What are the steps in tepid sponge bath?

A tepid sponge bath is a procedure used to lower a person's body temperature when they have a fever. Here are the steps involved in performing a tepid sponge bath:

1. Gather Supplies

- Tepid water (around 32°C to 37°C)

- Sponge or washcloths

- Large towel or sheet

- Thermometer

- Basin or sink

- Soap (optional)

- Extra blankets (if needed)

2. Prepare the Room

- Ensure the room is warm and draft-free to prevent shivering.

- Place the person in a comfortable position, either lying in bed or sitting in a chair.

3. Undress the Person

- Remove the person's clothing, leaving only their underwear or a hospital gown.

- Cover them with a towel or sheet to maintain their privacy and warmth.

4. Wet the Sponge or Washcloths

- Soak the sponge or washcloths in the tepid water and wring them out so they are damp but not dripping.

5. Start Sponging

- Begin sponging the person's face and neck, avoiding their eyes and mouth.

- Continue sponging their arms, chest, back, and legs, one area at a time, using gentle strokes.

6. Sponge Groin and Armpits

- Pay special attention to the groin and armpit areas, which are rich in blood vessels and can help dissipate heat.

7. Turn and Re-cover

- After sponging one side of the body, turn the person over and re-cover them to maintain their warmth.

- Continue sponging the other side of their body.

8. Monitor Temperature

- Check the person's temperature regularly throughout the sponge bath.

- If the temperature drops below 37°C (98.6°F), stop the sponge bath and cover the person with a dry towel or sheet.

9. Change Water

- If the water becomes too cool or contaminated with sweat, change the water with fresh tepid water.

10. Re-dress and Cover

- Once the sponge bath is complete, dry the person thoroughly and help them put on clean, dry clothing.

- Cover them with a sheet or blanket to help maintain their body temperature.

11. Monitor for Comfort and Re-evaluate

- Observe the person's condition and comfort level after the sponge bath.

- If their fever persists, consult with a healthcare professional for further treatment options.

12. Wash Supplies

- Wash the sponges or washcloths used in the sponge bath with hot water and soap to prevent the spread of infection.