5 Easy Steps to Tie a Hospital Gown

Hospital gown tied in a bow

Navigating the complexities of a hospital stay can be daunting, but mastering the seemingly mundane task of tying a hospital gown can bring a sense of control and comfort during a time of vulnerability. Whether you’re a seasoned patient or a first-timer, this comprehensive guide will empower you with the knowledge and technique to secure your gown effectively, promoting both dignity and well-being during your hospital stay.


The first step is to identify the garment’s opening, which typically runs from the neck to the waist in the back. With your arms positioned inside the sleeves, hold the two back panels together, overlapping them slightly. Using a firm yet gentle grip, tie the attached strings into a secure bow at the nape of your neck. Avoid pulling the strings too tightly, as this can cause discomfort. Next, grasp the strings at the bottom of the gown, bringing them together in a similar manner. Tie them into a bow, ensuring it’s positioned at the waistline for optimal coverage.


For added security and modesty, you may opt to tie the inner strings as well. Locate the inner ties, which are usually positioned beneath the outer ones. Bring them together and tie them in a loose bow, just snug enough to keep the gown securely closed. Finally, adjust the gown’s length by untying and retying the strings at the neck and waist as needed. Ensure the gown is long enough to cover your legs comfortably while still allowing for easy movement and access for medical professionals.

Understanding the Purpose of Hospital Gowns

Hospital gowns are loose-fitting garments designed specifically for patients in medical settings. They serve several essential purposes, including:

  1. Patient Comfort and Ease of Access: Hospital gowns are made from lightweight, breathable materials that provide comfort to patients, particularly during extended stays or uncomfortable procedures. They are designed to allow easy access for medical professionals to examine or treat the patient without needing to remove the gown.
  2. Modesty and Privacy: Hospital gowns cover the patient’s body, providing privacy and modesty during medical examinations and procedures. They help maintain the patient’s dignity and ease any concerns about exposure.
  3. Infection Control: Hospital gowns can help prevent the spread of infections within the hospital environment. They are often made from antimicrobial fabrics and can be disposed of after use to minimize the risk of contamination. Additionally, they create a barrier between the patient’s skin and the hospital bed or other surfaces, reducing the likelihood of skin infections.
  4. Identification and Classification: Hospital gowns often have tags or labels that include the patient’s name, medical record number, or other identifying information. This helps medical professionals quickly identify the patient and access their medical history.
  5. Standardization and Efficiency: The use of standardized hospital gowns in healthcare settings promotes efficiency and uniformity. They eliminate the need for patients to bring their own clothing to the hospital, simplifying logistics and reducing the risk of bringing in contaminated items.
Purpose Benefits
Patient Comfort and Ease of Access Lightweight, breathable materials; easy access for medical professionals
Modesty and Privacy Covers the patient’s body; maintains dignity
Infection Control Antimicrobial fabrics; prevents spread of infections
Identification and Classification Tags or labels with patient information; easier identification
Standardization and Efficiency Uniforms hospital appearance; simplifies logistics

Gathering the Necessary Materials

Before you begin tying a hospital gown, it is essential to gather the necessary materials. These include:

  • A hospital gown
  • A pair of scissors
  • A roll of medical tape (optional)

Choosing a Hospital Gown

Hospital gowns are typically provided by the medical facility where you are staying. However, if you prefer to bring your own gown, be sure to choose one that is made of a comfortable, breathable material. You should also select a gown that is the appropriate size for your body. An ill-fitting gown can be uncomfortable and difficult to tie.

Size Chest Measurement (inches)
Small 32-36
Medium 38-42
Large 44-48
Extra Large 50-54

Positioning the Patient Appropriately

Proper positioning of the patient is essential for both patient comfort and safety. Follow these steps to position the patient correctly:

  1. Explain the procedure to the patient and obtain their consent.
  2. Assist the patient into a sitting position with their feet flat on the floor.
  3. Place a towel or blanket over the patient’s shoulders to keep them warm.
  4. If the patient is unable to sit up, position them in a supine position with their head elevated on a pillow.

Assisting a Standing Patient:

Steps Instructions
1. Assist the patient to stand up slowly, while supporting their weight with your arm around their waist.
2. Loop the end of the gown around the patient’s neck and bring it behind their back.
3. Cross the ties in the back and bring them forward to the patient’s chest.
4. Tie the ties together in a square knot.
5. Secure the knot by tucking the excess ties into the gown’s waistband.

Opening the Gown’s Collar and Shoulders

Before tying the hospital gown, it is essential to ensure the collar and shoulders are open for ease of dressing. Here’s a detailed guide to open the gown’s collar and shoulders:

Step 1: Locate the Velcro Closure

Find the Velcro closure located at the back of the gown’s collar. It typically has two strips, one on the left and one on the right.

Step 2: Peel Back the Closure Strips

Gently peel back the Velcro closure strips to detach them from each other.

Step 3: Flatten the Collar

Once the strips are peeled back, carefully flatten the collar by pulling it away from your neck.

Step 4: Expand the Gown’s Shoulders

Locate the shoulder seams on each side of the gown. Gently pull apart the seams to expand the gown’s shoulders, making it easier to slip into.

Additional Tips for Expanding the Gown’s Shoulders:

Tip Description
Hold the Gown by the Neckline Hold the gown at the neckline and shake it gently. This helps expand the shoulders without stretching the material.
Use Your Hands Slide your hands inside the gown and spread them apart to widen the shoulders.
Pull from the Collar Hold the gown’s collar and pull it towards you, slightly stretching the material to expand the shoulders.

Sliding It over the Patient’s Head

1. **Position the patient.** Have the patient sit or lie down in a comfortable position with their head supported.
2. **Open the gown.** Open the gown fully and hold it by the shoulders.
3. **Slide the gown over the head.** Carefully slide the gown over the patient’s head, starting from the back and moving towards the front.
4. **Adjust the neckline.** Once the gown is over the head, adjust the neckline to ensure it sits comfortably around the patient’s neck.
5. **Secure the ties.** There are typically four ties on a hospital gown, two on each side. Tie the ties in a double knot or a bow to securely hold the gown in place:

Tie 1 Tie the ties together in a double knot or a bow.
Tie 2 Cross the ties over each other and tie in a double knot or a bow.
Tie 3 Fold one tie over the other and tie in a double knot or a bow.
Tie 4 Tuck one tie underneath the other and tie in a double knot or a bow.

Adjusting the Sleeves and Armholes

Step 6: Tightening the Sleeves

1. Hold the ties at the end of the sleeves in each hand.
2. Gently pull on the ties to tighten the sleeves around your arms.
3. Avoid pulling too tightly, as this can cause discomfort or restrict movement.
4. Determine the desired tightness based on your personal preference and the situation.
5. For added security, make a small overhand knot at the end of the ties to keep them secure.
6. Check that the sleeves are not too loose, which could allow for exposure or accidents. However, they should also not be too tight, as this can hinder movement and potentially damage the gown or cause discomfort. A snug fit that allows for unrestricted movement is ideal.

Closing the Side Ties

1. Bring the left and right side ties toward each other, crossing the left tie over the right.

2. Pull the left tie through the loop created by the right tie.

3. Tighten the knot by pulling on both ends of the tie.

4. Repeat the same process on the other side.

Fasteners

5. Locate the fasteners at the back of the gown.

6. Align the edges of the gown and insert the upper row of fasteners into the corresponding slots.

7. Proceed to insert the remaining rows of fasteners, starting from the top and working your way down. Ensure each row is firmly secured before moving to the next.

**Additional Tips for Fastening:**

Tip Description
Securely lock fasteners Check that all fasteners are fully inserted and locked to prevent the gown from opening unintentionally.
Avoid over-tightening Fasten the gown snugly but avoid over-tightening, as this can cause discomfort.
Adjust for comfort If necessary, loosen or tighten the fasteners to find a comfortable fit that allows for movement and coverage.

Positioning the Patient’s Legs

Once the patient’s arms are positioned, it’s time to secure their legs. This is especially important for patients who are at risk of falling or who have difficulty moving their legs independently.

To position the patient’s legs, follow these steps:

  1. Ask the patient to lie on their back with their legs extended straight.
  2. Place a pillow under the patient’s knees to support their legs.
  3. If the patient is able to move their legs, ask them to help you by lifting their legs and placing them on the pillow.
  4. If the patient is unable to move their legs, gently lift their legs and place them on the pillow.
  5. Make sure that the patient’s legs are comfortable and that they are not pressing on any nerves.
  6. Tie the gown strings around the patient’s waist, making sure that the gown is not too tight or too loose.
  7. Tuck the extra material of the gown between the patient’s legs and the pillow.
  8. If the patient is at risk of falling, you may need to use additional straps or restraints to secure their legs.

Step Instructions
1 Ask the patient to lie on their back with their legs extended straight.
2 Place a pillow under the patient’s knees to support their legs.
3 If the patient is able to move their legs, ask them to help you by lifting their legs and placing them on the pillow.
4 If the patient is unable to move their legs, gently lift their legs and place them on the pillow.
5 Make sure that the patient’s legs are comfortable and that they are not pressing on any nerves.
6 Tie the gown strings around the patient’s waist, making sure that the gown is not too tight or too loose.
7 Tuck the extra material of the gown between the patient’s legs and the pillow.
8 If the patient is at risk of falling, you may need to use additional straps or restraints to secure their legs.

Tying the Bottom Ties of the Gown

1. Stand up and step into the gown, making sure the ties are hanging down in front of you.
2. Cross the ties over each other, making sure the left tie is on top of the right tie.
3. Bring the left tie under the right tie and up through the loop that forms.
4. Pull the left tie through until the knot is snug.
5. Repeat steps 2-4 with the right tie.
6. Pull both ties tight until the gown is secure.
7. Tuck the ties under the gown to keep them out of the way.

Tying the Back Ties of the Gown

1. Stand up and turn around so that your back is to the person tying the ties.
2. Cross the ties over each other, making sure the left tie is on top of the right tie.
3. Bring the left tie under the right tie and up through the loop that forms.
4. Pull the left tie through until the knot is snug.
5. Repeat steps 2-4 with the right tie.
6. Pull both ties tight until the gown is secure.
7. Tuck the ties under the gown to keep them out of the way.

Tying the Bottom Ties of the Gown

1. Stand up and step into the gown, making sure the ties are hanging down in front of you.
2. Take the right tie and cross it over the left tie.
3. Bring the right tie under the left tie and up through the loop that forms.
4. Pull the right tie through the loop until it is snug.
5. Repeat steps 2-4 with the left tie.
6. Pull both ties tight until the gown is secure.
7. Tuck the ties under the gown at the waist to keep them out of the way.

Tying the Top Ties of the Gown

1. Stand up and turn around so that your back is to the person tying the ties.
2. Cross the ties over each other, making sure the left tie is on top of the right tie.
3. Bring the left tie under the right tie and up through the loop that forms.
4. Pull the left tie through until the knot is snug.
5. Repeat steps 2-4 with the right tie.
6. Pull both ties tight until the gown is secure.
7. Tie the ties in a bow or knot at the back of your neck.

Opening the Gown

1. Untie the ties at the back of the gown.
2. Untie the ties at the waist.
3. Step out of the gown and let it fall to the ground.

Ensuring the Patient’s Comfort

To guarantee the patient’s physical and emotional well-being, follow these additional steps while tying the hospital gown:

10. Minimize Exposure

Drape the gown over the patient’s shoulders and ensure that the front panels overlap adequately to prevent accidental exposure. Avoid exposing sensitive areas of the body, especially during transport or when conducting examinations.

11. Allow Accessibility

Adjust the gown’s ties to provide easy access to vital areas for medical procedures. Ensure that access ports for IV lines, wound care, or monitoring devices remain accessible without compromising the patient’s modesty.

12. Provide a Secure Fit

Avoid tying the gown too tightly, as this may cause discomfort or restrict movement. Instead, ensure a secure fit that prevents the gown from falling open or revealing private areas.

13. Respect Patient Preferences

Involve the patient in the gowning process as much as possible. Ask for their preference regarding the gown’s positioning and ensure that they are comfortable with the level of coverage provided.

14. Keep Warmth

If the patient feels cold, provide additional warmth by draping a blanket or placing a heating pad under the gown. Ensure that the patient’s head and feet are covered to maintain body temperature.

15. Offer Assistance

Be patient and assist the patient in tying or adjusting the gown if they have difficulty doing so themselves. Respect their privacy and offer a helping hand without making them feel uncomfortable.

How to Tie a Hospital Gown

When you’re in the hospital, you’ll likely be given a hospital gown to wear. These gowns are designed to be comfortable and easy to put on and take off, but they can also be a bit tricky to tie. Here’s a step-by-step guide on how to tie a hospital gown:

1. **Hold the gown in front of you with the opening at the back.**
2. **Cross the right side of the gown over the left side.**
3. **Bring the right side up and over the left shoulder.**
4. **Bring the left side up and over the right shoulder.**
5. **Cross the left side over the right side.**
6. **Bring the right side up and over the left shoulder.**
7. **Tie the two ends of the gown together in a knot.**

Here is a video that shows how to tie a hospital gown:

[Video of how to tie a hospital gown]

People Also Ask About How to Tie a Hospital Gown

How can I make a hospital gown more comfortable?

There are a few things you can do to make a hospital gown more comfortable:

  • Wear a robe or jacket over the gown. This will help to keep you warm and covered.
  • Wear socks or slippers. This will help to keep your feet warm.
  • Bring a pillow from home. This will help to support your head and neck.
  • Ask for a blanket or extra sheet. This will help to keep you warm.

Can I wear my own clothes under a hospital gown?

In most cases, you are allowed to wear your own clothes under a hospital gown. However, there are some exceptions to this rule. For example, if you are having surgery, you will likely be required to wear a hospital gown during the procedure. You may also be required to wear a hospital gown if you are in a critical care unit.

How do I get out of a hospital gown?

To get out of a hospital gown, simply untie the knot at the back of the gown. Then, step out of the gown and pull it off over your head.

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