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PLEASE, could a CNA or in-home caregiver give me the procedure for a bed bath/dressing list for a patient?

I have been a live-in caregiver, but am helping out with a friends mom and she is pretty much bedridden...I would like to know a 1-10 steps of giving a bed bath and dressing this patient...To get her up in the wheel chair...I need to know by tomorrow by 10:00 A.M. HELP!!.....Thanks S. Grainger
P.S. Is it a good idea to put large pillows on either side of her head to keep her from bumping her head on the rails when she is in bed? I think that it is too dangerous and she could sufficate...There are bar covers protectors that can be purchased. What is your opinion of using pillows to cushion the bars by her head when she is in bed??? Again I need an answer to this by in the A.M. Wed. morning around 10 A.M. Thanks ever so much!!

Hi Sue,

I hope that I can help you, I used to be a Resident Care Coordinator for a big Nursing home. And, I dug out my books and came up with what the "State" prefers you do... And, as far as the pillows, I think that it is very dangerous. I would not allow that. Use tightly rolled up blankets (thin ones) taped to the bars, until the proper padding can be purchased. Here is the correct way to give a bed bath....

There are three different kinds of baths that are given in the health care setting:

* Complete bed bath
* Partial bed bath
* Tub bath

Showering will be taught in the next section. A complete bed bath is given completely by the nursing assistant or other healthcare provider. A partial bed bath is one that is shared between the healthcare provider and the client. The client may just need the nursing assistant to gather up the basin, water, cloth and towel or the client may be able to wash their whole body except their back and their feet. If the person needs help washing their back and feet, the nursing assistant will only bathe these areas.

Partial and complete bed baths are given in the bed. Tub baths, with a doctor's order, are taken in a bathtub with or without the help of the nursing assistant. Showers also, with a doctor’s order, are taken with or without the help of a nursing assistant.

The temperature of ALL bath and shower water should be 110 degrees and not hotter. Hot water causes burns. Many hospitals, nursing homes and assisted living homes use regulators on showers and thermometers for bathtubs to make sure that the temperature is correct. If you do not have a thermometer, test the temperature of the water on your wrist before you use it.

Do NOT ever leave a young child, weak or confused person alone in a bathtub or shower. These people need privacy but they also need close monitoring so that they do not slip, fall or even drown.

When you are helping a client with a partial bed bath or helping a person with a tub bath or giving a complete bed bath, you should follow these steps after you have gotten all the supplies together, washed your hands, put on gloves, checked the temperature of the water, introduced yourself to the client, explained what you are about to do, identified the patient and given privacy:

* raise the bed up to a good working height with the side rail up on the side that you are NOT next to,

* remove the person's gown and cover the person with a bath blanket to give them privacy and to keep them warm,

* wash, rinse and dry only one part of the body at a time and then re-cover the person with the bath blanket,

* protect the bed linen by putting a towel under each body part as it is being washed,

* wrap the Wash Cloth so that the ends of the cloth are turned inward and around your hand like a mitt,

* rinse the cloth after each body part,

* change the water when it is no longer clear or it is too cold,

* starting at the top of the body, wash, rinse and dry the one eye from the inside near the nose to the outside using soap if the person wants it,

* rinse the cloth,

* then wash the other eye from the inside near the nose to the outside using soap if the person wants it,

* then rinse the cloth,

* wash the face, behind the ears and the neck,

* then rinse the cloth,

* wash the chest, then the arms and then the hands if you can do both sides of the client as you are standing on one side of the bed. If you have to move to the other side of the bed, take care of one whole side of the patient before moving to the other side of the bed,

* then rinse the cloth,

* wash the abdomen,

* wash the groin using the male or female perineal care steps described below under Perineal Care,

* safely turn the person on their side and wash, rinse and dry their back,

* then rinse the cloth,

* do a backrub with gentle circular strokes from the bottom of the spine up to and around the shoulders using the steps described below under Back Rubs,

* put a clean gown on the person,

* wash, rinse and dry the upper part of the legs down to and including the feet,

* let the feet soak in the water if possible so that foot washing and nail care can be done well,

* place the person in a comfortable position,

* then lower the bed and the side rail,

* clean up all the supplies and equipment.