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Bathing Clinical Evaluation Form
To create your custom Clinical Evaluation Form, start by entering the following information:
 
Your Name:
Click here to print the full list of questions.

Click here to print a sample of a finished form.
Facility Name:
Unit:
Sage Product #:
Comparing To:
Return Form To:
 
 
Next, check the boxes next to the questions you would like to have printed on the form. A maximum of 10 questions can be selected. When finished, click "Next Step."
 
I recognize the importance of routine skin cleansing and moisturizing in maintaining skin integrity, and this new bathing method better facilitates this process.
 
This new bathing method enables me to better meet my unit's skin care protocol.
 
Comfort Personal Cleansing® bath contains a generous amount of cleansing and moisturizing solution.
 
The Comfort Personal Cleansing® bath washcloths cleanse and moisturize the skin effectively.
 
My patient responded favorably to the warmth of the Comfort Personal Cleansing® bath washcloths.
 
The Comfort Personal Cleansing® bath's insulated package retained warmth throughout the bath.
 
The Comfort Personal Cleansing® bath package is convenient and easy-to-use.
 
The Comfort Personal Cleansing® Microwave and/or Warmer was easy-to-use and saved time in bath preparation.
 
I believe this new prepackaged bathing method is an important improvement in the quality of patient care at this facility.
 
My patients prefer the Comfort Personal Cleansing® bath over our current method of delivering bed baths.
 
I recommend the Comfort Personal Cleansing® bath over our current method of delivering bed baths.
 
The Comfort Personal Cleansing® bath's pH-balanced formula is an improvement over our current skin cleanser/soap.
 
I believe the Comfort Personal Cleansing® bath provides a better infection control measure than basins, laundered washcloths and tap water.
 
I believe the Comfort Personal Cleansing® bath's disposable washcloths are more sanitary than traditional basin baths (which reuse the same water throughout the bath).
 
The Comfort Personal Cleansing® bath washcloths are more skin-friendly than my current laundered washcloths.
 
Comfort Personal Cleansing® bath's one-step cleansing and moisturizing washcloths enable me to use my time more efficiently.
 
The Comfort Personal Cleansing® bath saves time.
 
The Comfort Bath package reduces time and waste in gathering needed supplies to provide a bed bath.
 
Compared to a basin bath, the Comfort Personal Cleansing® bath decreased the amount of linens and supplies used.
 
Comfort Personal Cleansing® bath's pH-balanced formula is an improvement over our current prepackaged bath product.
 
I prefer the Comfort Personal Cleansing® bath over our current prepackaged bath product.
 
 
 
 



 
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