Policy Manual sample

MDT Home Health Care Agency, Inc. 133 TUB BATH AND SHOWERS PURPOSE: Patients are assisted with tub baths/showers as appropriate to promote personal hygiene, stimulate circulation of blood to the skin and observe the skin for potential breakdown. RESPONSIBLE PERSONNEL: RN, LPN, HHA EOUIPMENT: Wash cloth, towel, deodorant, soap, lotion, chair, clothing, gloves SPECIAL CONSIDERATIONS: Prevent drafts and provide a warm area to avoid chilling the patient. Clean the tub or shower, if necessary, and assemble all needed equipment prior to disrobing the patient. For many patients, the loss of privacy in the performance of their personal care is a great loss. Make every effort to provide privacy for the bath in order to promote the patient's independence and control in his own life. Think “safety" in order to reduce risks. A chair may be placed next to the tub or inside the shower in case the patient becomes weak. The patient or family may place non-skid mats or rubber strips on the bottom of the tub or shower. Encourage caregivers to install safety devices such as bars or rails. Test water temperature carefully before allowing patient into tub or shower. All electrical equipment and appliances should be removed from patients reach to prevent electrical accidents. Oil makes the tub slick and increases risk of failing. Do not add oil to the bath water unless it is specifically ordered by the physician. It is safer to apply bath oil or baby oil to wet skin after the patient is out of the tub. PROCEDURE: 1. Explain procedure and provide privacy. 2. Escort patient to bathroom and help, if necessary, to undress. 3. Test water temperature. Apply gloves. 4. Assist patient into tub or shower. Encourage the patient to be as independent as is safely possible. 5. When bathing is finished, drain the tub or turn off the shower. Assist the patient onto the bath mat and if necessary, to dry off and dress. 6. Escort the patient back to room, if necessary. 7. Cleanse bath tub or shower and dry floor well to prevent slipping. Dispose of soiled linens in appropriate site. 8. Dispose of gloves and wash hands. DOCUMENTATION: Document the bath has been given on the Clinical Visit Note. Pertinent observations or unusual occurrences should be reported to the supervisor. If further action is indicated, document follow- up/notification of clinical manager and/or physician.