BEDMAKING BEDMAKING VOCABULARY 1 2 3 4 5

BEDMAKING

BEDMAKING VOCABULARY 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. OOB Fan folding Draw Sheet/Pull sheet/Incontinence Pad Chux Occupied bed Unoccupied bed Johnny Spread Blanket Flat/fitted sheets Mitered corner HOB

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

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

CLIENT’S ENVIRONMENT v Chairs v Geri chair v Lighting over bed v Night light v Call light v Overbed table v Bedside table

SPECIAL MATTRESSES Types Ø Regular firm, plastic covered Ø Mattresses used to prevent & treat pressure ulcers ØAlternating pressure ØEggcrate ØSheepskin

EGGCRATE ALTERNATING PRESSURE MATTRESS

NURSING CARE Turn patients Q 2 h Skin care Positioning No wrinkles! Wrinkles are uncomfortable! Wrinkles can cause skin breakdown! Wrinkles can interfere with proper circulation!

CONSIDERATIONS Ø Bed position Ø Safety Ø Body mechanics Ø Gatchs Ø Infection control Ø Skin breakdown

THE BED CHANGING PROCESS Every health care facility wants their patients’ rooms to reflect cleanliness, safety, and efficiency

ASSEMBLING EQUIPMENT 2 sheets Fitted for bottom Flat for top Pillowcases Bed pad as needed Bedspread Blanket

LINEN Draw sheet Chux Fitted sheet

LINEN • • Linen is based on what you need and patient’s condition…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

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

WHEN DOES THE BED GET CHANGED? • • • Usually after client’s bath Client is sitting in chair Out of room for tests ü Check throughout day and straighten linen prn ü After meals, if eating in bed, check for food particles ü Change linen that is soiled or wet

EFFECTIVE BODY MECHANICS AND BED MAKING 1. 2. 3. 4. 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.

TYPES OF BED v. Occupied v. Unoccupied v. Fan-folding v. Surgical/post-op beds

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

UNOCCUPIED BED

WHAT IS THE DIFFERENCE ?

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

INFECTION CONTROL AND BED MAKING 1. 2. 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)

INFECTION CONTROL AND BEDMAKING 3. Residents are often less resistant to infections because of the stress resulting from an existing disease process.

INFECTION CONTROL AND BED MAKING 4. 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 L Never shake linen L Always wash hands before going to another patient. L

SAFETY CHECKS When finished evaluate: bed position Call light Side rails Unit tidy Personal belongings are within reach

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

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