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Bed Making Procedures in Nursing

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0% found this document useful (0 votes)
19 views14 pages

Bed Making Procedures in Nursing

Uploaded by

asne zekiwos
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

CHAPTER 5

BED MAKING
By Elias Ezo (BSc)
January/2018
Objectives of the chapter:
At the end of the chapter learner will able to:
 Know important terminology important for bed making
 Determine precautions during bed making
 Demonstrate closed bed making
 Identify folding linen and bed spread
 Demonstrate Open and closed bed making
BED MAKING
 A hospital bed is a piece of equipment most frequently used by the
hospitalized patient.
 In most instances bed making is performed after the client receives
certain care and when beds are unoccupied.
 Hospital beds are designed to easily change the body position of the
user.
 They are connected with electric so the user can adjust their own
comfort by remote.
 Hospital beds are usually 0.66 m high, and 0.9 m wide, the length is
usually 1.9 m and narrower than the usual bed.
 Some beds can be extended in length to accommodate very tall clients.
The ideal hospital bed should be selected for its impact on
patients' comfort, safety, medical condition, and ability to change
positions.

Bed making is a fundamental of nursing work


BED MAKING…
Types of bed making
1. Unoccupied bed can be both open and closed.
Closed bed: is a smooth, comfortable and clean bed, which is prepared
for a new patient
 In closed bed: the top sheet, blanket and bed spread are drawn up to

the top of the bed and under the pillows.


Open bed: is one which is made for an ambulatory patient and made
in the same way, but the top covers of an open bed are folded back to
make it easier of a client to get in.
2. Occupied bed: is a bed prepared for a weak patient who is unable to
get out of bed.
BED MAKING…
 Purpose : to provide a safe, comfortable place for the patient, where
repositioning is more easily achieved and pressure ulcer (bed sore) is
prevented.
3. Anesthetic bed: is a bed prepared for a patient recovering from
anesthesia
 Purpose: to facilitate easy transfer of the patient from stretcher to bed

4. Amputation bed: a regular bed with a bed cradle and sand bags
 Purpose: to leave the amputated part easy for observation

5. Fracture bed: a bed with board under normal bed and cradle
 Purpose: to provide a flat, unyielding surface to support a fracture

part
6. Cardiac bed: is a bed prepared for a patient with heart problem
 Purpose: to ease difficulty in breathing
BED MAKING…
General Instructions
 The clients` privacy, comfort, and safety are all important

 When removing sheets from the bed, lift the mattress while loosening the

bed linen. Never pull sheets with force. .


 Always fold bed linen from top to bottom, then pick up at top and bottom in

centre of sheet and fold. Lay across a chair.


 Turn the mattress from top to bottom or side to side when making an

unoccupied bed.
 Always arrange bed linen in correct order with closed side away from you

before making the bed, and never let it touch the floor.
 Do not let your uniform touch the bed.

 While tucking bedding under the mattress the palm of the hand should face

down in order to protect your nails.


 The open end of the pillow should be placed away from the entrance of the

ward.
 Never throw soiled linen on the floor.
BED MAKING…
 After completing the bed making, see that the locker and chair are in
place and that all the beds are in line.
 Soiled woolen blankets are to be treated separately and not with the
bed linen.
 When making an occupied bed try not to cause discomfort by shaking
the bed or moving the patient more than necessary.
 Linen for one client is never (even momentarily) placed on another
client's bed.
 Do not shake soiled linen in the air because shaking can dis­seminate
secretions and excretions and the microorganisms they contain.
 Place soiled linen directly in a portable linen hamper or tucked into a
pillow case at the end of the bed before it is gathered up for disposal.
BED MAKING…
Order of Bed Covers
 Mattress cover

 Bottom sheet

 Rubber sheet

 Cotton (cloth) draw sheet

 Top sheet

 Blanket

 Bed spread

 Pillow case
BED MAKING…
A. Closed Bed [Link] Bed
 It is a smooth, comfortable, and  Purpose: to provide comfort,

clean bed that is prepared for a cleanliness and facilitate


new patient position of the patients
Essential Equipment: Essential equipment:
 Two large sheets  Two large sheets

 Rubber draw sheet  Draw sheet

 Draw sheet  Pillow case

 Blankets  Pajamas or gown, if necessary

 Pillow cases Procedure….. demo...


 Bed spread

Procedure….. demo...
Bed making: Unoccupied Bed
A B
Bed making: Occupied
Bed
C Bed making: Occupied D
Bed
THANK YOU!!!

Common questions

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The guidelines for handling soiled linen include never throwing it on the floor, not shaking it to avoid spreading microorganisms, and placing it directly into a portable linen hamper or tucking it into a pillow case before disposal. Adhering to these procedures is vital to prevent the dissemination of infectious agents, maintain a clean environment, and safeguard the health of both patients and healthcare workers .

The preparation of an anesthetic bed facilitates the recovery process by ensuring a smooth and easy transfer of patients from stretcher to bed post-surgery. This bed type is crucial as it minimizes discomfort and potential injury during transfer, providing a stable and clean environment conducive to recovery. It supports the patient's needs during a critical post-operative phase by accommodating the effects of anesthesia, such as reduced mobility .

To make an occupied bed, the following procedure and precautions are practiced: use of large sheets and a draw sheet, maintaining patient comfort by minimizing movement, ensuring cleanliness by avoiding shaking soiled linen, placing it directly into a portable linen hamper, and protecting the patient's safety by not causing discomfort through excessive movement of the bed. These practices aim to provide comfort and hygiene while facilitating necessary adjustments without disturbing the patient .

The document discusses several types of bed making: 1) Closed bed, which is prepared for a new patient and entails the top sheet, blanket, and bed spread drawn up; 2) Open bed, accessible for ambulatory patients with top covers folded back; 3) Occupied bed, prepared for patients who cannot leave the bed; 4) Anesthetic bed, for easy transfer of anesthesia patients; 5) Amputation bed, with a cradle and sandbags to observe amputated parts; 6) Fracture bed, equipped with boards and cradles for flat support; and 7) Cardiac bed, prepared for patients with heart problems to ease breathing difficulties .

Not allowing the uniform to touch the bed during bed making is critical for preventing cross-contamination and ensuring hospital hygiene. Uniforms can carry pathogens from one area to another, risking infections among vulnerable patients. This practice minimizes the possibility of transferring bacteria or viruses, crucial in maintaining a sterile and safe environment in healthcare settings .

The order of bed covers, starting with a mattress cover, followed by bottom sheet, rubber sheet, cotton draw sheet, top sheet, blanket, and finishing with a bed spread and pillow case, is recommended to optimize comfort, hygiene, and functionality. Each layer serves a specific purpose, such as protecting the mattress, preventing contamination with the rubber sheet, and providing warmth with the blanket. This structured order ensures easy access, efficient cleaning, and patient comfort, reflecting best practices in patient care .

Linen and bedspread folding methods are important because they maintain the cleanliness and orderliness required in hospital settings. Proper folding help prevent cross-contamination, ensures that linens are easily accessible for use, and supports efficient storage. Folding linens from top to bottom and picking them from the center minimizes the spread of microorganisms, thus promoting a hygienic environment for patients .

The ideal hospital bed should be selected by considering its impact on patients' comfort, safety, medical condition, and ability to change positions. These features are crucial as they ensure that the patient is comfortable, safeguarded against bedsores by facilitating repositioning, and can easily adjust their position, which is particularly important for those with limited mobility .

The arrangement of the pillow impacts a patient's orientation by ensuring comfort and proper support of the head and neck. The recommended practice is to place the open end of the pillow away from the entrance of the ward. This positioning can help create a welcoming appearance, maintain a clean look, and prevent dust or particles from entering the pillowcase, contributing to the patient’s overall comfort and health .

Turning the mattress is necessary to ensure even wear, prevent sagging, and distribute pressure uniformly, which enhances patient comfort and prolongs the mattress's lifespan. It is generally recommended to turn the mattress at regular intervals, commonly every few weeks, depending on usage and patient needs. This practice helps maintain bed quality, supports proper sleeping posture, and reduces the risk of pressure sores .

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