PHINMA CAGAYAN DE ORO COLLEGE

COLLEGE OF NURSING
NUR 092 FUNDAMENTALS OF NURSING R.L.E.

Name: GAMPONG, ALEA COMILAO Date: 02/18/23

Section: FC1-BSN-02-02 Clinical Instructor: ARIEL KING D. MAGHANOY

TEPID SPONGE BATH

Definition:
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Purpose:
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Principle:
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STEPS RATIONALE RATE

1. Review physicians order To verify the order.
2. Prepare the equipment To ensures
organization and
increase efficiency
during the
procedures
3. Introduce yourself to the patient and explain the procedure to be perform Introducing self-
enhances rapport.
Explaining the
procedures to the
client reduce client’s
anxiety and enhance
cooperation.
4. Provide privacy; close window and doors Providing for the
client’s privacy
protects client’s
integrity and
enhances comfort.
5. Perform hand hygiene and apply gloves To avoid contact of
any microorganism
and to protect both
nurse and the
patient
6. Remove patient gown and cover the patient with a blanket Expose the top of
the patient and
covering the patient
with blanket will
reserve as a water
proof pad to provide
privacy.
7. Test the water temperature. Prevent chills
 8. Lower the side rails nearest you and position the patient comfortably To avoid any
accidents; for the
nurse to work at
ease
9. Place bath blanket over top sheet and remove client’s gown The bath blanket
maintains warmth
and privacy
10. Cover the patient with blanket and expose only the area to be wash, one at a time. To provide client
privacy and it will
avoid the patient to
get wet.
11. Wet the wash cloth and wring it out So they adequately
moist but not
dripping
12. Make a bath mitten with wash cloth Keeps cold edge
from brushing
against patient and
prevent splashing
13. Wash client’s face, neck, and ears. Shave client if needed. Use of emollients is
recommended to
restore skin integrity
14. Wash arms and forearm and hands
15. Wash chest and abdomen
16. Wash legs and feet
17. Wash back
18. Assist patient in a comfortable position To ensure the
patient comfort
19. Remove gloves and dispose Appropriate
disposal prevent
spreading of
microorganism
20. Return all used equipment Discarding the water
and equipment will
prevent accidentals
and spilling
21. Replace top linen and remove bath blanket. Prevents chilling of
patient
22. Allow patient to rest Restores comfort
and promotes sense
of well-being
TOTAL SCORE

Clinical Instructor: _______________________________ Signature of CI: ______________________

 PHINMA CAGAYAN DE ORO COLLEGE
COLLEGE OF NURSING
NUR 092 FUNDAMENTALS OF NURSING R.L.E.

Name: GAMPONG, ALEA COMILAO Date: 02/18/23

Section: FC1-BSN-02-02 Clinical Instructor: ARIEL KING D. MAGHANOY
SHAMPOOING
Definition:
Care of hairs is part of the patient hygiene. It is another way of helping the patient feel good and maintain
a good mental attitude.
Purpose:
To remove dirt and oil from the surface of the hair fibers and the scalp
Principle:
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STEPS RATIONALE RATE

ASSESSMENT
1. Determine routinely used shampoo products
2. Assess the patient To make informed
decisions that impact
on care planning
PLANNING
3. The client’s hair will be dry and clean
4. Any problems present will be noted and treated
5. The client will report feeling comfortable and clean
IMPLEMENTATION
6. Introduce yourself Introducing self-
enhances rapport.
7. Explain the procedure Explaining the
procedures to the
client reduce client’s
anxiety and enhance
cooperation.
 8. Gather the necessary supplies and equipment at bedside Bringing everything to
the bedside conserves
time and energy
9. Provide privacy Providing for the
client’s privacy protects
client’s integrity and
enhances comfort.
10. Remove top linens and change with bath blanket The bath blanket
maintains warmth and
privacy
11. Place plastic square or rubber sheet under the head and shoulder of the patient The plastic keeps the
bedding dry
12. Place towel around the patients shoulder and the other towel on the neck To avoid getting wet
that make the patient
uncomfortable.
13. Arrange Kelly pad under the patient head. Place cotton balls on ears and cover Increase the patient
the eye comfort. To prevent
the water going into
the ears and eyes.

14. Wet hair By pouring slowly the

hair becomes wet and
is scooting to the
patient
15. Shampoo hair. Massage the scalp Massaging stimulates
the blood circulation in
the scalp.
16. Rinse thoroughly Ensures the area of the
head is clean
thoroughly
17. Remove Kelly pad and place the towel around the patient’s hair Drying removes excess
18. Dry hair, ear, and neck water
19. Assist the patient to comb and arrange hair Combing helps hair dry
faster.
20. Return all used equipment Discarding the water
and equipment will
prevent accidentals
and spilling
21. Replace top linen and remove bath blanket. Prevents chilling of
patient
22. Allow patient to rest Restores comfort and
promotes sense of
well-being
23. Document the procedure performed

Clinical Instructor: ARIEL KING D. MAGHANOY Signature of CI:______________________