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NURSING GUIDELINE FOR WASHING OF HAIR 1. STRUCTURE STANDARD 1.

1 DEFINITION: The action of cleaning a patients hair and scalp in the bed 1.2 STANDARD STATEMENT: The Nurse shall: Ensure patient safety Identify the indications of a hair wash Identify contra-indications of hair wash Prevent medico-legal risks Follow the correct sequence for hair wash Approach patient holistically Communicate verbally and non-verbally Record legally and scientific OBJECTIVES: To promote healthy hair and clean scalp To prevent infections To stimulate circulation of the blood To enhance self-esteem and awareness of patients needs To assess skin integrity To achieve continued nursing care STAFF ALLOCATION: 1.5 All categories of staff according to scope of practice

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PRESCRIPTION: As per nursing prescription As per patients request

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EQUIPMENT: Two wash basins Hair washing trough (if available) Patients shampoo Large plastic bag Two or three towels Comb or brush (patients own) Hair dryer ( if available) Linen saver or plastic sheet Large bucket Clean dry linen Linen trolley Disposable gloves Plastic aprons

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PRIOR TO PROCEDURE:

2. STEP 1.

Identify the patient Assessment of patients condition and pain Check the nursing care plan Request an assistant should the patient be unable to assist Explain the procedure to the patient and obtain verbal consent Ensure privacy, screen bed Empty bladder or urinary bag Position patient supine (if condition allows) Close all doors and windows Gather all equipment necessary Wash hands Don plastic apron

PROCEDURE STANDARD ACTION Prepare all equipment as prescribed Wash hands Fill the basin with warm water - Test water temperature with inner fore arm PREPARATION OF THE BED: Pull the mattress down 05 m from head end of bed (therefore pulling from bottom end of bed) Place a linen saver or plastic sheet on the exposed frame of the bed Move patient up in the bed with head just past the top of mattress Place a towel under the patients shoulders upon a pillow (covered in plastic) and ensure comfort Place protective covering on the floor If using hair-washing trough, place bucket on floor Standard precautions To place patient in correct position for procedure To ensure comfort of the patient To prevent water spillage To prevent medico-legal risks RATIONALE Pre-planning prevents poor performance To prevent burning of the patient

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To prevent the mattress from getting wet

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Don gloves if there is a risk for being exposed to body fluid or hair infestations With a basin under the head: Wet the hair using a jug Communicate with the patient throughout the procedure Support patients neck throughout the procedure

To prevent a fear of the unknown To not over-extend patients neck/reduce strain on muscles Too much shampoo is

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Apply a small amount of shampoo and lather on hair

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Rinse hair with clean warm water until all shampoo has been removed Use conditioner if desired by patient Rinse as before ACTION Dry hair with a towel and keep covered with towel Whilst washing, rinsing and drying hair, observe for any abnormalities Replace the mattress to correct position. Make the patient comfortable Replace any soiled linen Remove and clean the equipment Return equipment to store room Remove linen saver/plastic sheet Dispose of linen saver Place the plastic sheet in dirty linen bag Remove aprons and discard Remove towel from hair and proceed to dry the hair with a hair dryer if patient is able to dry his/her own hair, allow him/her to do so, but remain in the room for assistance Style hair according to patients preference

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difficult to remove To be certain all soap is out of the hair Prevent dryness of scalp Patient preference RATIONALE To prevent decrease in body temperature To ensure early identification of complications Patient safety and comfort

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To maintain equipment

To prevent cross infection To prevent cross infection To prevent injury or risk to the patient

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Respect for patient 16. 17. 18. Open curtains and ensure the environment is tidy Wash hands Record procedure in progress report and report any abnormalities to the registered nurse To prevent cross infection To ensure timeous interventions Effective communication

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OUTCOME: Practical competence in carrying out said procedure Holistic approach to the patient Prevention of risks and injury to patient

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