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BED MAKING BY BELAMA ANTONIO
BSC NUR
BED MAKING
Bed making is something we all do, sometimes on a daily
basis. But did you know that bed making in nursing is an
art? Indeed, in nursing, bed making is an important
technique in which you prepare and arrange different types
of beds for the patients comfort and useful position for a
certain condition.
PRINCIPLES OF BED MAKING
The following are general principles of bed making:
Have everything ready before you start bed making
Strip the bed neatly and ensure that bed clothes and
linen do not touch the floor.
CONT…..
Avoid flapping of bed clothes to minimize the risk of cross infection.
Have a chair or bed stripper at the foot of the bed for placing bed
linen and accessories.
Make sure the patient is in a comfortable position for the procedure.
Support the patient when necessary. One nurse should support the
patient while the other makes the bed.
Strip the bed from top to bottom.
Turn the mattress from head to feet if the patient is able to get out of bed.
Remove debris and wrinkles from the bed to prevent pressure sore formation.
Change the bed sheets to ensure patient comfort if patient is sweating.
Observe the patient throughout the procedure.
CONT….
Shake the pillow at each bed making.
Allow room for the patient feet when replacing the
bed covers.
Call for help if necessary when moving heavy or very
ill patients
Don’t mix soiled linen with articles such as dentures
as they will get lost and damage laundry machine.
METHODS OF BED MAKING
The method of bed making depends on the type of
bed being made. Bed making starts with the
foundation.
The foundation of the bed is the only part which is
the same for all the types of beds. The foundation is
made by spreading the bottom blanket first, followed
by a bottom bed sheet. Before we discuss how to
make a bed, let’s first look at the different types of
TYPES OF BEDS
A nurse makes different types of beds according to the
condition of the patient. These are the:
Empty bed (unoccupied)
Occupied bed
Post - operative bed
Divided bed
CONT……
Fracture bed
Plaster bed
Admission bed
Cardiac bed
EMPTY BED (UNOCCUPIED)
This is the bed you make upon the discharge of a patient. You make it in
readiness for the next patient. For you to make this type of a bed you
require the following:
Pillow case
Sheets
Blankets
Cotton draw sheets
Counterpane.
METHOD OF MAKING AN EMPTY BED
The following is the method for making an empty bed:
Place the blanket to create the foundation.
Fix the top sheet with mitred corners.
Open the bottom sheet with the right side uppermost and
place evenly.
Fix the top sheet with mitred corners.
CONT…..
Tuck the sheet and blanket to make a firm foundation.
Place the mackintosh where it will be under the patients buttocks.
Place the draw sheet over the mackintosh.
Place the top sheet right side facing downwards, 30 – 40 cm half way up the pillow.
Tuck in the top sheet with the mitred corner.
Place the top blanket, tuck in and mitred corners at the foot end.
Tuck the blanket at the edges.
CONT…..
Open the counterpane and place centrally allowing
sufficient space to tuck in and mitre the corners at the
bottom.
Place the pillow at the head, covering completely and facing
away from the door.
Replace the chair in the ward and align it in the proper
position.
EMPTY BED
THE OCCUPIED BED
This is another type of a bed which you make with the patient in. In other words, it is
made for a client who cannot get out of bed.
The procedure and requirements for making this bed is similar to that of the empty
bed with a few differences. These are:
Strip the counterpane and blanket and leave the patient covered in the top sheet.
Remove the pillow and place the patient in a supine position depending on patient’s
condition.
Strip and replace the bottom sheet
Draw the sheet and mackintosh by either using the side-to-side
method or head to toe method. Mitre the corners as required.
Change the top sheet by placing clean sheet on top of soiled sheet
and draw the soiled sheet out. Never expose the patient.
Replace the blanket and counterpane.
Leave the patient comfortable.
Am sure you have noticed that making a bed in nursing is an
important procedure and a bed is made differently to suit the needs
of the patient who occupies it.
POST-OPERATIVE BED
This bed is made for a patient who has undergone surgery.
Again the prodedure is similar to that of the empty bed with a few
modifications depending on the type of surgery.
The following is the procedure for making the post-operative bed:
Place the pillow on the chair at the side or foot of the bed.
Make the foundation as for the empty bed.
Place the mackintosh and draw sheet at the head end and where the
patient’s buttocks will be.
Place the top sheet, blanket and counterpane without tucking in,
and fold in a pack at the centre of the bed.
POSTOPERATIVE BED
DIVIDED BED
This bed is made for patients who have undergone amputation of
lower limbs, or for selected fractures and for drying of plaster of
Paris.
To make this bed you require the following:
CONT…..
Two sets of bed clothes
Mackintosh
Covered sand bags
Tourniquet
Blanket
Bed cradle
METHOD OF MAKING THE
DIVIDED BED
The following is the procedure for making the divided bed:
Make the foundation as in the ordinary bed.
Place the mackintosh and the draw sheet.
Wrap the inside blanket loosely around the patient.
CONT….
Place a set of bed clothes in position over the sound leg up
to the groin.
Drape a towel around the stump and fit with sand bags to
prevent involuntary movements.
Place a second set of bed clothes over the patient so that
the stump is exposed.
FRACTURE BED
This is the bed used by patients with fractures of the spine, pelvis
and lower limbs.
To make this type of a bed, you require the following supplies over
and above the usual ones required for making an empty bed:
Fracture board
Sand bags
Bed cradle
CONT…..
Additionally, you should follow the following steps as you prepare
the fracture bed:
Place the fracture board under the mattress to provide firm support
and prevent sagging
Place the sand bags to immobilize the fracture
Place the cradle and top beddings.
PICTURE OF FRACTURE BED
PLASTER BED
This bed is made for patients who have wet plasters of Paris. This
bed is prepared just like the fracture bed but with a few additional
procedures These include:
Covering the patient with inside blanket leaving plaster exposed.
Putting a bed cradle over the patient and making the bed in a usual
way.
Turning back the lower end of the bed clothes to the edge of the
cradle.
ADMISSION BED
The admission bed is mainly used for receiving newly admitted
patients. The procedure of preparing this bed is similar to the empty
bed.
The procedure of making the admission bed is as follows:
Make bed as for empty bed
Turn down 30 – 40 cm top sheet, blanket and counterpane.
When patient arrives place him or her in bed and cover for
warmth.
PICTURE FOR ADMISSION BED
CARDIAC BED
This bed if used for patients with cardiac conditions, patients with dyspnoea, asthmatic or
pneumonia. It is also used for patients who have undergone abdominal operations or chest
operations.
For you to make this type of a bed you require the following:
4-5 pillows
Back rest
Inside blanket
Sand bags or foot rest
Air ring
Cardiac table
Bed cradle
CONT…..
The procedure for making this bed is as follows:
Make the foundation just like the ordinary bed/empty bed
Arrange the inside blanket loosely
Place sand bags at the foot end
Position the air ring on the sacrum
Place the back rest and pillows to support the
patient
Place the cradle over the limbs.
Make the top of the bed like the ordinary bed.
CARDIAC BED
APPLIANCES/ACCESSORIES
The patients’ unit has a number of appliances and
accessories. These are the:
Bed
Mattress
Bed linen
Cardiac table:
THE BED
this is usually made of steel and painted white. It is movable and has
levers to raise or lower the head or foot end. It is normally high (at
least 1 metre off the ground) to prevent attendants from straining
their backs when assisting the patient.
You can use Cots for children or beds with side rails for patients in
danger of falling from the bed. Ensure that the beds are 1.5 – 2
metres apart on the ward.
THE MATTRESS
ideally hospital mattresses should be covered with plastic to enable effective
carbolization and avoid soiling. The mattress should be thick to ensure good body
alignment.
Bed linen. The following linen should be available:
an under blanket to form the foundation of the bed
a bottom sheet
mackintosh
draw sheet
top sheet
blanket
counterpane.
Cardiac Table: this is used for placing patients’ food during meals. You can also use it
for writing and for positioning patients with breathing problems.
4. Bed side locker: you can use it to keep patients’ belongings. Lockers are made of
steel and painted white to make it easy for you to clean.
Bed Cradle: Used to raise bed linen from patients’ body especially in burns or injuries of
the chest.
Back rest: This is made of metal and is placed behind the patient’s
back with pillow so that the patient is in a sitting position. You can
use it to patients with dyspnoea that is difficulties in breathing.
Air Rings: It is a hollow rubber ring. It can be blown up to form a cushion on which the
client sits or sleeps to prevent pressure sores.
Fracture Board: They are usually made of wood or metal. These are placed under the
mattress to prevent sagging when a client has a fracture, spinal injury.
Sand bag: This is made of sand covered with durable material. These are used to
support or immobilize part of the body such as fractured pelvis.
Bed Elevator. This one is made of metal or wood, you can use it to raise the foot end of
the bed.
Other Bed Accessories
The other bed accessories include the:
drip stand
walker
hot water bottle
pulleys.
THE END