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Bed making
Rest and sleep are important for healing and optimal health. When making a patient's bed, it is essential for nurses to keep the bed as clean and comfortable as possible to promote both physical and psychological comfort. The nursing process involves assessing the patient's usual sleep patterns, developing a nursing diagnosis if needed, planning interventions like sleep aids, implementing a regular routine to aid sleep, and evaluating the effectiveness of interventions through monitoring nighttime sleep. Proper bed making requires attention to infection control, body mechanics, and patient safety and comfort.
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Bed making
- 1. Rest and SleepRestand Sleep Bed MakingBed Making Skill and RationalSkill and Rational
- 2. Why is itso important?Why is it so important? The bed is particularly important to people who are ill.The bed is particularly important to people who are ill. It is essential the nurse keep the bed as clean andIt is essential the nurse keep the bed as clean and comfortable as possible.comfortable as possible. Physical ComfortPhysical Comfort Psychological comfortPsychological comfort
- 3. Rest and SleepRestand Sleep • Healing and Optimal HealthHealing and Optimal Health • Promoting SleepPromoting Sleep
- 4. Nursing ProcessNursing Process •AssessmentAssessment – Usual pattern of rest/sleepUsual pattern of rest/sleep – bed routinesbed routines • Nursing diagnosisNursing diagnosis – Sleep pattern disturbanceSleep pattern disturbance • PlanPlan – Sleep aidsSleep aids
- 5. Nursing processNursing process •ImplementaionImplementaion – Regular habitsRegular habits – Nutrition/exerciseNutrition/exercise – Quiet time prior to sleepQuiet time prior to sleep – Warm milkWarm milk – Sleep/wake cycleSleep/wake cycle – Back rubBack rub – Comfortable bedComfortable bed
- 6. Nursing ProcessNursing Process •EvaluationEvaluation – Good night sleepGood night sleep
- 7. Promoting Rest andSleepPromoting Rest and Sleep • Rest periodRest period • Nonessential tasksNonessential tasks • Night time/early am bathingNight time/early am bathing • Lab workLab work • Cluster activityCluster activity • Visitor controlVisitor control • Interventions prnInterventions prn
- 8. Comfort Measures forPromotingComfort Measures for Promoting SleepSleep ♥Administer hygiene measures for clients onAdminister hygiene measures for clients on bedrestbedrest ♥Loose fitting nightwearLoose fitting nightwear ♥Remove or change any irritants against theRemove or change any irritants against the client’s skin (moist dsg., drainage tubes)client’s skin (moist dsg., drainage tubes) ♥Position and support dependent body parts toPosition and support dependent body parts to protect pressure points and aid muscle relaxationprotect pressure points and aid muscle relaxation
- 9. Comfort Measures forPromotingComfort Measures for Promoting SleepSleep ♥Provide caps and socks for older clients andProvide caps and socks for older clients and those prone to coldthose prone to cold ♥Void before bedtimeVoid before bedtime ♥Analgesics or sedatives 30 min. prior H.S.Analgesics or sedatives 30 min. prior H.S. ♥Bedtime massage/backrubBedtime massage/backrub ♥Comfortable mattress and a clean dry bed!Comfortable mattress and a clean dry bed!
- 10. Noisy NightshiftNoisy Nightshift •Close doors to clients’rooms/work areas ifClose doors to clients’rooms/work areas if possiblepossible • Telephone/paging equipmentTelephone/paging equipment • Noisy footwearNoisy footwear • EquipmentEquipment • Bedside monitorsBedside monitors • TV/radioTV/radio • ConversationsConversations
- 11. Client’s EnvironmentClient’s Environment •ChairsChairs – Straight back post surgeryStraight back post surgery – Lounge chairLounge chair • LightingLighting – OverbedOverbed – Night lightNight light – Call lightCall light • Overbed tableOverbed table • Bedside tableBedside table
- 12. Special MattressesSpecial Mattresses TypesTypes Regularfirm, plastic coveredRegular firm, plastic covered Mattresses used to prevent & treat decubitusMattresses used to prevent & treat decubitus ulcersulcers KCI bedsKCI beds EggcrateEggcrate SheepskinSheepskin
- 13. Special mattresses arenot a substitute forSpecial mattresses are not a substitute for nursing carenursing care • Turn patients Q2hTurn patients Q2h • Skin careSkin care • positioningpositioning
- 14. ConsiderationsConsiderations • Bed positionBedposition – SafetySafety – Body mechanicsBody mechanics – GatchsGatchs • Infection controlInfection control • Skin breakdownSkin breakdown –
- 15. The bed changingprocessThe bed changing process • Every health care agency wants the end productEvery health care agency wants the end product to be neat, clean, comfortable and durable.to be neat, clean, comfortable and durable. • EconomicalEconomical – TimeTime – EquipmentEquipment – Energy, patients and nursesEnergy, patients and nurses
- 16. Assembling EquipmentAssembling Equipment •2 sheets2 sheets – Fitted/flat for bottomFitted/flat for bottom – Flat for topFlat for top • PillowcasesPillowcases • Cotton/rubber drawsheet as neededCotton/rubber drawsheet as needed • SoakerSoaker • BedspreadBedspread • BlanketBlanket
- 17. Linen OverloadLinen Overload •Just what you needJust what you need • Cost controlCost control Once linen brought into a client’s room, if unused,Once linen brought into a client’s room, if unused, must be discarded for launderingmust be discarded for laundering Excess linen causes clutter and obstacles in aExcess linen causes clutter and obstacles in a cramped spacecramped space
- 18. Rubber drawsheetRubber drawsheet •Save on linenSave on linen • TimeTime • Turning and positioningTurning and positioning • Placed under cotton drawsheetPlaced under cotton drawsheet Drawsheet extends from above waist to midthigh.Drawsheet extends from above waist to midthigh. Absorbs secretions due to urinary/fecalAbsorbs secretions due to urinary/fecal incontinenceincontinence
- 19. Linen ChangeLinen Change •As per hospital protocolAs per hospital protocol – CostCost – Pillow cases/drawsheet ODPillow cases/drawsheet OD – Soiled or bath daySoiled or bath day – Laundry shute/hamperLaundry shute/hamper – If soiled with feces/bloodIf soiled with feces/blood – Use of glovesUse of gloves
- 20. SkillSkill Under no circumstancesdo you place dirtyUnder no circumstances do you place dirty linen on floor, footstool, another patient’slinen on floor, footstool, another patient’s bed or on over the bed tables.bed or on over the bed tables. AssessmentAssessment What needs to be changedWhat needs to be changed Client’s conditionClient’s condition
- 21. When does thebed get changed?When does the bed get changed? • Usually after client’s bathUsually after client’s bath • Client is sitting in chairClient is sitting in chair • Out of room for testsOut of room for tests Check throughout day and straighten linen prnCheck throughout day and straighten linen prn After meals, if eating in bed, check for foodAfter meals, if eating in bed, check for food particlesparticles Change linen that is soiled or wetChange linen that is soiled or wet
- 22. Effective Body MechanicsandEffective Body Mechanics and Bed MakingBed Making 1.1. Maintain good body alignmentMaintain good body alignment 2.2. Use the large muscles of the bodyUse the large muscles of the body 3.3. Work smoothly and rhythmicallyWork smoothly and rhythmically 4.4. Push or pull rather than liftPush or pull rather than lift 5.5. Use your own weight to counteract the weightUse your own weight to counteract the weight of an object.of an object.
- 23. Nursing DiagnosisNursing Diagnosis •Activity intoleranceActivity intolerance • Impaired physical conditionImpaired physical condition
- 24. Types of BedTypesof Bed • OccupiedOccupied • UnoccupiedUnoccupied • Surgical/post-op bedsSurgical/post-op beds
- 25. Occupied BedOccupied Bed •Gloves if drainageGloves if drainage • Check chart/kardex for client’s activityCheck chart/kardex for client’s activity • Talk to the client, explain procedureTalk to the client, explain procedure • PrivacyPrivacy • Assemble all equipment, incontinent pads prnAssemble all equipment, incontinent pads prn • Safety with side rails/call bellSafety with side rails/call bell • Wash hands before and afterWash hands before and after
- 26. PlanningPlanning • Expected outcomesExpectedoutcomes • Best time to change linenBest time to change linen • Equipment neededEquipment needed
- 27. ImplementationImplementation • Wash handsWashhands • Gloves prnGloves prn • EquipmentEquipment • Adjust bed height-HOB downAdjust bed height-HOB down • Lower side rail- remove call bellLower side rail- remove call bell • Loosen linenLoosen linen • Keep soiled linen away from uniformKeep soiled linen away from uniform
- 28. Infection Control andInfectionControl and Bed MakingBed Making 1.1. Microorganisms are present on the skin and inMicroorganisms are present on the skin and in the general environment.the general environment. 2.2. Some microorganisms are opportunists; that is,Some microorganisms are opportunists; that is, they can cause infections when conditions arethey can cause infections when conditions are favorable ( break in skin, mucous membranes)favorable ( break in skin, mucous membranes) 3.3. Clients are often less resistant to infectionsClients are often less resistant to infections because of the stress resulting from an existingbecause of the stress resulting from an existing disease process.disease process.
- 29. Infection Control andInfectionControl and Bed MakingBed Making 4.4. Microorganisms may be transferred from oneMicroorganisms may be transferred from one person to another or from one place toperson to another or from one place to another by air, by inanimate objects or byanother by air, by inanimate objects or by direct contact among people. Therefore:direct contact among people. Therefore: Avoid holding soiled linen against uniformAvoid holding soiled linen against uniform Never shake linenNever shake linen Always wash hands before going to anotherAlways wash hands before going to another patient.patient.
- 30. Avoid shaking linenfor infectionAvoid shaking linen for infection control purposescontrol purposes • Linen to be reusedLinen to be reused – fold and place on chairfold and place on chair • Soak and rinse linen soiled with feces or bloodSoak and rinse linen soiled with feces or blood before placing in hamperbefore placing in hamper • Make sure no tripads, personal articles orMake sure no tripads, personal articles or anything besides linen is placed in hamperanything besides linen is placed in hamper
- 31. EvaluationEvaluation • Inspect bedInspectbed – CleanClean – NeatNeat – Wrinkle freeWrinkle free
- 32. Always be alertto client comfort andAlways be alert to client comfort and safety during bedmaking.safety during bedmaking. • When finished evaluateWhen finished evaluate – Safety re bed positionSafety re bed position – Call lightCall light – Side railsSide rails – Unit tidyUnit tidy – Personal belongings are within reachPersonal belongings are within reach
- 33. AccessoriesAccessories • Bed cradle/footcradleBed cradle/foot cradle • Fracture boardFracture board • Foot boardFoot board • Toe pleatToe pleat Therapeutic Frames allow movement forTherapeutic Frames allow movement for immobilized patients & help preventimmobilized patients & help prevent complications R/T immobilitycomplications R/T immobility
- 34. RememberRemember • To makebed, position is elevatedTo make bed, position is elevated • When completed, bed is loweredWhen completed, bed is lowered • If occupied, patient comfort & safetyIf occupied, patient comfort & safety • Soiled linen away from uniformSoiled linen away from uniform • Gloves prnGloves prn • Bath before making bed if occupiedBath before making bed if occupied