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Copyright © 2011 by Wolters Kluwer Health | Lippincott Williams & Wilkins. Skill Checklists for Taylor's Clinical Nursing Skills:SKILL 7-1Giving a Bed Bath (Continued)
Comments- Wash, rinse if necessary, and dry the foot. Pay particular
 attention to the areas between toes. Apply appropriate
 emollient.
- Repeat Actions 21 and 22 for the other leg and foot.
- Make sure patient is covered with bath blanket. Change
 water and washcloth at this point or earlier, if necessary.
- Assist patient to prone or side-lying position. Put on
 gloves, if not applied earlier. Position bath blanket and
 towel to expose only the back and buttocks.
- Wash, rinse, if necessary, and dry back and buttocks area.
 Pay particular attention to cleansing between gluteal
 folds, and observe for any redness or skin breakdown in
 the sacral area.
- If not contraindicated, give patient a backrub, as described
 in Chapter 10. Back massage may be given also after per-
 ineal care. Apply appropriate emollient and/or skin barrier
 product.
- Raise the side rail. Refill basin with clean water. Discard
 washcloth and towel. Remove gloves and put on clean
 gloves.
- Clean perineal area or set patient up so that he or she
 can complete perineal self-care. If the patient is unable,
 lower the side rail and complete perineal care, following
 guidelines in the accompanying Skill Variation. Apply skin
 barrier, as indicated. Raise side rail, remove gloves, and
 perform hand hygiene.
- Help patient put on a clean gown and assist with the use of
 other personal toiletries, such as deodorant or cosmetics.
- Protect pillow with towel and groom patient’s hair.
 35.When finished, make sure the patient is comfortable, with
 the side rails up and the bed in the lowest position.
- Change bed linens, as described in Skills 7-8 and 7-9. Dis-
 pose of soiled linens according to agency policy. Remove
 gloves and any other PPE, if used. Perform hand hygiene.
ExcellentSatisfactoryNeeds Practice
