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Bathing Infant

  Verify that the term infant is at least 1 hour old.

  1. Assess the infant for temperature stability (axillary temperature between 36.5° C and 37.5° C).
  2. Gather supplies.
  3. Prepare radiant warmer.
  4. Ensure neutral thermal environment prior to bathing the infant.
  5. Ensure bath water is between 38° C and 40° C.
  6. Consider using a thermometer to assess water temperature.
  7. Ensure room temperature is between 26° C and 27° C
  8. Close doors and windows.
  9. Use prewarmed towels for drying.
  10. Position heating unit over open crib or bassinette.
  11. Perform hand hygiene and apply clean gloves.
  12. Verify the patient's identity using two patient identifiers in accordance with institutional policy.
  13. Undress the infant and place skin probe on right upper quadrant (RUQ) of abdomen and cover with a reflective self-adhesive disk. Set the heating unit to maintain skin temperature between 36.5° C and 37° C.
  14. Position a towel or water absorbent blue pad underneath the infant to absorb excess bath water.
  15. Fill the infant basin with warm water and add mild soap as desired.
  16. Wash the infant using a clean sponge or washcloth for each area, drying washed areas thoroughly before proceeding.
  17. Remove all damp linens and pads from around the infant. Ensure surrounding area is completely dry. Apply diaper.
  18. Perform cord care per institutional policy.
  19. Empty, rinse, and dry the basin. Place dirty linens in proper receptacle.
  20. Remove gloves and discard in proper trash receptacle. Perform hand hygiene.
  21. Allow the infant to remain under the radiant warmer until the infant's axillary temperature is between 36.5° C and 37.5° C.
  22. Apply warm hat to the infant's head, remove the skin thermistor probe, dress the infant, and swaddle in warm blankets.
  23. Check axillary temperature within 1 hour after removing the infant from the warmer.
  24. Document the procedure in the patient's record.

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