1. Gather Supplies: Basin, warm water, soap, shampoo and conditioner if used, lotion, six washcloths, two towels, barrier, gloves, clean clothes or gown, and linen bag or hamper
2. Routine Pre-Procedure Steps:
   • Knock on the client’s door.
   • Perform hand hygiene.
   • Introduce yourself and identify the resident.
   • Maintain respectful, courteous, and professional communication at all times.
   • Provide for privacy.
   • Explain the procedure to the client.
3. Procedure Steps:
   • Fill the basin with warm water and place it on a flat surface with a barrier underneath. Have the resident check the water temperature by placing their hand in the basin or putting a wet washcloth on the back of their hand.
   • Place a towel under one leg, keeping the rest of the body covered with the bath blanket.
   • Wash the leg with soap, only exposing the leg.
   • Wash the feet with soap.
   • Rinse the leg and feet.
   • Pat the leg and feet dry.
   • Repeat on the other leg.
   • Raise the side rail on one side of the bed.
   • Move to the opposite side of the bed and assist the resident to roll on their side using a lift sheet or other supportive device.
   • Wash the back while keeping the rest of the body covered.
   • Rinse the back.
   • Pat the back dry.
   • Dispose of the gown and used linens into the linen bag or laundry hamper.
   • Ask the resident if they would like lotion. If applying lotion, wear gloves.
   • Perform perineal care using clean linens according to Chapters 5.18 & 5.19 “Perineal Care Skills Checklists.”
   • Assist the resident to put on a clean gown or clothes and apply an incontinence product if needed.
   • While wearing gloves, empty the equipment.
   • Rinse the equipment.
   • Dry the basin.
   • Return the equipment to storage.
   • Dispose of soiled linen in the designated laundry hamper.
   • Remove the gloves, turning them inside out.
4. Post-Procedure Steps:
   • Perform hand hygiene.
   • Check for resident comfort and if anything else is needed.
   • Be sure the bed is low and locked. Check the brakes.
   • Place the call light or signaling device within reach of the resident.
   • Open the door and privacy curtain.
   • Perform hand hygiene.
   • Document and report any skin issues or changes noted with the resident.

Note: Shampooing can be done before washing face, after washing back, or after perineal care per resident preference. See “Shampoo Skills Checklist” for specific steps.