Sponge bath to reduce fever, Nursing Competence

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No.

Steps

Student score

Allotted score

Remarks

1

Prepare the equipments & instruments

*Basin of tepid water ( 29 to 32c )

* Three washcloths towel

*Two bath blankets

* Waterproof sheet

1

   

2

Explain the procedure to the patient and family y. assemble the

equipment at the bedside.

1

   

3

Wash hands

1

   

4

Screen the child

1

   

5

Take & record temperature , pulse and respiration

1

   

6

Cover the patient with a bath blanket or sheet .Fanfold bed clothes to the foot of the bed .Place a water proof sheet and bath blanket beneath the patient

1

   

7

Remove the patient’s gown

1

   

8

Wash the patient’s face and neck with tepid water

1

   

9

Lift the corner of the bath blanket and bathe the child’s body, part by part. Use long strokes. Expose one area of the body at a

time

1

   

10

Place moist , folded cloths over blood vessels that lie close to the skin ( Underarms and groin )

1

   

11

Turn the patient and repeat the procedure , beginning with neck , then going to the shoulders , the back, and so forth

1

   

12

Check color & pulse.

*to be sure that the child is tolerating the procedure without adverse effects

* If the child begins to shiver, the water temperature should be raised. If shivering continues , stop the bath

1

   

13

Remove the waterproof sheet and blanket. Replace the hospital gown. AN infant may be placed on a large towel , covered by receiving blanket

1

   

14

Arrange pillow and bedding for the patient’s comfort

1

   

15

Record temperature, pulse and respiration

*Take the patient’s temperature within 30 minutes of the time procedures ended and record.

1

   

16

Document procedure

Chart : Time procedure began , length of the time administered , untoward reaction , patient’s temperature before and after procedure

1

   

17

Replace equipments

1

   

18

Wash hands

1

   

19

conclusion

1

   

20

Mastering the procedure

1

   

21

self confidence

1

   
 

Total Score

21

   

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