LPN students have to give bed baths to classmates?!

Nursing Students LPN/LVN Students

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In class today, our instructor informed us that we would be required to give one another bed baths as part of the course. The majority of the class are females, and we also have a few men. We were told the men would work with the men, the women with the women.

Basically, we'd be required to bring a bathing suit to class, change and be (I hate to use the term this way) forced to recieve a bed bath. For many of us, this doesn't exactly sit well. I understand the experience is to give us a sense of empathy and compassion for patients, but for me personally, this is going a bit over the line and even though this is coming around in a few weeks, I'm already feeling extremely violated

We were also informed that if we refused, we would be kicked out of the program. Also, many of us don't even own bathing suits - as we were discussing it on break, about 70% of us don't even own one; we brought this up to our instructor and were told that if we didn't own one, we'd have to do it in our bras and underwear. Personally, this is really overwhelming for me.

Now, mind you, I do not have anything against giving a bath or bed bath to an individual - I worked in a NYS ARC for a period of time and that was part of my job as a direct support professional.

My issues with this are extremely personal - its not about stretch marks from pregnancy or weight gain like many of the other women had mentioned; I have some severe scarring from being a victim of abuse years ago. Its not something I wish to flaunt or have to explain to people. Even going to the doctor's office, I have a very difficult time undressing and more often than not, I keep my clothing on.

I read a previous post from 2008 on the subject - how many LPN students had to go through the same procedures, but there were also alternatives - dry baths, with students fully clothed, etc (I could deal with that).

I don't want to lose this oppertunity because of this (once again, refusal = dismissal from the program).

What would you do??

Specializes in Med-Swing/Rehab.

The reason behind it is not only the skill ... it is to show you that your patients have feelings to. Have some humility. Patients have to get over it too.

Specializes in Neuro ICU.

I'm surprised at how many people are so offended by the idea. We just finished doing physical assessment and had to do our head-to-toe exams on each other in a sports bra and shorts (and will be doing bed baths in the same, or a swimsuit, in a week or two); I understand people thinking that bed baths are basic and easy to do for the first time on the floor, but do y'all not learn assessment on each other? Do you learn physical assessment without ever actually inspecting/palpating/auscultating a real tummy or exposed back? How?

I guess I'm just surprised that so many people think it's strange to be generally expected (with the understanding that some people may have exceptional circumstances, like the OP) to use each other to learn on for these basic, noninvasive procedures.

Specializes in Peds/outpatient FP,derm,allergy/private duty.

Here we go again. You do not need to give a bed bath to a classmate to "have empathy". If it's that important call it empathy class, not a skills class as it is advertised. It really angers me when people presume to tell other people what is and is not "a big deal".

As someone else mentioned above, there are many reasons someone may not want to do that, and may be related to personal history that is no one's business and they shouldn't have to explain that as a matter of some unprofessional "get over it" therapy at the hands of nursing students and their not a psychologist or counselor instructor.

This is the first I've heard of someone being actually threatened to be kicked out of school over it, though. That is just awful. Most of them give an "opt out" option which I still find insensitive as it causes the person to feel singled out for no good reason.

Specializes in Med-Swing/Rehab.

No, I believe that is what it is for. Ask a nursing instructor and they will tell you.

It is between just you and the student in an inclosed room.

Or are they going to have all of the students (men and woman) in one room with 30 tubs?

If I am going to be in a small closed room with another female than I don't think I'd mind this tooooo much. But if I am going to be complete exposed than there is no freaking way in hell! :mad:

AND..I would only do it ONCE and only ONCE!!!!:madface:

Specializes in Peds/outpatient FP,derm,allergy/private duty.
No, I believe that is what it is for. Ask a nursing instructor and they will tell you.

I don't need to ask a nursing instructor. There have been numerous threads here on this topic, and we've had input from instructors, students, nurses - and pre-nursing students. "That's how it's always been done" or "I had to do that so you do to" are not valid reasons to do that when the topic is using peer pressure to get someone to expose their body to classmates they see every day. "It's only shorts." "It's only a tank top." To you, no problem. To others, big problem.

speaking as a guy who has lived in asia for many years and has been thru an asian spa routine many times, i would have to say that this entire discussion is a waste of time. if we are not comfortable with our own bodies being exposed, how can we be comfortable with viewing other's bodies?

an asian spa routine for men typically involves an open shower, a nude grecian style group wet and steam sauna, another shower, a nude exfoliation by washcloth (by another man dressed in a speedo type bathing suit), and a nude massage (theraputic non-sexual) by either a man or woman.

nudity doesn not have to involve sexuality. physical contact when nude does not have to involve sexuality. those who do not understand this have no business being in an occupation that involves exposure of anyone's body.

so many things are learned on an individual level before they can be understood in the second or third person. even love is this way, so empathy and compassion must be.

grow up. learn to love yourself and be comfortable with yourself. leave the shame behind. it's liberating.

to the poster with evidence of past abuse issues: you are not alone. you are not special. every one of us has scars. some of us have scars resultant from deliberate physical abuse or violence acted upon us by intimates. dealing with the past and the scars it has left us is something you just have to do, or you will never heal. accept yourself for who you are, scars and history and baggage of all kinds, and we will accept you, too.

No one should be required to subject themselves to a bed bath, period. If the instructor feels it is not a big deal then she can strip down and be the subject for the class! Even patients have the RIGHT to refuse a bed bath! I am disappointed by the folks who think the OP should just get over it, it goes against my beliefs as a Nurse that we are autonomous beings to be treated with respect and dignity.

Specializes in oncology, med-surg.
No one should be required to subject themselves to a bed bath, period. If the instructor feels it is not a big deal then she can strip down and be the subject for the class! Even patients have the RIGHT to refuse a bed bath! I am disappointed by the folks who think the OP should just get over it, it goes against my beliefs as a Nurse that we are autonomous beings to be treated with respect and dignity.

I completely agree. Receiving a beth bath is a situation of last resort for a patient. They are usually at their weakest time of their life when they are ill and require the assistance of someone to help them in such a simple situation that regular, healthy people take advantage of every day. If they had the strength or ability they would do it themselves. In a classroom setting I feel it is inappropriate. As stated before, these are your future colleagues who do not need to see your stretch marks, extra pounds and the legs you forgot to shave. That's what dummies are for people!! :)

Specializes in Complex pedi to LTC/SA & now a manager.

In my class the only thing that is removed is our shoes. We'll be doing modified bed baths on our (clothed) classmates. The reason is that humans respond differently than mannequins, even the weight of a human arm is different that a mannequin.

For the human(student part), objectives include explaining the procedure, identifying points of possible concern (a conscious bedridden patient who may have scars that are personal or embarrassing, for example), proper draping to maximize modesty/privacy, how to properly use the washcloth as bath mitt. We are "washing" arms.

For more personal care the mannequins will be used, such as care & washing of the chest, back, etc.

With 48 students in the class, the instructors feel it would not be constructive to waste time changing clothes, etc. The basics can be covered clothed.

As someone who was a decompensated, bed bound patient years ago receiving a bed bath from a nurse because there is no option, is VERY different than receiving personal care from a classmate.

In fact the one instructor joked that when she was in nursing school they had near-full baths of other students, complete with soap and water as part of the curriculum but found it is neither practical nor predictive of student nurse & patient interaction.

OP--you have a specific concern that you don't want to disclose or explain to your classmates. Being comfortable with our past and our scars does not mean that we feel obligated to show and broadcast our history to complete strangers. I have an odd scar pattern and was totally self-conscious when a new nurse felt obligated to comment and question where they came from. (I just stared at her and she quickly realized it was not an appropriate query) Perhaps a 1:1 conversation with our instructor focusing on why YOU are not comfortable may be more effective than say a petition or a group of students banding together to refuse a course 'requirement;

Specializes in Peds/outpatient FP,derm,allergy/private duty.
speaking as a guy who has lived in asia for many years and has been thru an asian spa routine many times, i would have to say that this entire discussion is a waste of time. if we are not comfortable with our own bodies being exposed, how can we be comfortable with viewing other's bodies?

an asian spa routine for men typically involves an open shower, a nude grecian style group wet and steam sauna, another shower, a nude exfoliation by washcloth (by another man dressed in a speedo type bathing suit), and a nude massage (theraputic non-sexual) by either a man or woman.

nudity doesn not have to involve sexuality. physical contact when nude does not have to involve sexuality. those who do not understand this have no business being in an occupation that involves exposure of anyone's body.

so many things are learned on an individual level before they can be understood in the second or third person. even love is this way, so empathy and compassion must be.

grow up. learn to love yourself and be comfortable with yourself. leave the shame behind. it's liberating.

to the poster with evidence of past abuse issues: you are not alone. you are not special. every one of us has scars. some of us have scars resultant from deliberate physical abuse or violence acted upon us by intimates. dealing with the past and the scars it has left us is something you just have to do, or you will never heal. accept yourself for who you are, scars and history and baggage of all kinds, and we will accept you, too.

Your personal feelings about nude spas, asian baths and group rub-downs have nothing to do with nursing school and it is highly inappropriate for you to be injecting your opinions on how someone must deal with abuse in their past and making reckless statements such as "you are not special". Those things are the purview of professional counselors and psychologists.

Specializes in Emergency Dept. Trauma. Pediatrics.
Your personal feelings about nude spas, asian baths and group rub-downs have nothing to do with nursing school and it is highly inappropriate for you to be injecting your opinions on how someone must deal with abuse in their past and making reckless statements such as "you are not special". Those things are the purview of professional counselors and psychologists.

Not to mention this isn't a discussion on asian spa rituals and what is to be expected, but note to self, don't go to an asian spa :|

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