The document provides guidelines for bed making by nurses. It discusses principles of preventing infection transmission, maintaining patient comfort and safety, and efficiently organizing tasks. The nurse's roles include properly handling soiled linens, making the bed smooth and wrinkle-free, using safe body mechanics, and preparing different types of beds according to patient needs.

1. BED MAKING
BY
SARIKA M L
TUTOR
SUM NURSING COLLEGE
SIKSHA O ANUSANDHA DTU
BHUBANESWAR

2. PRACTICE GUIDE LINES FOR BED MAKING
• Wash hands thoroughly after handling a client’s bed linen.
• Hold soiled linen away from uniform.
• Linen for one client is never placed on another client’s bed.
• Place soiled linen directly in a portable linen hamper
• Do not shake soiled linen in the air because shaking can
disseminate secretions and excretions and the microorganisms
they contain.
• When stripping and making a bed, conserve time and energy
• Beds are often changed after bed baths

3. PRINCIPLES
PRINCIPLE 1 :-
Micro organisms are found everywhere on the skin, on the
articles used by the client and in the environment.
The nurse takes care to prevent the transference of micro
organisms from the source to the new host by direct or indirect
contact or prevent the prevent the multiplication of the
microorganisms.

4. NURSES ROLE
The nurse washes her hands before and after bed making
to protect the client and herself from cross infection.
keeping soiled linen away from the uniform.
Place soiled linen in special linen
To avoid air currents that spread microorganisms, never shake the
linen.
do not place soiled linen on the floor.
If clean linen touches the floor or any unclean surface,
immediately place it in the dirty linen container.
Dry dusting raises dust. Damp dusting is recommended.

5. PRINCIPLE 2
• A safe and comfortable bed will ensure rest, sleep and
prevent several complications in bedridden patients.
• E.g. bedsore, foot drop etc.

6. NURSES ROLE
• The body exerts uneven pressure against the mattress,
the pressure is greatest over the bony prominences.
Lumps and creases in the bed can cause bedsores due to
friction between the bed and mattress or wrinkled
sheets. Therefore the nurses should take care to make
the bed smooth and unwrinkled.
• Pull the bottom sheet tightly so that there is no wrinkles.
• Keep the linen tucked far enough under the mattress,
keep it fixed, tight and smooth.

7. NURSES ROLE CONT….
• While tightening the sheets, do not alter the shape of
the mattress.
• No wet linen should remain on the bed.
• A bed made for a client should allow enough freedom
for moving from side to side.
• Comfort devices are used to provide additional
comfort to the client.

8. PRINCIPLE 3
Good body mechanisms maintain the body alignment and prevents
fatigue.

9. NURSES ROLE
• During bed making use safe patient handling procedures and
proper body mechanics .
• The stability of the body is assured by keeping its centre of gravity
over its base.
• When the base is wide it ensures that the center of gravity will fall
through its base.
• In standing position the nurse can have a wide base by separating
her feet.
• Always raise the bed to the appropriate height before changing
linen so you do not have to bend or stretch over the mattress.
• Body mechanics and safe handling are important when turning or
repositioning the patient in bed.

10. PRINCIPLE 4
Systematic ways of functioning saves time, energy
and materials.

11. NURSES ROLE
• When patients are confined to bed, organize bed-
making activities to conserve time and energy.
• Assemble all articles and arrange them conveniently
before starting the bed making.
• Arrange the linen in the reverse order of use.
• Finish on one side of the bed before going to the
opposite side
• The bed sheets are folded in such a way that it can be
replaced easily.

12. PURPOSES OF BED MAKING
• To provide a clean and comfortable bed for the patient
• To give a neat and tidy appearance to the unit
• To keep it ready for any emergencies
• To receive the patient comfortably
• To provide active and passive exercise to the patient
• To establish interpersonal relationship
• To economize the time, material and energy
• To teach relatives how to take care of the patient at home
• To prevent bed sores

13. TYPES OF BED
• Open bed
• Closed bed
• Occupied bed
• Admission bed
• Post operative bed
• Cardiac bed
• Amputation bed/divided bed
• Fracture bed
• Therapeutic bed

14. OPEN BED
• It is a bed, made when it is about to be occupied by either a new
patient or an ambulatory patient.

15. CLOSED BED
• It is an unoccupied or empty bed made to receive the
patient and is fully covered with counter pane to protect
it from dust and dirt. On admission of the patient, the
closed bed is converted in to an open bed.
PURPOSES:-
• To keep the bed ready for occupancy.
• To provide a neat and tidy appearance to the unit

16. OCCUPIED BED
• This bed is made with the patient in it.
PURPOSES:-
• To make a bed with least possible discomfort to the
patient.
• To handle the bed clothes skillfully while the patient
is on bed, giving least disturbance to the occupant.
• To provide a neat, clean and tidy appearance.

17. ADMISSION BED
• This is the bed prepared to receive a newly admitted
patient.
PURPOSES:-
• To welcome the patient
• To provide immediate care, safety and comfort
• To protect the bed linen while giving bath on
admission

18. POST OPERATIVE BED
• It is a bed prepared for a patient who is recovering from
the effects of anesthesia following surgery.
PURPOSES:-
• To receive the patient conveniently
• To provide warmth and comfort
• To prevent shock
• To prevent injury
• To prevent soiling of the bed
• To meet any emergency

19. CARDIAC BED
• A bed prepared for patients with cardiac diseases.
PURPOSES:-
• To prepare the bed for the cardiac patients
• To relieve dyspnea

20. AMPUTATION BED/DIVIDED BED
• It is a bed in which top linen is divided into two parts
to visualize the amputed part of the lower limbs
without disturbing the patient.
PURPOSES:-
• To watch the stump for hemorrhage and apply
tourniquet instantly
• To take the weight of the bed clothes off the patient.
• To keep the stump in position

21. FRACTURE BED
• It is a bed which is prepared for patients with
fracture, bone diseases and deformity.
PURPOSES:-
• To prevent undue sagging of mattress
• To immobilize the fractured part
• To restrict sudden jerky movements
• To keep the traction in position

22. THERAPEUTIC BED
Renal/ Rheumatism/Blanket bed:-
• it is a bed made for patients suffering from
rheumatism or renal disease.
PURPOSES:-
• To carry the weight of the bed clothes off the painful
joints
• To keep the patient warm
• To induce sweating

23. NURSES RESPONSIBILITIES
PRELIMINARY ASSESSMENT:-
• Check the doctor’s order for specific precautions
regarding the movement and positioning of the client.
• Assess the client’s ability for self care
• Check the furniture and linen available in the client’s
unit.
• Assess the number of clean linen needed.
• Assess the articles needed for the comfort of the
client. Eg.:-blankets, backrests

24. ARTICLES
• Bottom sheet
• Mackintosh
• Draw sheet
• Top sheet
• Blanket
• Pillow cover (pillow case)
Additional articles :_
• Laundry bag
• Dusters
• A bowl with antiseptic solution (savlon 1:40)
• A kidney tray

25. PREPARATION OF THE CLIENT AND UNIT
• Explain the procedure to the client to win the co operation
and confidence of the client.
• Explain how the client can assist.
• Screen the client to provide privacy if needed.
• move furniture away from the bed and move the bed away
from the wall.
• Lower the back rest if any.
• Place the laundry bag within the reach.