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BED MAKING (UNOCCUPIED)
HOSPITAL BEDS
The frame of the hospital bed is divided into three sections. This permits the head and the foot to be elevated separately. Most of the hospital beds have electric motors to operate the movable joints.
Hospital Beds are usually 66 cm (26 in.) high and 0.9 cm (3ft) wide, narrower than the usual bed so that the nurse can reach the client from either side of the bed without undue stretching.
The length is usually 1.9 m (6.5 ft). Some beds can be extended in length to accommodate very tall clients.
MATTRESS
Mattress are usually covered with a water repellent material that resists soiling and can be cleaned easily. Most mattresses have handles on the sides called lungs by which the mattress can be moved.
SIDE RAILS
Side rails or safety sides are used on both hospital beds and stretchers. They are of various shapes and sizes and are usually made of metal. A bed can have two full length side rails or four half- or-quarter length side rails. When side rails are being used, it is important that the nurse never leave the bedside while the rail is lowered. Some side rails have two positions: up and down. others have three: high, intermediate, and low.
INTRAVENOUS RODS
Intravenous rods (poles, stands, standards) , usually made of metal, support IV infusion containers while fluid is being administered to a client.
Wash hands thoroughly after handling a client's bed linen. Linens and equipment that have been soiled with secretions and excretions harbor microorganisms that can be transmitted to others. Hold soiled linen away from uniform Linen for one client is never placed on another client's bed Place soiled linen directly on a portable linen hamper or tucked into pillow case. Do not shake soiled linen in the air because shaking can disseminate secretions and excretions and the microorganisms they contain. When stripping and making bed, conserve time and energy by stripping and making up one side as much as possible before working to the other side. To avoid unnecessary trips to the linen supply area, gather all linen before starting to a strip a bed.
MAKING BEDS
Nurses need to be able to prepare hospital beds in different ways for specific purposes. In most instances, beds are made after the client receives certain care and when beds are unoccupied. At times, however, nurses need to make an occupied bed or prepare a bed for a client who is having a surgery (an anesthetic, postoperative, or surgical bed). Regardless of what type of bed equipment is available, whether the bed is occupied or unoccupied, or the purpose for which the bed is being prepared , certain practice guidelines pertain to all bed making.
UNOCCUPIED BED
An unoccupied bed can be either closed or open. Generally the top covers of an open bed are folded back(thus the term open bed) to make it easier for the client to get in. Open and closed bed are made the same way except that the top sheet , blanket, and bedspread of a closed bed are drawn up to the top of bed and under the pillows.
PURPOSE
To be ready for the next occupant Prepare the bed for the client's return To provide a clean environment To promote client comfort To promote cleanliness
Gloves Gloves create a barrier between germs and your hands. Wearing gloves in the hospital helps prevent the spread of germs.
Waterproof pad (Rubber Sheet)
Used to protect bottom sheet from soiling due to patient secretions and prevent the patients from getting bedsore.
ASSESSMENT
- Check the bed linens for any items belonging to the client
PLANNING
- Wash hands. Rationale: To avoid cross contamination/spread of microorganisms.
- Place a chair at the side of the bed. Rationale: This prevents contamination via soiled linen.
IMPLEMENTATION
STRIPPING
- Detach the call bell or any drainage tubes from the bed linen.
- Loosen beddings all around the bed starting at the non working area to the working area Rationale: Moving around the bed systematically prevents stretching and possible muscle strain.
- Remove pillow case and place it at the back rest of the chair, in case there is no hamper available.
- Remove soiled linens one at a time and discard to hamper
- Remove the water proof pad and discard it if soiled.
- Fold and carry linen away from the uniform Rationale: These actions are essential to prevent the transmission of microorganisms to the nurse and others.
- Observe proper body mechanics throughout the procedure.
- Grasp the mattress securely using lugs if present, and moves the mattress up to the head of the bed if it will not be occupied to provide aeration.
- Perform after care of materials.
- Wash hands Folding reusable linens when removing them from bed and rolling soiled linens inside the bottom sheet
MAKING THE BED
- Assemble all the necessary articles for bed making in order of use and place them conveniently near the bed ready for use. Rationale: saves time and makes procedure more organized
- Place the bottom hem of the bottom sheet even with the foot part of the mattress. Foot part of the bottom sheet should have the wide hem.
- Unfold half of the sheet lengthwise fanfold the other half towards the center of the bed. Tuck the sheet under the head part of the mattress and miter the corner. Rationale: The top of the sheet needs to be well tucked under to remain securely in place, especially when the head of the bed is elevated.
- Pull the top sheet and tuck the foot part. Top sheet have equal lengths hanging both sides of the bed. Miter the corners.
- Cover the pillow with pillow case by grasping the close end of the pillow case at the center with one hand. Then gather up the sides of the pillowcase and place them over the hand grasping the pillow. Using the free hand, pull the pillowcase over the pillow. Place it on the bed with the open end away from the entrance door. Rationale: A smoothly fitting pillowcase is more comfortable than a wrinkled one. We place the pillow with the open end away from the door so that it is still pleasing to the eye.
- Perform aftercare of materials
- Wash hands
EVALUATION
- Linens did not come in contact with the floor throughout the procedure
- The bed has a neat and tailored appearance
- Corners were neatly mitered
- Correct body mechanics was observed throughout the procedure.
DOCUMENTATION
- Document linen change on the linen logbook indicating date and time.
