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7. The Principles and Procedures for an Infant Sponge Bath

c. Sponging procedures

1) Fill basins with warm water (never hot; test with your elbow).

2) Use one basin for soapy water and for rinsing the soapy washcloth.

3) Use one basin for clear water and the soapless washcloth.

4) Only one part of the infant's body is washed at a time, taking care to keep other parts of the body covered to prevent chill.

5) Use only clear, soapless water and washcloth on the baby's face. Eyes are wiped from inside corner outward. Use a different corner of the cloth for each eye.
6) Wash the infant's head using gentle circular motions to prevent cradle cap from forming.
7) Wash the rest of the infant's body one area at a time with mild soap and water; rinse with clear water and cloth from soapless basin. Talking and smiling reassuringly to the baby throughout the bath will make it a pleasant experience.
8) Dry the infant well as each part of body is finished being rinsed.
(a) Special areas to check include: behind ears, under and around the neck, creases around the eyes, underside of the arm at the shoulder, backsides of the knees, ankle creases, in between toes and fingers, creases inside the thighs and under buttocks. Around the genital area, separate the infant girl's labia and pat dry, front to back; for boys, dry the underside of the scrotum.   (b) Improper drying can cause irritation and chafing of skin, which could contribute to skin infections in the infant.   (c) Always keep one hand on the baby throughout the bathing process.
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9) Dress the baby and lay in a safe, warm place on the stomach or side. Always direct the baby's head to the side.
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10) Clean up the equipment and return everything to its proper place.
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lsb 05/30/2002