Today is our topic of discussion Procedure of Cold Sponge.
Procedure of Cold Sponge
Procedure
- Wash hands
- Mix the water with ice cubes
- Soak the wash cloths in the ice cold water for some time
- Place cold sponge cloths in each axila and groin
- Put the face towel under the head sponge the face and dry with face towel
- Sponge the neck, right arm from the shoulder to the finger tips form 3 minutes
- Change sponge cloth when it becomes warm
- Sponge the left arm, chest and abdomen for 3 minutes
- Change the water if it becomes dirty and check the temperature
- Cover the upper half, of the body and expose the lower half of the body
- Sponge the right and left lower limb for 3 minutes
- Then carefully turn the patient for his side and bring patient to edge of hed.
- Sponge the back with long strokes for 3 minutes
- Dry the part with bath towel and apply spirit on the back
- Check the temperature at 20 minutes interval and record it in the TPR chart.

Equipment
- A large basin of water (80-90°F) for tepid sponging
- Jug with cold water
- Basin with ice pieces
- Bath thermometer
- Mackintosh and draw sheet
- Sponge clothes-6
- Bath towel Face towel 1
- Thermometer tray
- Ice cap with cover
- Spirit rub
- Bucket.
After Care
- Remove the sponge clothes from the axilla and groin.
- Discard it in kidney tray
- Dry the body with bath towel
- Remove the Mackintosh and draw sheet
- Replace the gown and remove bath blanket
- Observe for any symptoms of chill or any other abnormality
- If needed give him hot drinks.
- Position the patient comfortably in the bed
- Replace the articles after cleaning
- Wash hands
- Record the procedure in the nurse’s record sheet and vital signs in TPR sheet.
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