Foot Soak for Resident Sitting Up 

Purpose: 

To stimulate circulation, localize infection, induce suppuration, cleanse an infected area, soften and relax tissues, improve motion in a joint, and relieve pain in the area. 

Policy: 

Foot soaks will be done as ordered by the physician or as indicated on the Resident Care Plan (RCP). 

Equipment: 

• Wash basin with solution as ordered (usually tap water at 105 degrees F) 

• Bath blanket 

• Towel 

• Straight chair 

Procedure: 

1. Preparation: 

• Gather all necessary equipment, including a wash basin, bath blanket, towel, and straight chair. 

• Ensure the solution temperature is at 105 degrees F. 

2. Positioning the Resident: 

• Position the resident sitting either on a chair/wheelchair with their feet on the floor or over the side of the bed with their feet on the chair. 

• Protect the chair or floor with the towel. 

• Place the tub of water on the towel and place the resident’s feet into the tub. 

• Cover the knees, tub, and feet with the blanket to prevent chills. 

3. During the Foot Soak: 

• Ensure the resident is comfortable and the tub is secure from tipping. 

• The usual treatment time is 15 minutes. 

• Monitor the resident and water temperature, changing water if necessary to maintain the correct temperature. 

4. Completion: 

• At the end of the treatment, remove the feet and place them on the towel. 

• Dry the feet thoroughly, especially between the toes. 

• Apply moisturizing cream/lotion to the feet, avoiding the area between the toes. Prescription creams or ointments may be applied by licensed personnel if prescribed. 

• Assist the resident to a comfortable position. 

5. Post-Treatment: 

• Clean and disinfect the equipment and the unit. 

• Document the date and time of the procedure. Additional documentation may include the condition of the feet and the resident’s response to the procedure. 

Compliance and Documentation: 

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

• Document the foot soak procedure, including the resident’s response and any observations, in their medical record. 

• Note any abnormalities or difficulties encountered during the foot soak. 

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

• Provide training to staff on proper foot soak procedures 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.