The document discusses hospital beds and bed making procedures. Hospital beds are designed for patient comfort, safety, and adjustability to allow for changing positions. They typically have firm mattresses on metal bases and adjustable features. Proper bed making provides a clean, comfortable environment for patients and allows for skin inspection. It outlines various bed types like fracture beds, cardiac beds, and divided beds and indicates their uses. The document also details the steps and considerations for making occupied and unoccupied beds.

1. BED MAKING
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2.  A bed is an important piece of equipment in
the patient’s unit
 Seriously ill patents remain in bed for a long
time
 Beds are designed for comfort, safety, and
adaptability for changing positions
 Typical hospital bed has a firm mattress on a
metal base
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3.  Typical hospital beds are adjustable eg head
or foot end can be lowered or adjusted
 Have special features such as locks on the
wheels
 Have side rails to protect pt from accidental
falls
 Headboard can easily be removed for easy
access to the head
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4.  Bed cradle
Made of metal used to take weight of the
bedclothes from the body
 Bed or Backrest
Helps to support the client. They are often
part of the head of the bed and can be
adjusted as required or they may be portable.
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5.  Air Ring
Hollow rubber ring fitted with valve. These
are blown up to form a cushion on which the
client sits to prevent pressure sores at the
lower part of the back.
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6.  Fracture Board
Usually made of wood or metal. These are
placed under the mattress to prevent sagging
when a client is in a plaster splint, or needs
firm support after spinal injuries or
operation.
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7.  Sand Bag
Made of sand covered with soft durable
material. These are used to support or
immobilize part of the body such as fractured
pelvis.
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8.  Bed Blocks/Elevators
 Blocks are made of wood.
 Elevators are made of metal used to raise the
head or foot of the bed by vesting the castors
in the cup like depression in the tops of the
blocks.
 These are used incases of shock or
hemorrhage.
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9.  Beds are usually made in the morning after
client’s bath, while client is bathing in a
shower or sitting in a chair or out of the room
for procedures or tests, or while in bed
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10. PURPOSES OF BED MAKING.
 Provide a neat clean environment for the
client.
 Eliminate sources of irritation to client’s skin.
 Promote client’s comfort and relaxation.
 It provides a good opportunity to inspect and
observe the client/ patient.
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11. INDICATIONS
 Daily routine procedure
 After discharge of client
 After transfer and death of client
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12.  Have everything you require at hand before
commencing
 Ensure that bed clothes do not touch the
floor.
 Never shake linen during bed making to
prevent spreading of infection.
 Keep client in position required for his/her
treatment throughout procedure.
 Do not expose the client.
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13.  Bed accessories should not be placed on the
floor
 Use correct body mechanics when lifting the
client
 Procedure is best done by two nurses.
 Start with less infectious part of the ward.
 Minimize talking when bed making.
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14. 1. EMPTY BED
Indications
 Following discharge, transfer, death of
patient
 Preparation for admission
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15. 2. OCCUPIED BED
Indication
 Bed ridden patients who cant come out of
bed
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16. 3.DIVIDED BED OR AMPUTATION BED
Indications
 Patient going for amputation of lower limbs
 Examinations of the perineal area
 Easy observation of lower limbs
 Drying plaster of Paris
 Extensive abdominal surgery
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17. 4. FRACTURE BED
Indication
 Fracture of the spine, pelvis and lower limb (s)
5. CARDIAC BED
Indications
 Severe dyspnoea
 Client with cardiac conditions

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18. 6. Post-operative bed
Indication
For patients coming from surgery
7. Cot Bed
Indication
infants and young children
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19. a. Gather all the required linen and accessories
before making the bed.
 Sheets.
 Pillowcases.
 Blankets.
 Bedspread/ counterpen
 Extra pillows.
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20.  b. Avoid shaking the linen to prevent the spread of
microorganisms and dust particles.
 c. Avoid placing linen, clean or dirty, on another
patient's bed.
 d. Do not place dirty linen on the floor.
 e. Do not hold dirty linen against your uniform.
 f. Always use good body mechanics; raise the bed
to its highest position to make bed-making easier.
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21.  g. Stay on one side of the bed until it is
completely made; then move to the other side
and finish the bed. This saves time and steps.
 h. Observe the patient and document any
nursing observations.
 Check for areas of redness that may lead to
pressure sore formation.
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22.  Note tolerance of activity level while out of bed.
 Note observations about the physical and
emotional status of the patient.
 Note any patient teaching or reinforced teaching
given and the patient's response.
 Check for drainage, wetness, or other body fluids
and record observations.
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23.  METHODS OF BED-MAKING
 Unoccupied (Closed) Bed.
 Occupied (Open) Bed.
 Cardiac bed
 Post-operative bed
 Fracture and plaster bed
 Divided bed
procedure refer to procedure manual.
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