Bedmaking Book Chapter 23 Module F

Types of Beds p.359 Gatch bed: Electric bed: Can be raised to working height and lowered for ambulatory pt HOB and often knee areas can be adjusted for comfort; often manually adjustments via cranks (like ours) This type of bed is being phased out due to risk of back injury to employees Electric bed: Similar to gatch bed because it can be raised or lowered HOB and knee areas adjustable Uses electric controls for adjustments

Types of Beds p.359 Low bed: Clinitron bed: see picture on p. 360 For pts who are at fall risks and side rails are not appropriate Frame is 4-6 inches from floor Reduces risk of injury if pt falls out of bed; floor mats are often used to reduce risk of injury further Important to you: Use proper body mechanics, especially if bed can not be adjusted in height Squat or kneel on floor mat when providing care – avoid bending at the waist Floor mats can be trip hazards: store them out of the way when pt is not in bed, use appropriate lighting at night when entering room Clinitron bed: see picture on p. 360 Used for pts with PUs and burns Filled with sand-like material and circulated warm, dry air to maintain temperature and even body support

Types of Beds p.360 Low air loss bed: For pts who are at risk for or already have PUs, some burn pts Uses air-filled pillows with adjustable pressure; can be inflated/deflated to adjust to pt Allows slight air escape upon movement which reduces pressure Keeps pt cool and dry Reduces pressure, friction ________________ and shearing ______________________ Pt must still be turned and repositioned to prevent skin breakdown!! Every _____ hrs Often used with special nylon covers and not sheets to reduce friction and shearing

Bedmaking p.362 Linen change- when: Linen change- how: Anytime they are soiled In acute care (hospital setting): daily In long-term facilities (nursing home): 2-3 times a week Linen change- how: Always gather and stack linens in order of use: what you need first on top, what you need last on bottom Bring only what you need; once it’s in the pt room, can’t be taken out and used, needs to go in dirty linen Check bed for any items before removing linens: glasses, dentures, cell phones, hearing aids etc., so they don’t get lost Read: p. 361 Guidelines for handling linens and making the bed

Supplies Mattress pad: heavy, quilted pad; protects mattress from spills, secretions, excretions; goes on mattress under fitted sheet Not necessary if mattress is covered by plastic or rubber 2 flat sheets OR 1 fitted sheet and 1 flat sheet: fitted sheet/1 flat sheet = bottom sheet, make sure it’s tucked in tight with no wrinkles; 2nd flat sheet = top sheet goes on top of pt Rubber or plastic draw sheet: Placed over center of bed to reduce changes of bottom sheet; has to be covered by a linen draw sheet to protect pt skin; both sheets need to be tucked in tightly to avoid wrinkles Used for incontinent pt who use bedpan or urinal in bed Linen draw sheet: Used with or without a rubber draw sheet; Placed between lower shoulders and below buttocks May be used as “lift sheet” to position pt

Supplies Incontinent pad, underpad or bed protector: Soft, absorbent paper pads with plastic backing or heavy cotton pad Cotton pad may be used as lifting sheet; plastic pad is not strong enough for that Sometimes called by the brand name ex. Chux Used to protect linens from incontinent pt using bedpan or urinal; or heavily draining wounds Often, only this pad has to be changed instead of all linens after incontinence episode Pillow and pillowcase: Various types of pillows Some hospitals have disposable ones that get sent home with pt Reusable pillows are usually covered with a plastic pillow protector ALWAYS use a linen pillowcase Used for positioning needs of pt, often more than 1 pillow used

Supplies Bath blanket: Regular blanket Bedspread Flannel or cotton blanket used for modesty and warmth during procedures Folded and stored in room when not in use Regular blanket Thermal cotton blanket for comfort and warmth Bedspread For decorative touch especially in long-term care Bed cradle: used to keep linen off pt’s skin Footboard: used to prevent foot drop

Types of Bed-making p. 364 Closed bed: Open Bed: After pt is D/C’d and room is cleaned; bed is ready for a new admission In long-term care: after resident gets up in morning Procedure 49 p. 364: need to know it Open Bed: When a new pt is admitted; it’s a “welcome” to new pt in hospital In long-term care, opened before bedtime Procedure 50 p. 369: opening the closed bed Wash hands, fanfold top sheet and blanket to foot of bed Unoccupied bed: making bed when pt is out of the bed (see closed bed procedure) Surgical bed: Provides safe, warm environment to receive post-surgical patient via stretcher Left open at stretcher height, so pt can easily be transferred, wheels locked Occupied bed: Bed is made while pt is in it, providing privacy during care

Lets Practice How to correctly put on pillow cover How to make an occupied bed

Homework: Textbook: Read Unit 23 Workbook: p Homework: Textbook: Read Unit 23 Workbook: p.145 read Unit Summary, Nursing Assistant Alert, complete: True/False, Identification, Short Answer 1-10