Tepid Sponging

Procedure

1. Confirm the temperature is above 38.5°C and that antipyretic has been given as prescribed.
2. Explain the procedure to the patient or caregiver and provide privacy.
3. Close direct draughts but keep the room ventilated; use tepid water at about 30°C, never cold water or alcohol.
4. Wash hands and gather bowl, sponges or flannels, towels and a bath blanket.
5. Record the temperature, pulse and respiration before you start.
6. Expose one area at a time and sponge with long, gentle strokes, leaving the skin slightly moist to allow evaporation.
7. Place damp cloths in the axillae and groins and change them as they warm.
8. Continue for about 20 minutes, observing constantly for shivering, pallor or distress.
9. Stop immediately if the patient shivers — shivering raises the temperature further.
10. Dry the patient, dress in light clothing, and recheck the temperature after 30 minutes.
11. Record the temperatures before and after, the duration and the patient’s response.