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Bed making

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What are the types and way of making a comfortable bed for patient

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Bed making

  1. 1.  It is the techniques of preparing different types of bed in making a patients/clients comfortable or his/her position suitable for a particular condition.
  2. 2.  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 illness.  To economize time, material & effort.
  3. 3.  To prevent bedsores.  To observe the client.  For patients comfort.  To prevent cross infection.  For treatment of certain conditions.
  4. 4.  Important to limit movement of organisms and spread of infection while in bed  Roll the dirty or soiled linen while removing it from bed  Hold dirty linen away from your body
  5. 5.  Place dirty linen in hamper/cart/bag immediately  Never place linen on the floor  Wash your hands after handling dirty linen  Never bring extra linen into a patients room
  6. 6.  Linen is considered contaminated once it is in a room and cannot be used for another person  Avoid shaking clean sheets to place them on the bed  Unfold them gently to inhibit the flow of microorganisms
  7. 7.  Place the open end of pillowcase away from the door  This looks neater and also helps prevents the entrance of organisms from the hall
  8. 8.  Observe universal precautions if linen is contaminated by blood or body fluids  Wash hands frequently and wear gloves while handling linen  Follow agency policy for proper disposal of linen
  9. 9.  Essential to use correct body mechanics while bed making  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
  10. 10.  Made following discharge of patient  Purpose is to keep bed clean until new patient admitted
  11. 11.  Fanfold top sheets to foot of bed to convert closed bed to open bed  Fanfold means to fold sheets like accordian pleats  Done to welcome a new patient or for patients who are ambulatory or out-of-bed
  12. 12.  Bed is made while patient is in it  Usually done after the morning bath
  13. 13.  Cradle placed on bed under the top sheet  Prevents top sheets from touching parts of the patients body  Used for burns, skin ulcers, lesions, blood clots, fractures, or surgery  Some cradles have light bulbs to provide heat for special treatments
  14. 14.  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.
  15. 15.  Pillows are usually made out of strong cotton or dunlop.  Size 60 cm long, 45 cm wide & 10 cm thick.
  16. 16.  It should be bigger than the size of the pillow for the easy insertion lest they destroy the shape of the pillow.  The average size is 65 cm long & 50 cm wide.
  17. 17.  The bed sheets are made of strong cotton material.  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.
  18. 18.  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
  19. 19.  They are drawn from side to side & usually extends from the client’s shoulders to below knees.  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.
  20. 20.  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 bottom sheet  Disposable bed protectors, also called underpads, are used in some areas instead of draw sheets
  21. 21.  It is used to give a neat appearance to the bed.  It protects the blankets & the bed as a whole from dust.  Size 3 m long & 3 m wide.
  22. 22.  Use good body mechanics at all times  Follow standard precautions  Always wash your hands before handling clean linen and after handling dirty linen  Bring enough linen into the person’s room.  Always keep clean linen covered
  23. 23.  Never shake linens.  Do not take linen from one person’s room to use on another person.  Hold linens away from your uniform  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 bed.
  24. 24.  The bottom linens must be tightly tucked without wrinkles.  A cotton drawsheet must completely cover the plastic drawsheet  Straighten and tighten loose linen whenever necessary  Make one side of the bed completely before going to the other side  The large hem goes to the top of the bed
  25. 25.  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 linen.  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.
  26. 26.  All equipments should be collected before starting.  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 necessary.
  27. 27.  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.
  28. 28.  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 making.
  29. 29. -Mattress pad -Bottom sheet -Drawsheet/mackintosh -Top sheet -Blanket -Bedspread -Pillowcase Once you have collected the linen, turn the stack over onto the other hand
  31. 31.  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!!!!
  32. 32.  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 patient
  33. 33.  Explain the procedure to the patient before beginning  Protect the patient’s privacy  Cover the patient with a bath blanket
  34. 34.  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