Student ______________________________________________________ Instructor ____________________________________________________

Date _________________________ Date _________________________

PERFORMANCE CHECKLIST PROCEDURAL GUIDELINE 17-5 SHAMPOOING HAIR USING A DISPOSABLE SHAMPOO PRODUCT

S
STEPS

NP

Comments

1. Explained procedure to the patient. 2. Positioned patient comfortably. 3. Performed hand hygiene. 4. Combed hair to remove tangles. 5. Applied product cap to patient head, tucking all hair into cap. 6. Massaged head thoroughly through cap, per product directions. 7. Discarded cap into the trash. 8. Towel-dried hair as requested. 9. Brushed patients hair to smooth. 10. Performed hand hygiene.

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