Bed Making Presented By : Miss. Sana'a AL-Sulami Teacher Assistant Nursing Department

Outlines: BED MAKING TYPES OF BED-MAKING ASSESSMENT PLANNING Occupied unoccupied ASSESSMENT PLANNING IMPLEMENTATION FOR BED-MAKING PROCEDURES. Evaluation and documentation.  

Objectives: The student will be able to: Demonstrate guidelines to make an unoccupied and occupied bed. Evaluate a peer using skills check.

Types of bed making procedures: 1-Unoccupied bed, used when the client is able to get out of bed, is left open with the top sheets folded down 2-Occupied bed, used when the client is not allowed out of bed.

Assessment 1-Check the activity order, and assess the client's ability to get out of bed. Rationale: This determines whether an unoccupied or occupied bed should be made. 2-Assess the client's self-toileting ability; note the pres­ence of any wounds, drainage tubes. Rationale: This determines if placement of waterproof pads should be on the bed.

PLANNING Expected outcomes focus on the client's safety and comfort. 1-Client has a clean, safe environment throughout hos­pitalization. 2-Client verbalizes a sense of comfort while in bed. 3-Client's skin remains free of irritation throughout hospitalization.

Purpose of Unoccupied Bed Making To be ready for the next occupant Prepare the bed for the client’s return To provide a clean environment To provides a good appearance To minimize source of infection

Supplies and Equipment Gloves Mattress Pad Bottom Sheet Cotton draw sheet A plastic draw sheet Pillow Case Top sheet Blanket Bed spread Linen Hamper or bag Bed side

Unoccupied Bed making PROCEDURE FOR MAKING AN UNOCCUPIED BED: 1. Gather necessary linens in the order to be used. 2. Wash your hands. Put on gloves. 3. Explain what you are going to do. 4. Raise adjustable bed to high position; lower bed rails. 5. Remove the pillowcase and place the pillow on the bed side chair. 6. place soiled linen in the linen hamper .

Cont, 7. Wash and dry plastic covered mattress ,if soiled. 8. Remove gloves, and wash hands 9.Place the folded bottom sheet with its center fold on the center of the bed. spread the sheet over the mattress. 10.Place draw sheet in the center of the bed. 11.Place the top sheet, and cover the top sheet with blanket.

Cont, 12. fold back the cuff at the head of the bed with the sheet and blanket. 13. But clean billow case on the pillow and place it in the center at the top of the bed.

Cont, 15. The closed bed: Pull the covers up to the head of the bed. The open bed: Fanfold the top of the linens to the bottom third of the bed. 16. Return the bed to previous position and wash your hands.

Occupied Bed Making Purpose of Occupied Bed Making: To promote the client’s comfort To provide a clean environment for the client To minimize source of skin irritation

Supplies and Equipment Same the supplies and equipments used during the unoccupied bed making

Occupied bed making Assemble equipment and supplies Explain to the client what you are going to do Wash hands Provide for clients privacy Loosen all the top linen at the foot of the bed and remove the spread and the blanket.

Cont, 6.leave the top sheet over the client. 7.Change the bottom sheet and draw sheet 8.Assist the client to turn on the side facing. Raise the side rail nearest the client. 9.Loosen the foundation of the linen on the side of the bed near the linen supply. 10.Fanfold the bottom sheet and the draw sheet at the center of the bed.

Cont, 11.Place the new bottom sheet and draw sheet on the bed , and vertically fanfold the half to be used on the far side of the bed. 12.Tuck the sheet under the near half of the bed and miter the corner. 13.Assisst the client to roll over toward you onto the clean side and Move the side rail before leaving the side of the bed. 14.Remove the used linen and place it in the portable hamper.

Cont, 15.Unfold the fan folded bottom sheet and the draw sheet from the center of the bed. 16. use both hands to pull the bottom and draw sheet then tuck the excess under the side of the mattress. 17.Reposition the client in the center of the bed. 18.Reposition the pillows at the center of the bed.

19. Spread the top sheet and the blanket over the client. 20 19.Spread the top sheet and the blanket over the client . 20.Complete the top of the bed. And Raise the side rails. 21. Return the bed to previous position and wash your hands.

Evaluation : Documentation EVALUATION Observe client's linens for cleanliness and tightness. Ask if client is comfortable after bed is made. Observe client's skin for signs of irritation. Documentation

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