1. The Resident’s Environment
Make your patient’s comfortable!

2. A little funny…

3. Resident Comfort Affected by age, illness, and degree of activity
Watch for symptoms of sleep deprivation
Important to control lighting, ventilation, odors, noise based on resident’s needs
How can we do this???
Temps controlled between 71o and 81o per OBRA
Protect from drafts-blankets, clothing, wraps

4. Resident Comfort Lighting Noise Control Odor Control
light control in reach of resident so residents can choose how much light they want
Noise Control
keep noise to a minimum because some are very sensitive to noise
Odor Control
Remove soiled items, clean bedpans and urinals, use deodorizers as needed

5. Bedmaking What does a well made bed offer your patient?
Comfort
Safety
This is part of their home while they are in the hospital or health care facility

6. Types of Beds Gatch bed Electric bed
Bed height and head/foot can be adjusted by turning crank.
Electric bed
Bed height and head/foot can be adjusted by electric controls.

7. Types of Beds Low bed Air-Loss bed
Used for patients with fall risks and those for whom use of side rails are not advised
Air-Loss bed
Used for those who have pressure ulcers or are at risk
Turning of patients using a low air loss bed still must be turned every 2 hours
CPR is not effective in this type of bed unless the air pillow switch is activated

8. Types of Beds CircOlectric Bed Stryker Frame
Spinal injury patients and those with severe burns use these beds
After rotation, the patient is on the abdomen
Stryker Frame
Similar in function to the CircOlectric bed but is manually operated
Used for patients with severe burns or spinal injuries

9. Safety Alert You must be trained in order to use specialty beds
Always find out the proper operating procedure before attempting to operate any bed
Two or more staff members must be present when these beds are used
Patients must be turned in the direction of the narrow wedge to reduce the risk of falls
Make sure all straps are secure and the frame is locked
Sections may be removed for patient elimination but remember to always replace them

10. Bedmaking and Bed Linens
Bed linen is routinely changed when soiled but also
Daily in an acute care facility (hospital)
Two or three times a week (or every other day) in LTCF’s

11. Guidelines for handling linens and making the bed…
Always wash hands and use gloves if linen is soiled
Linen carts must be covered
Take only the linens you need to change the bed
Unused linen is never returned to the linen cart
Avoid contact between the linens and your uniform
Fold or roll soiled linen toward the center when removing it from the bed

12. Guidelines for handling linens and making the bed…
Soiled linen may be placed into a plastic bag or pillowcase and then placed into the soiled linen hamper
Never shake bed linens, microbes may be released into the air
Never place soiled linen on environmental surfaces is in the room
Overbed tables, floors, chairs, etc

13. Guidelines for handling linens and making the bed…
Use proper body mechanics when making the bed to prevent back injury
Work on one side of the bed at a time to save time
Make sure bottom linen are wrinkle free to prevent skin breakdown
Follow the patient’s care plan regarding positioning of the head and foot of the bed, the number of pillows used and the use of pillows for positioning

14. OSHA and Safety Alerts
Preventing back injuries is one of the most important things you can do.
Raise the bed to a working height
Watch for sharp items or resident belongings in linen
Never turn your back on the patient or leave the bedside when the bed is in the high position and the side rail is down

15. Infection Control Alert
Always wear gloves when handling wet or soiled linen
Soiled linen must be placed in a linen hamper or plastic bag
Avoid contaminating environmental surfaces with soiled gloves
Disinfect the mattress if needed
Discard gloves and wash hands
Report any cracks in mattresses at once
It is not necessary to wear gloves when handling clean linen

16. Types of Bedmaking Styles
Occupied Bed
Made with the patient in the bed
Bedbound patients receive their baths in the bed and this bedbath is done before the bed change
Unoccupied bed
Made with the patient out of the bed
Is fanfolded halfway down for ease of entry

17. Types of Bedmaking Styles
Open bed
“Welcoming” bed style
For the new patient
In LTCF’s the bed is not made “open” unless the resident is going to bed soon
Closed bed
Made following discharge of a patient and after the room has been cleaned
Remains closed until a new patient is admitted

18. Types of Bedmaking Styles
Surgical bed
Used for patient returning from surgery or to be admitted from stretcher
Linen is fanfolded to the side of the bed
Raise bed to stretcher height
Place all needed equipment (vitals equip, emesis basin, tissues) next to the bed

19. Procedures Occupied Bed Unoccupied Bed
If you can make an occupied bed, an unoccupied bed change will be easy
Opening a Closed Bed
Making a Surgical Bed

20. Admission “Open” the bed Determine how your patient will arrive
Determine what you will need
Greet resident and family (family may be asked to go to waiting room while you prepare resident
Provide privacy

21. Admission Assist patient to change clothes if needed
Obtain assessments:
Vital Signs, Ht and Wt
Skin assessments
Belongings inventory
Orient to unit
Call bell, bed controls, bathroom features, TV, visiting hours, mealtime routines
Assist in unpacking/storing items if needed

22. Transfers Check with the nurse for instructions
Verify that the receiving unit is ready for the resident
Gather all personal belongings and equipment that is to be transferred with the resident
Follow facility procedure for handling valuables

23. Transfers
Transfer resident via ______ according to instructions from the nurse, ensure resident safety
Ensure resident knows how to use call bell, bed before leaving in new location
Document according to facility protocol,
Make sure all personal belongings and valuables are transferred
Check inventory with receiving healthcare worker

24. Discharge Check with the nurse for instructions
Gather all personal belongings and equipment that is to be sent home with the patient
Follow facility procedure for handling valuables
Make sure all belongings and valuables are sent with patient upon discharge and not left in room
Transfer patient via ______ according to instructions from the nurse, ensure resident safety
Document according to facility protocol