Provide Partial Bed Bath and Backrub CNA Skill Prometric

Summary

This transcript details a CNA performing a partial bed bath for a patient, Miss Jones. It covers all steps in the procedure, starting with gathering supplies and ensuring privacy, followed by washing and rinsing various body areas in a careful and respectful manner. The CNA also provides a back rub for circulation and ensures the patient is comfortable and properly dressed. After the bath, the CNA cleans and stores the equipment, ensuring the room remains tidy and the patient is comfortable. Throughout, attention is paid to maintaining patient dignity, cleanliness, and privacy.

Takeaways

• 😀 Ensure proper hand hygiene by washing hands before and after performing the procedure.
• 😀 A clean and organized workspace is important, including a barrier for the table to place supplies.
• 😀 Always ask the patient for consent and ensure their comfort, such as checking water temperature for a partial bed bath.
• 😀 Maintain patient privacy by using a privacy blanket and spreading it without shaking or snapping.
• 😀 When undressing the patient, support them for safety and avoid exposing them unnecessarily.
• 😀 Use the 'four corners' technique when washing the patient's face, ensuring no soap is applied to the face.
• 😀 Clean each area methodically, including behind the ears, neck, upper torso, and arms, while maintaining patient privacy and comfort.
• 😀 Use gentle strokes when drying the face and body, avoiding vigorous motion to prevent discomfort.
• 😀 Properly dress the patient with a clean gown, assisting them when needed while ensuring they remain covered.
• 😀 Perform a back rub for the patient as per the care plan, using lotion and gentle circular motions for circulation.
• 😀 Dispose of used materials properly by placing them in dirty linen and cleaning equipment thoroughly after use.

Q & A

What is the primary purpose of the partial bed bath described in the script?

The primary purpose is to assist the patient with personal hygiene while maintaining privacy and comfort, ensuring areas like the face, neck, upper torso, and back are cleaned properly.

Why is a privacy blanket used during the procedure?

The privacy blanket helps to keep the patient warm and protects their privacy during the bath, ensuring that only the areas being cleaned are exposed.

How is the face washed during the partial bed bath?

The face is washed using a washcloth with no soap, starting from the inner to outer corner of each eye, followed by the rest of the face using gentle strokes.

What steps are taken to ensure the patient's privacy and comfort during the procedure?

The privacy blanket is used, and the patient's gown is only partially removed, with areas not being washed covered to maintain warmth and privacy. The patient is also asked to sit up and turn as needed to facilitate the procedure.

What should be done after using the washcloths for washing the patient?

After washing, the washcloths are set aside. The areas washed are then rinsed with a clean washcloth, and all cleaned areas are patted dry with a towel to avoid irritation.

Why is lotion applied during the procedure?

Lotion is applied to the patient's back as part of a brief back rub to promote circulation and relaxation, which is also part of the care plan.

What actions are taken to clean up after the bed bath is completed?

After the bath, all soiled linens and used supplies are placed in dirty linen, the basin is cleaned and dried, and the privacy blanket is discarded in dirty linen. Gloves are removed, and the caregiver washes their hands.

How is the gown changed during the partial bed bath?

The gown is removed from one side of the patient, and a clean gown is placed on the patient. The patient is assisted with arm placement through the gown, and the soiled gown is placed in dirty linen.

What precaution is taken when handling the patient's gown and linens?

The caregiver avoids touching the sheet with soiled gloves to prevent contamination, ensuring that all linens are handled correctly and placed in dirty linen bins.

How does the caregiver ensure the patient's back is properly cleaned and massaged?

The patient is turned onto their left side to allow access to their back. The back is washed with soap, rinsed, dried, and a brief back rub is given using warm lotion to improve circulation.