BED SHAMPOO: PERFORMANCE CHECK LIST

I. Purpose of bed shampoo

1. To cleanse the hair
2. To eliminate the oil glands
3. To stimulate circulation in the scalp
4. To remove excess oil
5. To remove dandruff

II. Preparation for bed shampoo

1. Kelly pad
2. Rubber sheet
3. Pitchers for water (2 Quarts capacity)
4. Shampoo
5. Three bath towels
6. Face towel
7. Washcloth
8. Rubber pillowcase
9. Cotton balls
10. Hair brush or comb
11. Large pail
12. Bath blanket
13. Lemon juice or vinegar
14. Sponge bowl
15. Bath thermometer

III. Procedure/Check list

1. Check the chart for a written order
2. Wash your hands
3. Explain the procedure and offer the bedpan or urinal
4. If able, assist the patient to sitting position. Arrange pillor and line with rubber sheet
5. Line with a (first) towel the rubber sheet
6. Place kelly pad or rolled rubber sheet and line it with the second towel
7. Assist patient to recumbent position with the kelly pad under the patient's shoulders
8. Brush the hair thoroughly
9. Place one cotton ball to each ear.
10. Place the third towel over the chest
11. Place damp wash cloth over eyes
12. Test the temperature of the water
13. Wet the hair and apply shampoo. Rinse well
14. Wet the hair again and apply shampoo. Rinse well
15. Apply the lemon juice. Rinse with water
16. Remove the kelly pad or rolled rubber sheet and place it in the pail
17. Return pillo to its proper postion under the head
18. Remove earplugs and damp wash cloth.
19. Dry and comb the hair
20. Tidy up the place
21. Return articles to their proper places clean and dry