The document discusses proper bed making techniques. It provides instructions on preparing beds for patients by selecting the appropriate linens and arranging them in a way that ensures patient comfort and safety. Infection control measures like hand hygiene and avoiding cross-contamination of linens are emphasized. The goal is to provide a clean, tidy bed that meets patients' medical needs.

2.  It is the techniques of preparing different types
of bed in making a patients/clients comfortable
or his/her position suitable for a particular
condition.

3.  To provide the client with a safe & comfortable
bed to take rest & sleep.
 To keep the ward neat and tidy.
 To adapt to the needs of the client and to be
ready for any emergency or critical condition of
illness.
 To economize time, material & effort.

4.  To prevent bedsores.
 To observe the client.
 For patients comfort.
 To prevent cross infection.
 For treatment of certain conditions.

5.  Important to limit movement of organisms and
spread of infection while in bed
 Roll the dirty or soiled linen while removing it
from bed
 Hold dirty linen away from your body

6.  Place dirty linen in hamper/cart/bag
immediately
 Never place linen on the floor
 Wash your hands after handling dirty linen
 Never bring extra linen into a patients room

7.  Linen is considered contaminated once it is in
a room and cannot be used for another
person
 Avoid shaking clean sheets to place them on
the bed
 Unfold them gently to inhibit the flow of
microorganisms

8.  Place the open end of pillowcase away from
the door
 This looks neater and also helps prevents the
entrance of organisms from the hall

9.  Observe universal precautions if linen is
contaminated by blood or body fluids
 Wash hands frequently and wear gloves while
handling linen
 Follow agency policy for proper disposal of
linen

10.  Essential to use correct body mechanics while
bed making
 Also important to conserve time and energy
 Keep linen arranged in order of use
 Make bed completely on one side before doing
other side to limit unnecessary movement from
one side of bed to the opposite side

13.  Made following discharge of patient
 Purpose is to keep bed clean until new patient
admitted

14.  Fanfold top sheets to foot of bed to convert
closed bed to open bed
 Fanfold means to fold sheets like accordian
pleats
 Done to welcome a new patient or for patients
who are ambulatory or out-of-bed

15.  Bed is made while patient is in it
 Usually done after the morning bath

16.  Cradle placed on bed under the top sheet
 Prevents top sheets from touching parts of the
patients body
 Used for burns, skin ulcers, lesions, blood clots,
fractures, or surgery
 Some cradles have light bulbs to provide heat
for special treatments

17.  Mattresses used for the client should be firm,
thick, and smooth.
 It gives support to the clients.
 All should have a washable cover.
 The size is 190 cm width.

18.  Pillows are usually made out of strong cotton or
dunlop.
 Size 60 cm long, 45 cm wide & 10 cm thick.

19.  It should be bigger than the size of the pillow for
the easy insertion lest they destroy the shape of
the pillow.
 The average size is 65 cm long & 50 cm wide.

20.  The bed sheets are made of strong cotton
material.
 They are used to protect the mattress from
soiling and to cover the client.
 They should be sufficiently long & wide to tuck
in well at the head, foot & sides.
 Size 108 inches long & 76 inches wide.

21.  Purpose is to hold linen firmly in place on beds,
stretchers, and exam tables
 A mitered corner is a special folding technique
that secures the linen under the mattress

22.  They are drawn from side to side & usually
extends from the client’s shoulders to below
knees.
 Draw mackintosh is a waterproof sheeting, made
up of either rubber or plastic material.
 It is used to protect the mattress & the bottom
sheet from soiling.

23.  It is used to cover the mackintosh.
 Extends from patient’s shoulders to the knees.
 The average size will be 150 cm long & 110 cm wide.
 Used to protect the mattress
 If soiled, it can be changed without changing the
bottom sheet
 Disposable bed protectors, also called underpads,
are used in some areas instead of draw sheets

25.  It is used to give a neat appearance to the bed.
 It protects the blankets & the bed as a whole
from dust.
 Size 3 m long & 3 m wide.

26.  Use good body mechanics at all
times
 Follow standard precautions
 Always wash your hands before
handling clean linen and after
handling dirty linen
 Bring enough linen into the
person’s room.
 Always keep clean linen covered

27.  Never shake linens.
 Do not take linen from one
person’s room to use on another
person.
 Hold linens away from your
uniform
 Never put dirty linens on the
floor or on top of clean linen!!!
 Roll dirty linen away from your
body when removing it from the
bed.

28.  The bottom linens must be
tightly tucked without wrinkles.
 A cotton drawsheet must
completely cover the plastic
drawsheet
 Straighten and tighten loose linen
whenever necessary
 Make one side of the bed
completely before going to the
other side
 The large hem goes to the top of
the bed

29.  Wash hand before & after the procedure.
 Don’t expose the client unnecessarily.
 Protect the client from draught.
 Don’t cover the client’s face while placing the
linen.
 Don’t mix clean linen with soiled linen.
 Do not let the linen touch your body or uniform
 Keep a reasonable distance from the face of the
client to prevent cross infection.

30.  All equipments should be collected before
starting.
 Bed should be made in such a way that
patient can be put in it without difficulty.
 The bed should be free from crumbs and
creases and should give a maximum comfort
to the patient.
 Pillows and other bed accessories should be
well arranged to give support where
necessary.

31.  The patient's face should never be covered by
sheets or blankets.
 Extra assistance should be available and, if
necessary, one should be called upon to help
lift the patient.
 When pillows are being shaken the nurse
should turn away from the patient.
 The open side of a pillow case should be
away from the main door of the ward.

32.  Always have a dirty linen bin at hand in which to
put dirty linen.
 Dirty linen should not be carried across the ward
to prevent cross infection.
 Allow room for the patient feet for free
movement or turning when placing the top
sheet over the patient.
 Any conversation during bed making should not
be on personal matters between the nurses.
 Always wash hands before and after bed
making.

33. -Mattress pad
-Bottom sheet
-Drawsheet/mackintosh
-Top sheet
-Blanket
-Bedspread
-Pillowcase
Once you have collected the
linen, turn the stack over
onto the other hand

35. PLACEMENT OF LINEN
DURING AN OCCUPIED
BED LINEN CHANGE

37.  Raise the bed to a comfortable working height
 Wash your hands before and after every patient contact
 Gather all the equipment needed
 Roll the soiled linen away from your body
 Place the soiled linen in the linen bag or linen hamper.
Never on the floor!!!!

38.  Return the bed to the lowest horizontal
position when you are finished
 To make a closed bed into an open bed,
fanfold the sheets to the foot of the bed
 The smooth side of the hem faces the
patient

39.  Explain the procedure to the patient before
beginning
 Protect the patient’s privacy
 Cover the patient with a bath blanket

40.  Make sure the side rail is up on the side you
are not working on
 When finished make a toe pleat over the
patient’s toes to prevent the weight of the linen
from pressing down on the toes