Chapter 19 Bedmaking Copyright © 2012 by Mosby, an imprint of Elsevier Inc. All rights reserved.

 To keep beds neat and clean:  Change linens whenever they become wet, soiled, or damp.  Straighten linens whenever loose or wrinkled.  Straighten loose or wrinkled linens at bedtime.  Check for and remove food and crumbs after meals.  Check linens for dentures, eyeglasses, hearing aids, sharp objects, and other items.  Follow Standard Precautions and the Bloodborne Pathogen Standard. Slide 2 Copyright © 2012 by Mosby, an imprint of Elsevier Inc. All rights reserved. Bedmaking

Types of Beds  Beds are made in these ways.  A closed bed is not in use. The bed is ready for a new patient or resident. The bed is ready for a new patient or resident. The bed is made for a resident who is up during the day. The bed is made for a resident who is up during the day.  An open bed is in use. Top linens are fanfolded back so the person can get into bed. Top linens are fanfolded back so the person can get into bed.  An occupied bed is made with the person in it.  A surgical bed is made To transfer a person from a stretcher To transfer a person from a stretcher For persons who arrive by ambulance For persons who arrive by ambulance Slide 3 Copyright © 2012 by Mosby, an imprint of Elsevier Inc. All rights reserved.

Linens  When handling linens and making beds, practice medical asepsis.  Your uniform is considered dirty. Always hold linens away from your body and uniform. Always hold linens away from your body and uniform.  Never shake linens. Shaking them spreads microbes. Shaking them spreads microbes.  Place clean linens on a clean surface. Never put clean or dirty linens on the floor. Never put clean or dirty linens on the floor. Slide 4 Copyright © 2012 by Mosby, an imprint of Elsevier Inc. All rights reserved.

Linens (cont’d)  Collect enough linens.  Do not bring unneeded linens to a person’s room.  Collect linens in the order you will use them.  Place the clean linen on a clean surface.  Remove dirty linen one piece at a time.  Roll each piece away from you.  Change wet, damp, or soiled linens right away.  Wear gloves and follow Standard Precautions and the Bloodborne Pathogen Standard. Slide 5 Copyright © 2012 by Mosby, an imprint of Elsevier Inc. All rights reserved.

Linens (cont’d)   Drawsheets   A drawsheet is a small sheet placed over the middle of the bottom sheet.   A cotton drawsheet helps keep the mattress and bottom linens clean.   A waterproof drawsheet protects the mattress and bottom linens from dampness and soiling.   Many agencies use: Incontinence products Waterproof pads or disposable bed protectors Slide 6 Copyright © 2012 by Mosby, an imprint of Elsevier Inc. All rights reserved.

Linens (cont’d)   Cotton drawsheets are often used without waterproof drawsheets.   Cotton drawsheets are often used as assist devices to move and transfer persons in bed. When they are used for this purpose, do not tuck them in at the sides.   Ask the nurse about the type of drawsheets used in your agency. Slide 7 Copyright © 2012 by Mosby, an imprint of Elsevier Inc. All rights reserved.

Making Beds   Safety and medical asepsis are important.   Closed beds are made:   For residents and home care patients who are up for most or all of the day   For new patients or residents   After the bed frame and mattress are cleaned and disinfected   The open bed is made for:   Newly admitted persons arriving by wheelchair   Persons who are getting ready for bed   Persons who are out of bed for a short time Slide 8 Copyright © 2012 by Mosby, an imprint of Elsevier Inc. All rights reserved.

Making Beds (cont’d)   You make an occupied bed when the person stays in bed.   Keep the person in good alignment.   Follow restrictions or limits in the person’s movement or position.   Explain each procedure step to the person before done.   The surgical bed (recovery bed, post-operative bed) is made for persons:   Returning to their rooms from surgery   Who arrive at the agency by ambulance   Who go by stretcher to treatment or therapy areas   Using portable tubs Slide 9 Copyright © 2012 by Mosby, an imprint of Elsevier Inc. All rights reserved.