HHC Health & Home Care Clinical Policy And

HHC HEALTH & HOME CARE Section: 10-15
Postpartum/Maternal/Newborn: Cradle Cap Care __RN
PURPOSE:
To loosen and remove crust formation on scalp.
CONSIDERATIONS:
1. Cradle cap may be prevented with adequate scalp
hygiene. Instruct caregiver in daily hair
shampooing, and use of soft brush to scalp.
2. Caregiver may require reassurance and instruction
to alleviate fears of "damaging the soft spots" or
fontanels.
3. The use of oil on the hair is not necessary. It may
cause scales to build up on the scalp, particularly
over the rear soft spot, or fontanelle.
4. If caregiver decides to use oil, instruct them to use
only a little, rub it into the scales, and then shampoo
and brush it out.
EQUIPMENT:
Mild soap or commercial shampoo
Towel
Fine-tooth comb or soft toothbrush
PROCEDURE:
1. Adhere to Universal Precautions.
2. Apply shampoo to the scalp and allow to penetrate
and soften crusts.
3. Rinse scalp thoroughly with warm water.
4. Use soft brush or fine-tooth comb to remove
loosened crusts from strands of hair.
5. Dry hair thoroughly.
AFTER CARE:
1. Document in patient's record:
a. Condition of scalp.
b. Treatment provided.
c. Patient's response to treatment.
d. Instructions given to caregiver and response to
instructions.
238