1. Copyright © 2011, 2007, 2003, 1999 by Mosby, Inc., an affiliate of Elsevier Inc. Chapter 19 Bedmaking

2. Copyright © 2011, 2007, 2003, 1999 by Mosby, Inc., an affiliate of Elsevier Inc.  Clean, dry, and wrinkle-free linens are important for all residents.  Comfort is promoted.  Skin breakdown and pressure ulcers are prevented.  Beds are made every day.  Beds are made and rooms straightened before visitors arrive. Slide 2

3. Copyright © 2011, 2007, 2003, 1999 by Mosby, Inc., an affiliate of Elsevier Inc.  To keep beds neat and clean:  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.  Change linens whenever they become wet, soiled, or damp.  Follow Standard Precautions and the Bloodborne Pathogen Standard. Slide 3

4. Copyright © 2011, 2007, 2003, 1999 by Mosby, Inc., an affiliate of Elsevier Inc. Types of Beds  A closed bed is not in use until bedtime.  It also is one that is ready for a new resident.  An open bed is in use.  Top linens are fan-folded 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  For persons who arrive by ambulance Slide 4

5. Copyright © 2011, 2007, 2003, 1999 by Mosby, Inc., an affiliate of Elsevier Inc.  Linens are not changed every day.  A complete linen change is usually done on the person’s bath day. This may be once or twice a week.  Pillowcases, top and bottom sheets, and drawsheets (if used) are changed twice a week.  Linens are changed if wet, damp, soiled, or very wrinkled.  When handling linens, practice medical asepsis. Always hold linens away from your body and uniform. Always hold linens away from your body and uniform. Never shake linens. Never shake linens. Place clean linens on a clean surface. Place clean linens on a clean surface. Slide 5

6. Copyright © 2011, 2007, 2003, 1999 by Mosby, Inc., an affiliate of Elsevier Inc.  Collect enough linens.  Do not bring unneeded linens to a person’s room.  Once in the person’s room, extra linens are considered contaminated.  Collect linens in the order you will use them.  Remove dirty linens one piece at a time.  Roll each piece away from you.  The side that touched the person is inside the roll and away from you. Slide 6

7. Copyright © 2011, 2007, 2003, 1999 by Mosby, Inc., an affiliate of Elsevier Inc.  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 and dry.  A plastic drawsheet (waterproof drawsheet) protects the mattress and bottom linens from dampness and soiling  A cotton drawsheet is always used when a plastic drawsheet is used.  Cotton drawsheets are often used without plastic drawsheets. Slide 7

8. Copyright © 2011, 2007, 2003, 1999 by Mosby, Inc., an affiliate of Elsevier Inc. Making Beds  Safety and medical asepsis are important.  Closed beds are made:  For persons who are out of bed most of the day  For a new resident  A closed bed becomes an open bed by fan- folding back the top linen.  Make this bed for: Newly admitted persons arriving by wheelchair Newly admitted persons arriving by wheelchair Residents who are getting ready for bed Residents who are getting ready for bed Residents who are out of bed for a short time Residents who are out of bed for a short time Slide 8

9. Copyright © 2011, 2007, 2003, 1999 by Mosby, Inc., an affiliate of Elsevier Inc.  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 it is done.  The surgical bed (recovery bed or postoperative bed)  Top linens are folded to transfer the person from a stretcher to the bed.  These beds are made for: Persons who arrive at the center by ambulance Persons who arrive at the center by ambulance Persons who are taken by stretcher to treatment or therapy areas Persons who are taken by stretcher to treatment or therapy areas Persons using portable tubs Persons using portable tubs Slide 9

10. Copyright © 2011, 2007, 2003, 1999 by Mosby, Inc., an affiliate of Elsevier Inc. 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. Slide 10