Bath - Parker Bath and Whirlpool Sanitas, Model ST 60D and 70D Whirlpool Bathing System 

Purpose: 

To safely cleanse, stimulate circulation, soothe, and relax the resident by providing a tub/whirlpool bath. 

Equipment: 

• Resident clothing 

• Shampoo and body lotion 

• Washcloth 

• Towels 

• Tub chair 

• Gloves 

• (Soaps and shampoos must be used as recommended by the manufacturer) 

Procedure: 

1. Preparation: 

• Residents may be provided with a tub bath instead of a shower as directed by the charge nurse or IDT. 

• Frequency of tub bathing will be weekly or more frequently as indicated on the Resident Care Plan (RCP). 

• If the purpose of the tub/whirlpool is for the treatment of a specific condition, a physician order must be obtained. 

• All staff members must be in-serviced and demonstrate competency of the procedure before using the mechanical tub independently. 

• Review the attached operation and procedure manual specific to your tub/whirlpool and follow all safety warnings. 

• Manufacturer operating procedures must be followed to avoid injuries. 

• Check the incoming water temperature and the water temperature in the tub before immersing the resident. 

2. During the Bath: 

• Prepare the tub room with all necessary supplies and equipment. 

• Ambulate or transport the resident to the tub area. 

• Ensure the resident’s privacy throughout the procedure. 

• The usual bathing time should be 6-8 minutes. Bathing a resident for more than 10 minutes requires a physician order. 

• Observe the resident for tolerance and discontinue the bath/whirlpool if they become fatigued or complain of discomfort. 

• Under no circumstances should a resident be left unattended while in the bath tub. 

3. Post-Bath Procedures: 

• After the tub bath, follow the manufacturer’s cleaning and disinfectant procedure. 

• Refer to specific bath/whirlpool guidelines attached for detailed operation and disinfecting procedures. 

4. Documentation and Monitoring: 

• Document the procedure, including the resident’s response, in their medical record. 

• Note any observations related to the resident’s tolerance, skin condition, and overall comfort. 

• Regularly review and update bathing techniques according to the latest clinical best practices and regulatory standards. 

• Provide training to staff on the correct procedures for tub/whirlpool baths to ensure resident safety and comfort. 

• Conduct regular audits to ensure compliance with this policy and address any gaps in practice or documentation. 

Compliance and Documentation: 

• Adhere to CMS guidelines and Requirements of Participation for Long-Term Care Facilities. 

• Ensure that all procedures are documented accurately in the resident’s care plan. 

• Regularly review and update bathing techniques according to the latest clinical best practices and regulatory standards. 

• Provide training to staff on the correct procedures for tub/whirlpool baths to ensure resident safety and comfort. 

• Conduct regular audits to ensure compliance with this policy and address any gaps in practice or documentation. 

References: 

• Centers for Medicare & Medicaid Services (CMS). State Operations Manual (SOM), Appendix PP - Guidance to Surveyors for Long-Term Care Facilities. 

• CMS Requirements of Participation for Nursing Homes.