel, and place the client’s hand into
the water. Follow your employer’s policy, as not all facilities allow placing the basin on the bed.

Wash the hand well, and clean under fingernails with the client’s own orange stick, nail file, or soft nail brush. Ensure the wash basin is
thoroughly cleaned afterwards according to agency policy.

29. Have the client exercise the hand and fingers.

30. Remove the basin, and dry the hand well. Cover the client’s arm with the bath blanket.

31. Replace water in the basin if it is cooled, too soapy, or soiled. Repeat steps 25 to 30 for the near arm.

32. Place a bath towel across the client’s chest, and hold the towel in place. Pull the sheet from under the towel to the waist.

33. Lift the towel slightly, and wash the chest. While washing the chest and abdomen, observe the skin condition under the breasts, in the
abdominal folds, and in the groin. Do not expose the client. Rinse and pat dry, especially under the breasts.

34. Turn the towel so that it is lengthwise over the chest and abdomen. Do not expose the client. Pull the sheet down to the pubic area. This
helps ensure privacy as much as possible.

35. Lift the towel slightly, and wash the abdomen (FIGURE 30–15). Rinse and pat dry.

36. Pull sheet up to the shoulders, covering both arms. Remove the towel.

37. If bed rails are used, raise the bed rail. Change soapy, soiled, or cooled water. Measure temperature as in step 16. Lower the bed rail
when you return.

38. Uncover the far leg. Do not expose the genital area. Place a towel lengthwise under the foot and leg.

39. Bend the client’s knee if it is comfortable for your client, and support the leg with your arm. Wash the leg with long, firm strokes. Rinse
and pat dry.

40. Place the towel under the client’s feet. Wash the client’s feet. If the client’s feet are visibly dirty, and they need to soak in water to
remove the dirt, it is usually safer and easier to wash them during a tub bath.

41. Use an orange stick, nail file, or soft nail brush to clean under toenails if necessary. If the client cannot bend the knee, wash the foot,
carefully separating and washing between the toes. Rinse and pat dry.

42. Repeat steps 38 to 41 for the near leg.

QUALIFICATION: CAREGIVING NC II
UNIT OF COMPETENCY: PROVIDE CARE AND SUPPORT TO ELDERLY

43. If bed rails are used, raise the bed rail near you. Change the water. Measure temperature as in step 16. Lower the bed rail when you
return.

44. Turn the client onto the side facing away from you. Keep the client covered with the bath towel or a sheet.

45. Uncover the back and buttocks. Do not needlessly expose areas not being bathed.

46. Wash the back. Work from the back of the neck to the lower end of the buttocks. Use long, firm, continuous strokes. Rinse and dry well.

47. After the bath, give a back massage if the client wants one.

48. Turn the client onto the back. Cover the client with the sheet.

49. If bed rails are used, raise the bed rail near you. Change the water to provide perineal care. Measure water temperature as in step 16.
Lower the bed rail when you return.

50. Allow the client to wash the genital area, if able. Place the wash basin, soap, and towels within easy reach. Place the call bell (in
facilities) within reach. Ask the client to call you when finished. Make sure the client understands what to do. Answer calls for assistance
promptly.

51. If the client cannot do perineal self-care, put on gloves, and provide perineal care for the client.

52. Apply deodorant or antiperspirant and lotion, as directed by the care plan or by the client.

53. Put clean garments on the client.

54. Comb and brush the hair.

55. Put on gloves when handling linens soiled with blood, body fluids, secretions, or excretions.

56. Loosen top linen at the foot of the bed.

57. Remove the bedspread and blanket separately. Fold if you will reuse them. Place each over a chair.

58. Leave the top sheet on your client to provide warmth and privacy.

59. Slide the mattress to the head of the bed.

60. Position the client on the side of the bed opposite to where you will begin changing the bed. Adjust the pillow for comfort and ensure
that side rails are up (if available).

61. Loosen old bottom linen from the head of the bed to the foot of the bed.

62. Fan-fold old bottom linens one at a time toward the client. Start with the old incontinence pad (if used). If the incontinence pad is
heavily soiled, remove the pad or roll it tightly to contain the soiling.

63. Cleanse the client’s buttock and genital area if necessary.

64. Place a clean incontinence pad over the old incontinence pad. Fan-fold toward the client, tucking it next to the client, preventing
further contact between the wet or soiled incontinence pad and the client’s skin.

65. If your facility uses a mattress pad on the bed, unfold it lengthwise, with the centre crease in the middle.
QUALIFICATION: CAREGIVING NC II
UNIT OF COMPETENCY: PROVIDE CARE AND SUPPORT TO ELDERLY

66. If using a flat bottom sheet, place the clean sheet on the mattress pad (if used) or on the mattress, with the hem stitching away from
the client. Unfold the sheet so that the crease is in the middle and the small hem is even with the bottom of the mattress. If using a fitted
bottom sheet, place and unfold the sheet in the same way as with a flat sheet, but fit the sheet one corner at a time.

67. Make a mitred corner at the head of the bed (if using a flat sheet). Tuck the sheet under the mattress from the head to the foot.

68. Pull the clean incontinence pad (if used) toward you over the bottom sheet. Fan-fold both toward the client.

69. Raise the bed rail if it was used. Go to the other side, and lower the bed rail.*

70. Explain to the client that the client will roll over a bump. Assure the client that there is no risk for a fall.

71. Help the client turn to the other side. Adjust the pillow for the client’s comfort.

72. Remove the soiled incontinence pad and loosen bottom linen. Remove one piece at a time, and place each piece in the laundry bag (if
available), or follow your employer’s policy for care of dirty linens.

73. Remove and discard gloves if they were worn. Wash your hands.

74. Straighten and smooth the mattress pad (if used).

75. Pull the fan-folded clean bottom sheet and incontinence pad toward you, ensuring the client is now on a smooth, lump-free surface.
Make a mitred corner at the top if using a flat sheet. Tuck the sheet under the mattress from the head to the foot of the bed. If using a fitted
sheet, pull over each corner.

76. Pull the incontinence pad tightly toward you.

77. Place the client in the supine position in the centre of the bed. Adjust the pillow for comfort.

78. Put a clean top sheet on the bed. Unfold it lengthwise. The crease is in the middle, and the large hem is even with the top of the
mattress. Hem stitching is on the outside.

79. Ask the client to hold on to the clean top sheet so that you can remove the old top sheet from beneath. If the client is unable to help,
tuck the clean top sheet under the client’s shoulders. Remove the old top sheet.

80. Place the blanket (if used) on the bed. Unfold it so that the crease is in the middle and it covers the client. The upper hem should be 15
to 20 cm (6 to 8 in.) from the top of the mattress.

81. Place the bedspread (if used) on the bed. Unfold it so that the centre crease is in the middle and it covers the client. The top hem is even
with the mattress top.

82. Turn the top hem of the bedspread under the blanket to make a cuff.

83. Bring the top sheet down over the bedspread to form a cuff.

84. Go to the foot of the bed.

85. Make a toe pleat using the top linens. Make a 5-cm (2-in.) pleat across the foot of the bed. The pleat is about 15 to 20 cm (6 to 8 in.)
from the foot of the bed.

86. Lift the mattress corner with one arm. Tuck all top linens under the mattress together. Make a mitred corner.
QUALIFICATION: CAREGIVING NC II
UNIT OF COMPETENCY: PROVIDE CARE AND SUPPORT TO ELDERLY

87. Raise the bed rail if it was used. Go to the other side, and lower the bed rail.*

88. Straighten and smooth top linens.

89. Tuck the top linens under the mattress. Make a mitred corner.

90. Change the pillowcase(s).

91. Raise the head of the bed to a level appropriate for the client, or use pillows to position the client.

POST-PROCEDURE

92. Provide for safety and comfort.

93. Place the call bell within reach.*

94. Lower the bed to its lowest position. Follow the care plan for bed rail use.*

95. Empty and clean the wash basin. Return it and other supplies to their proper places.

96. Wipe the overbed table or work area with paper towels. Discard the paper towels.

97. Follow your employer’s policy for care of soiled linen.

98. Remove privacy measures, as needed.

99. Perform hand hygiene.

100. Report and Record your actions and observations, according to employer policy.

*Steps marked with an asterisk may not apply in community settings.

TOTAL