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It is the techniques of preparing different types
of bed in making a patients/clients comfortable
or his/her position suitable for a particular
To provide the client with a safe & comfortable
bed to take rest & sleep.
To keep the ward neat and tidy.
To adapt to the needs of the client and to be
ready for any emergency or critical condition of
To economize time, material & effort.
To prevent bedsores.
To observe the client.
For patients comfort.
To prevent cross infection.
For treatment of certain conditions.
Important to limit movement of organisms and
spread of infection while in bed
Roll the dirty or soiled linen while removing it
Hold dirty linen away from your body
Place dirty linen in hamper/cart/bag
Never place linen on the floor
Wash your hands after handling dirty linen
Never bring extra linen into a patients room
Linen is considered contaminated once it is in
a room and cannot be used for another
Avoid shaking clean sheets to place them on
Unfold them gently to inhibit the flow of
Place the open end of pillowcase away from
This looks neater and also helps prevents the
entrance of organisms from the hall
Observe universal precautions if linen is
contaminated by blood or body fluids
Wash hands frequently and wear gloves while
Follow agency policy for proper disposal of
Essential to use correct body mechanics while
Also important to conserve time and energy
Keep linen arranged in order of use
Make bed completely on one side before doing
other side to limit unnecessary movement from
one side of bed to the opposite side
Made following discharge of patient
Purpose is to keep bed clean until new patient
Fanfold top sheets to foot of bed to convert
closed bed to open bed
Fanfold means to fold sheets like accordian
Done to welcome a new patient or for patients
who are ambulatory or out-of-bed
Bed is made while patient is in it
Usually done after the morning bath
Cradle placed on bed under the top sheet
Prevents top sheets from touching parts of the
Used for burns, skin ulcers, lesions, blood clots,
fractures, or surgery
Some cradles have light bulbs to provide heat
for special treatments
Mattresses used for the client should be firm,
thick, and smooth.
It gives support to the clients.
All should have a washable cover.
The size is 190 cm width.
Pillows are usually made out of strong cotton or
Size 60 cm long, 45 cm wide & 10 cm thick.
It should be bigger than the size of the pillow for
the easy insertion lest they destroy the shape of
The average size is 65 cm long & 50 cm wide.
The bed sheets are made of strong cotton
They are used to protect the mattress from
soiling and to cover the client.
They should be sufficiently long & wide to tuck
in well at the head, foot & sides.
Size 108 inches long & 76 inches wide.
Purpose is to hold linen firmly in place on beds,
stretchers, and exam tables
A mitered corner is a special folding technique
that secures the linen under the mattress
They are drawn from side to side & usually
extends from the client’s shoulders to below
Draw mackintosh is a waterproof sheeting, made
up of either rubber or plastic material.
It is used to protect the mattress & the bottom
sheet from soiling.
It is used to cover the mackintosh.
Extends from patient’s shoulders to the knees.
The average size will be 150 cm long & 110 cm wide.
Used to protect the mattress
If soiled, it can be changed without changing the
Disposable bed protectors, also called underpads,
are used in some areas instead of draw sheets
It is used to give a neat appearance to the bed.
It protects the blankets & the bed as a whole
Size 3 m long & 3 m wide.
Use good body mechanics at all
Follow standard precautions
Always wash your hands before
handling clean linen and after
handling dirty linen
Bring enough linen into the
Always keep clean linen covered
Never shake linens.
Do not take linen from one
person’s room to use on another
Hold linens away from your
Never put dirty linens on the
floor or on top of clean linen!!!
Roll dirty linen away from your
body when removing it from the
The bottom linens must be
tightly tucked without wrinkles.
A cotton drawsheet must
completely cover the plastic
Straighten and tighten loose linen
Make one side of the bed
completely before going to the
The large hem goes to the top of
Wash hand before & after the procedure.
Don’t expose the client unnecessarily.
Protect the client from draught.
Don’t cover the client’s face while placing the
Don’t mix clean linen with soiled linen.
Do not let the linen touch your body or uniform
Keep a reasonable distance from the face of the
client to prevent cross infection.
All equipments should be collected before
Bed should be made in such a way that
patient can be put in it without difficulty.
The bed should be free from crumbs and
creases and should give a maximum comfort
to the patient.
Pillows and other bed accessories should be
well arranged to give support where
The patient's face should never be covered by
sheets or blankets.
Extra assistance should be available and, if
necessary, one should be called upon to help
lift the patient.
When pillows are being shaken the nurse
should turn away from the patient.
The open side of a pillow case should be
away from the main door of the ward.
Always have a dirty linen bin at hand in which to
put dirty linen.
Dirty linen should not be carried across the ward
to prevent cross infection.
Allow room for the patient feet for free
movement or turning when placing the top
sheet over the patient.
Any conversation during bed making should not
be on personal matters between the nurses.
Always wash hands before and after bed
Once you have collected the
linen, turn the stack over
onto the other hand
PLACEMENT OF LINEN
DURING AN OCCUPIED
BED LINEN CHANGE
Raise the bed to a comfortable working height
Wash your hands before and after every patient contact
Gather all the equipment needed
Roll the soiled linen away from your body
Place the soiled linen in the linen bag or linen hamper.
Never on the floor!!!!
Return the bed to the lowest horizontal
position when you are finished
To make a closed bed into an open bed,
fanfold the sheets to the foot of the bed
The smooth side of the hem faces the
Explain the procedure to the patient before
Protect the patient’s privacy
Cover the patient with a bath blanket
Make sure the side rail is up on the side you
are not working on
When finished make a toe pleat over the
patient’s toes to prevent the weight of the linen
from pressing down on the toes