1. BEDMAKING

2. Bedmaking vocabulary OOB Fan folding
Draw Sheet/Pull sheet/Incontinence Pad
Chux
Occupied bed
Unoccupied bed
Johnny
Spread
Blanket
Flat/fitted sheets
Mitered corner
HOB

3. Why is it so important?
WRINKLES : can aggravate pt. w/ thin skin causing poor circulation and eventual skin breakdown SHEETS: loose sheets can cause extra “weight” on a pt. causing potential skin breakdown

5. Comfort Measures for Promoting Sleep
Administer hygiene measures for residents/patients on bedrest
Loose fitting nightwear/”johnny”
Remove or change any irritants against the resident’s skin (wet brief)
Position and support dependent body parts to protect pressure points and aid muscle relaxation

6. Client’s Environment Chairs Geri chair Lighting over bed Night light
Call light
Overbed table
Bedside table

10. Special Mattresses Types Regular firm, plastic covered
Mattresses used to prevent & treat pressure ulcers
Alternating pressure
Eggcrate
Sheepskin

11. ALTERNATING PRESSURE MATTRESS
EGGCRATE
ALTERNATING PRESSURE MATTRESS

12. Nursing care Turn patients Q2h Skin care Positioning No wrinkles!
Wrinkles are uncomfortable!
Wrinkles can cause skin
breakdown!
Wrinkles can interfere with
proper circulation!

13. Considerations Bed position Safety Body mechanics Gatchs
Infection control
Skin breakdown

14. The bed changing process
Every health care facility wants their patients’ rooms to reflect cleanliness, safety, and efficiency

15. Assembling Equipment 2 sheets Fitted for bottom Flat for top
Pillowcases
Bed pad as needed
Bedspread
Blanket

16. LINEN
Draw sheet
Chux
Fitted sheet

17. Linen
Linen is based on what you need and patient’s condition…assess,assess, assess
Cost control:
Once linen brought into a client’s room, if unused, must be discarded for laundering.
Excess linen causes clutter and obstacles in a cramped space

18. LINEN
Under no circumstances do you place dirty linen on floor, footstool, another patient’s bed or on the bed side tables.

19. When does the bed get changed?
Usually after client’s bath
Client is sitting in chair
Out of room for tests
Check throughout day and straighten linen prn
After meals, if eating in bed, check for food particles
Change linen that is soiled or wet

20. Effective Body Mechanics and Bed Making
Use the large muscles of the body
Work smoothly and rhythmically
Push or pull rather than lift
Use your own weight to counteract the weight of an object.

21. Types of Bed
Occupied
Unoccupied
Fan-folding
Surgical/post-op beds

22. Occupied Bed Making bed with patient IN the bed
Gloves if drainage or at all soiled
Check chart/kardex for activity level of patient
Talk to the client, explain procedure
Privacy
Assemble all equipment, incontinent pads prn
Safety with side rails/call bell
Wash hands before and after

25. UNOCCUPIED BED

26. WHAT IS THE DIFFERENCE ?

28. WHAT ARE “HOSPITAL CORNERS” OR “MITERED CORNERS?”
A type of corner used in making hospital beds that keep the bed sheets in place and wrinkle free

30. Infection Control and Bed Making
Microorganisms are present on the skin and in the general environment.
Some microorganisms are opportunists; that is, they can cause infections when conditions are favorable ( break in skin, mucous membranes)

31. Infection Control and Bedmaking
3. Residents are often less resistant to infections because of the stress resulting from an existing disease process.
3. Residents are often less resistant to infections because of the stress resulting from an existing disease process.

32. Infection Control and Bed Making
Microorganisms may be transferred from one person to another or from one place to another by air, by inanimate objects or by direct contact among people. Therefore:
Avoid holding soiled linen against uniform
Never shake linen
Always wash hands before going to another patient.

33. Safety checks When finished evaluate: bed position Call light
Side rails
Unit tidy
Personal belongings are within reach

34. ATTACHMENTS TO BED Bed cradle/foot cradle Foot board
Therapeutic Frames allow movement for immobilized patients & help prevent complications R/T immobility
Bed cradle/foot cradle
Foot board
Therapeutic Frames allow movement for immobilized patients & help prevent complications R/T immobility
Bed cradle/foot cradle
Foot board
Therapeutic Frames allow movement for immobilized patients & help prevent complications R/T immobility

35. Remember… To make bed, position is elevated
When completed, bed is lowered
If occupied, patient comfort & safety
Soiled linen away from uniform
Gloves prn
Bath before making bed if occupied