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Changing An Unoccupied Bed

1. Changing an unoccupied bed involves stripping the soiled linens, applying clean bottom and top sheets, and making the bed in a systematic way from the head to the foot of the bed to avoid stretching or strain. 2. Changing an occupied bed requires removing top bedding and any equipment from the soiled top sheet without exposing the client, and then drawing the soiled sheet out from under a bath blanket that replaces the sheet to keep the client warm and covered. 3. Proper bed making, whether occupied or unoccupied, follows steps to maintain client privacy, comfort and safety as well as prevent infection through practices like hand hygiene, using clean gloves with soiled linens, and properly

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Rica machells Dayda
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770 views6 pages

Changing An Unoccupied Bed

1. Changing an unoccupied bed involves stripping the soiled linens, applying clean bottom and top sheets, and making the bed in a systematic way from the head to the foot of the bed to avoid stretching or strain. 2. Changing an occupied bed requires removing top bedding and any equipment from the soiled top sheet without exposing the client, and then drawing the soiled sheet out from under a bath blanket that replaces the sheet to keep the client warm and covered. 3. Proper bed making, whether occupied or unoccupied, follows steps to maintain client privacy, comfort and safety as well as prevent infection through practices like hand hygiene, using clean gloves with soiled linens, and properly

Uploaded by

Rica machells Dayda
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Changing an Unoccupied Bed

IMPLEMENTATION
Preparation
Determine what lines the client may already have in the room
Rationale: This avoids stockpiling of unnecessary extra lines
STEPS RATIONALE
1. If the client is in bed, prior to performing
the procedure, introduce self and verify the
client’s identity using agency protocol.
Explain to the client what are you going to
do, why it is necessary, and how he or she
can participate.
2. Perform hand hygiene and observe other
appropriate infection control.
3. Provide client privacy.
4. Place the fresh linen in the client’s chair or This prevents cross contamination (The
over bed table; do not use another client’s movement of microorganism from one client to
bed. another) via soiled linen.
5. Assess and assist the client out of bed using
assistive devices (e.g., cane, walker, safety
belt) as appropriate.

Make sure that this is an appropriate and


convenient time for the client to be out of
bed.

Assist the client to a comfortable char.

6. Raised the bed to a comfortable working


height.
7. Apply clean gloves if linens and equipment
have been soiled with secretions and/or
excretions.
8. Strip the bed.

Check the bed linens for any items


belonging to client and detach the call bell
or any drainage tubes from the bed linen.

Moving around the bed systematically prevents


Loosen all bedding systematically, starting stretching, reaching, and possible muscle
at the head of the bed on the far side and strain.
moving around the bed up to the head of
the bed on the near side.

Remove the pillowcase, if soiled and place


the pillows on the bedside chair near the
foot of the bed.

Fold reusable linens such as the bedspread Folding linens saves time and energy when
and top sheet on the bed, into fourths. reapplying the linens on the bed and keeps
First, fold the linen in half by bringing the them clean.
top edge even with the bottom edge, and
then grasp it at the center of the middle
fold and bottom edges.

Roll soiled linen inside the bottom sheet


and hold away from the body.
 Remove the incontinent pad and
discard it if soiled.
 Roll and soiled linen inside the
bottom sheet, hold it away from
your uniform, and place it
directly in the linen hamper, not
on the floor.
 Grasp the mattress securely
using the lugs if present and
move the mattress up to the
head of the bed.
 Remove and discard gloves if
used. Perform hand hygiene.

9. Apply the bottom sheet and draw sheet


(optional)

If using a flat sheet, place the folded The top of the sheet needs to be well tucked
bottom sheet with its center fold on the under the remain securely in place, especially
center of the bed. Make sure that sheet is when the head of the bed is elevated.
hem side down for a smooth foundation.
Spread the sheet out over the mattress and
allow a sufficient amount of sheet at the
top to tuck under the mattress.

If using a fitted sheet, pull sheets over ends


of mattress
Place the flat sheet along the edge of the
mattress at the foot of the bed and not
tuck it in (unless it is an contour or fitted
sheet).

Milter the sheet at the top corner on the


near side and tuck the sheet under the
mattress, working from the head of the bed
to the foot.

If the draw sheet is used, place it over the


bottom sheet so that the center fold is at
the centerline of the bed and the top and
bottom edges extend from the middle of
where the midthigh or knee would be.
Fanfold the uppermost half of the folded
drawsheet at the center or far edge of the
bed and tuck in the near edge.

Optional: Before moving to the other side Completing one entire side of the bed at a time
of the bed place the top linen on the bed save times and energy.
hem side up, unfold them tuck them in and
milter the bottom corners.

10. Move to the other side and secure the


bottom linens.

Tuck in the bottom sheet under the head of


the mattress, pull the sheet firmly and
milter the corner of the sheet.

Pull the reminder of the sheet firmly so


that there are no wrinkles.

Tuck in the draw sheet, if appropriate.


11. Apply or complete the top sheet, blanket
and spread.

Place the top sheet, hem side up, on the


bed so that its center fold is at the center
of the bed and the top edge is even with
the top edge of the mattress.

Unfold the sheet over the bed

Optional: Make a vertical or a horizontal


toe pleat in the sheet to provide additional
room for the client’s feet.
a.) Vertical toe pleat: Make a fold in the
sheet 5 to 10cm (2 to 4 in.)
perpendicular to the food of the bed.
b.) Horizontal toe pleat: Make a fold in the
sheet 5 to 10cm (2 to 4 in) across the
bed near the foot.

Loosening the top covers around the feet


after the client is in bed is another way to provide
additional space.

Follow the same procedure for the


blanket and the spread but the place the top edges
about 15cm (6in) from the head of the bed to allow
a cuff of sheet to be folded over them.

Tuck in the sheet, blanket, and spread at the foot of A cuff on the sheet make it easier for the client
the bed and miter the corner, using all three layers to pull the covers up.
of linen. Leave the sides of the top sheet blanket,
and spread hanging freely unless toe pleats were
provided.

Fold the top of the top sheet down over the spread
providing a cuff.

Move to the other side of the bed and secure the


top bedding in the same manner.

12. Put clean pillowcase on the pillows as


recquired

Grasp the closed end of the pillowcase at


the center with one hand.

Gather up the sides of the pillowcase and


place them over the hand grasping the
cases. Then grasp the center of one short
side of the pillowcase through the
pillowcase.

With the free hand, pull the pillowcase


over the pillow.

Adjust the pillow case so that the pillow fits


into the corners of the case and the seams A smoothly fitting pillowcase is more
are straight. comfortable than a wrinkled one.

Place the pillow appropriately at the head


of the bed.
13. Provide for client comfort and safety.

Attach the signals cord so that the client can


conveniently reach it. Some of cords have clamps
that attach to the sheet or pillowcase. Others are
attached by a safety pin. Most beds now have a
call light button on the side rail.

If the bed is currently being used by a client, either This makes it easier for the client to get into the
fold back the top covers at one side or fanfold them bed.
down to the center of the bed.

Place the bed side table and the over bed table so
that they are available to the client.

Leave the bed in the high position if the client is


returning by stretcher, or place it in the low
position if the clients is returning to bed after
being up.

14. Document and report pertinent data.

Bed making is not normally recorded

Record any nursing assesstment, such as the


client’s physical status and pulse and respiratory
rate before and after being out of bed, as indicated.
Changing an Occupied Bed
IMPLEMENTATION
Preparation
Determine what lines the client may already have in the room
Rationale: This avoids stockpiling of unnecessary extra lines
STEPS RATIONALE
1. If the client is in bed, prior to performing
the procedure, introduce self and verify
the client’s identity using agency
protocol. Explain to the client what are
you going to do, why it is necessary, and
how he or she can participate.
2. Perform hand hygiene and observe other
appropriate infection control.
3. Provide client privacy.
4. Remove the top bedding

Remove any equipment attached to the bed


linen such as a signal light.

Loosen all top linen at the foot of the bed, and


remove the spread and the blanket.

Leave the top shett over the client (the top sheet
can remain over the client if it is being changed
and if it will provide sufficient warmth) or replace
it with a bath blanket as follows:

a.) Spread the bath blanket over the top


sheet.
b.) Ask the client to hold the top of the
blanket.
c.) Reaching under the blanket from the side
grasp the top edge of the sheet and draw
it down to the foot of the bed leaving
the blanket in place.
d.) Remove the sheet from the bed and
place it in the soiled linen hamper

5.
6.
7.
8.
9. Bed making is not normally

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