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

Bedmaking To keep beds neat and clean: Change linens whenever they become wet, soiled, or damp. Straighten linens whenever loose or wrinkled and 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-keep your uniform clean! Beds are made every day. Clean, dry, and wrinkle-free linens: Promote comfort Prevent skin breakdown and pressure ulcers Bedmaking Copyright © 2012 by Mosby, an imprint of Elsevier Inc. All rights reserved.

Dangers of Incontinence Skin breakdown from incontinence What are some ways to prevent skin breakdown? Dangers of Incontinence Copyright © 2012 by Mosby, an imprint of Elsevier Inc. All rights reserved.

Closed Bed Closed beds are made: A closed bed is not in use. The bed is ready for a new patient or resident. The bed is made for a resident who is up during the day. Closed Bed Copyright © 2012 by Mosby, an imprint of Elsevier Inc. All rights reserved.

The open bed is when top linens are fan-folded back so the person can get into bed. This is used for: Newly admitted persons arriving by wheelchair Persons who are getting ready for bed Persons who are out of bed for a short time Open Bed Copyright © 2012 by Mosby, an imprint of Elsevier Inc. All rights reserved.

Occupied Bed You make an occupied bed when the person stays in bed. Keep the person in good alignment-start in the lateral position. Follow restrictions or limits in the person’s movement or position. Explain each procedure step to the person before done. Explain each procedure step to the person even if the person cannot respond to you or is in a coma. Review the Focus on Communication: The Occupied Bed Box on p. 313 in the Textbook. Review the Promoting Safety and Comfort: The Occupied Bed Box on p. 313 in the Textbook. Review the Promoting Safety and Comfort: The Surgical Bed Box on p. 317 in the Textbook. Occupied Bed Copyright © 2012 by Mosby, an imprint of Elsevier Inc. All rights reserved.

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 Kept in high position Surgical Bed Copyright © 2012 by Mosby, an imprint of Elsevier Inc. All rights reserved.

Linens When handling linens and making beds, practice medical asepsis. What another term for medical asepsis? Your uniform is considered dirty. Always hold linens away from your body and uniform. Always wear gloves for dirty linen! Never shake linens. Shaking them spreads microbes. Place clean linens on a clean surface. Never put clean or dirty linens on the floor. Linens Copyright © 2012 by Mosby, an imprint of Elsevier Inc. All rights reserved.

1. Collect enough linens and gather in order that you need them. 2. Do not bring unneeded linens to a person’s room. 3. Place the clean linen on a clean surface 4. Raise the HOB to a good working height but lower when care is complete. 5. Remove dirty linen one piece at a time. Roll dirty linen away from you 6. Change wet, damp, or soiled linens right away. Wear gloves and follow Standard Precautions and the Bloodborne Pathogen Standard. Once in the person’s room, extra linen is considered contaminated. Do not use it for another person. Refer to p. 304 in the Textbook for the order in which linens are collected. In hospitals, top and bottom sheets, the cotton drawsheet, and pillowcases are changed daily. The mattress pad, plastic drawsheet, blanket, and bedspread are reused for the same person. They are not reused if soiled, wet, or wrinkled. Review the Focus on Long-Term Care and Home Care: Linens Box on p. 306 in the Textbook. Linen Procedure Steps Copyright © 2012 by Mosby, an imprint of Elsevier Inc. All rights reserved.

Linens (cont’d) Bed padding: Must be tight and wrinkle free! A drawsheet is a small sheet placed over the middle of the bottom sheet and helps keep the mattress and bottom linens clean. A waterproof pad protects the mattress and bottom linens from dampness and soiling. Chux pads- are the waterproof blue pads Many agencies use: Incontinence products Waterproof pads or disposable bed protectors A cotton drawsheet protects the person from contact with plastic and absorbs moisture. Waterproof drawsheets are hard to keep tight and wrinkle-free. Linens (cont’d) Copyright © 2012 by Mosby, an imprint of Elsevier Inc. All rights reserved.

Types of Padding Water proof pad Chux pad Copyright © 2012 by Mosby, an imprint of Elsevier Inc. All rights reserved.

Cotton drawsheets may be used as assistive devices to move and transfer persons in bed. When they are used for this purpose, do not tuck them in at the sides. Sentara prefers for them to be folded in forths Different agencies use different products. The care plan or nurse will tell you which product to use on your patient Plastic-covered mattresses cause some persons to perspire heavily. This causes discomfort. A cotton drawsheet reduces heat retention and absorbs moisture. Review the Focus on Long-Term Care and Home Care: Drawsheets Box on p. 307 in the Textbook. Linens (cont’d) Copyright © 2012 by Mosby, an imprint of Elsevier Inc. All rights reserved.

Name the bed: Review Copyright © 2012 by Mosby, an imprint of Elsevier Inc. All rights reserved.

What type of bed? Copyright © 2012 by Mosby, an imprint of Elsevier Inc. All rights reserved.

What type of bed? Copyright © 2012 by Mosby, an imprint of Elsevier Inc. All rights reserved.

What type of bed? Copyright © 2012 by Mosby, an imprint of Elsevier Inc. All rights reserved.