Stripping of Bed

Procedure Rationale

1. Don gloves Protects nurse and prevents transfer of

micro-organisms.

2. Place chair at the foot of the bed.

3. Remove pillowcase from pillow. Soiled pillowcase should be inside out.

Place pillow on chair. Place soiled
pillowcase on lower bar of the bed.

4. Loosen all bed linens starting at the Makes it easier to remove linens from
center of bed raising the mattress with bed.
one hand and drawing out of bedclothes
with other.

5. Remove sheets separately. Fold each Soiled part needs to be inside so micro-
linen with soiled part inside. Wrap them organism aren’t spread.
all in a sheet and place on lower bar of
the bed.

6. Roll rubber sheet and place on lower

bar of the bed

7. Remove mattress cover.

8. Place soiled linen with body fluids Dispose at soiled linens properly.
(blood, feces, urine and etc.) on a yellow
plastic bag.

9. Dispose gloves and wash hands Wash hands for nurse’s safety

Closed Bed
Procedure Rationale

1. Refold each sheet according to its Put sheets in order of first use to last to
system of use. be organized.

2. Place clean linens on chair in order

of use. See to it that the bed is flat.

3. Cover mattress.

4. Place bottom sheet with centerfold Mitered corner should be done at head of
in center in line with rim of mattress at the bed and tuck sheet on the sides
foot pat. Spread across bed, Make nicely.
 Closed Bed
mitered corner on head part. Tuck extra
sheet from head to the foot.

5. Put rubber sheet 12-15 inches from Rubber sheets should be near genital
the head of mattress, Cover with draw area, not any higher or lower.
sheet. Spread across bed. Tuck together
extra length of draw sheet, rubber sheet
and bottom sheet.

6. Place top sheet in line with mattress Excess length should be tucked so it is
at head part and spread across bed. preservable.
Tuck extra length of sheet at foot part.
Miter corners. Allow hang free at sides.

7. Go to opposite side and repeat same Sheets should be uniform on both sides.
procedure.

8. Put pillowcase on pillow. To put on, Housekeeping should be done on pillow.

grasp middle of slip’s bottom. Flip open
and grasp middle of slip’s bottom. Flip
open and grasp short side of pillow. Pull
pillow, slip over body of pillow.

9. Spread top sheet over pillow.

10. Place dirty linens inside the soiled Place dirty linens in soiled pillowcase to
pillowcase. prevent spread of contamination.

Post-operative Bed
Procedure Rationale

1. Make foundation bed. Base for bed making

2. Place top sheet. Do not tuck. Easy access for patient.

3. Turn sheet back. Fanfold at sides.

4. Fanfold bedding across bed from side

nearest the door.

5. Spread bath towel at head of bed.

6. Place folded blanket across bar at

foot od bed.

7. Equip bedside table with emesis

basin, cells wipes, tongue blade,
disposable gloves, thermal blanket,
washcloth, BP apparatus and
stethoscope.
 Closed Bed

Occupied Bed
Procedure Rationale

1. Explain procedure to patient. Minimize anxiety and promotes

cooperation.

2. Bring materials to bedside. Place on Assembling equipments provides for

chair, at foot side/ part of the bed. smooth procedure and assists in client’s
Arrange in order of use. comfort.

3. Respect and maintain patient

privacy.

4. Don gloves. Wear gloves to prevent transmission of

micro-organism.

5. Position the bed flat if possible, and Provide easy access to bed and linen.
raise it to appropriate working height.
Lower side rails nearest you.

6. Loosen all the bedding. Disconnect Make linens easier to remove.

the class device; remove the patient’s
personal items from bed.

7. Check that no tubes (e.g. IV, Make sure that tubes are managed for
nasogastric) are entangled in the bed the safety of the patient.
linens.

8. Slide the patient to the side of bed Have patient hold onto an object to
farthest from you, and place patient by maintain their balance and be sure to
covering patient with top sheet. not expose any body areas.

9. Place pillow under hear of patient. Place pillows so that patient is

comfortable.

10. Roll or tightly fanfold the soiled Roll soiled linens so that new linens
linens towards the patients’ back. Tuck won’t be contaminated.
the roll slightly under the patient. Cover
any moist areas with a waterproof pad.

11. Place the clean bottom sheet, Make use of the “imaginary line” so that
rubber sheet and drawsheet on the near changing linens won’t be as challenging
side of the mattress. Open and fold or straining. There should be no wrinkles
spread toward s the head part, with the on bed; it has to be presentable and
center vertical fold at the center of the smooth/
bed. Fanfold the half of the clean linen
towards the center and under the
patient. Make mitered corner. Tuck the
lower edges of clean linen under the
 Closed Bed
mattress. Smooth out all wrinkles.

12. Roll the patient over the clean and Patient must be aware that there is a
dirty linen. Explain to the patient that he lump felt as he moves to the other side
will be rolling over a “lump”, and them the bed as this may cause pain to the
gently pull the patient toward you so patient.
that the patient rolls onto the clean
linen.

13. Raise sidereal on the clean side of Prevent the patient from falling.
the bed.

14. Move the pillows to the clean side. Be sure that the pillow won’t be
Position the patient comfortably on his contaminated by the dirty linens. Make
side, near the siderail. sure patient is comfortable.

15. Go to the opposite side of bed, and Lower sidereal to make it easier to
lower the siderail. Loosen beddings. Pull access linens. Place soiled linens on
the soiled linen one by one. Place at the lower bar to prevent contamination.
lower bar of the bed.

16. Pull clean linens through. Tuck

bottom sheet at the head part and miter
at the side.

17. Tighten rubber sheet and draw Tuck everything and make sure it is neat
sheet. Tuck together with bottom sheet. and presentable.

18. Help patient roll on his back at the Patient should be comfortable.
center of the bed.

19. Place clean fanfolded sheet over Be sure not to expose patient.
patient. Cover shoulders. Draw fan
folded sheet together with used top
sheet down to foot part.