MNA Mosby’s Long Term Care Assistant Chapter 19 Bedmaking

Bedmaking Clean, neat, wrinkle free bed: Increases comfort Prevents skin breakdown and decubitus ulcers In the LTCF linens are completely changed on the resident's shower or bath day.

Types of Beds: Closed bed Open bed Occupied bed Resident is up for the day; top sheet & bedspread covers the bed Resident is ready to get back in bed; top sheet and bedspread folded down Resident is in the bed

Linens Bottom sheet Draw sheet Top sheet Bedspread pillowcase Hold linens away from your body Never shake linens Place clean linens on clean surfaces Never place linens on the floor Collect linens in the order of use

Removing Dirty Linens Roll all linen together away from you. Place in linen hamper

Making Beds Use good body mechanics Practice medical asepsis Practice standard precautions Never shake linens Hold linens away from your body

Making Beds Never place linens on the floor Keep linens wrinkle free Cover plastic drawsheets with cotton drawsheets Make one side before completing on the other side Change wet linens immediately

Bedmaking Elevate bed for proper body mechanics Bottom sheet is tucked in at the top Top sheet is tucked in at the bottom Corners are called: Mitered Open end of pillow case is placed to face away from the door Elevate bed for proper body mechanics Lower bed for patient safety

Quality of Life The bed must be neat, clean, and well made. The person, family, and visitors question the quality of care and the person’s quality of life if the bed is unmade, messy, or dirty. The bed helps provide an orderly and pleasant setting. If the person stays in bed, straighten and tighten sheets and other linen as needed. Some persons bring bedspreads, pillows, blankets, afghans, and quilts from home. Allow personal choice when possible

True or False Review All linens are changed QD in the LTCF On the resident’s bath day

Review Shake linens in the air to remove crumbs and wrinkles True False

Review Wrinkled linens should be changed immediately True False

Review Away from Hold linens _________________ your body.

Review A person is out of the room most of the day. What type of bed should you make? ___________________________. closed

Review Beds are made ______________________. Every day

What goes on the bed first? Review What goes on the bed first? Bottom sheet

For good body mechanics the bed is Review For good body mechanics the bed is _______________________________________ Raised to your working height

Review A plastic draw sheet must never Touch the residents body

Review A clean, neat, wrinkle free bed does all of the following except: A. Help prevent skin breakdown Help prevent pressure ulcers Increase the resident’s comfort Help prevent incontinence

Questions??