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Nagamani Manjunath, profile picture
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Principles of Bed making.pptx

The document discusses the principles and procedures of bed making for patients. It outlines that bed making aims to provide a safe, comfortable and hygienic surface for patients while preventing infections and other complications. Key aspects of bed making include proper hand hygiene, removing wrinkles and ensuring bedding is tucked smoothly to prevent pressure sores. Maintaining good body mechanics during bed making is also important to prevent nurse fatigue. Systematic processes should be followed to save time and resources.

Healthcare◦
Prof.Nagamani.T
Bed making is a procedure or technique in which different types of beds are prepared to make the patient comfortable according to the situations and procedures.
 To provide the patient with a safe and comfortable bed.  To promote rest and sleep  To provide the unit or ward a neat appearance  To prevent micro organisms to come in contact with patient, thus minimize the source of infection.  To adapt to the needs of the client  To economize time, material and effort  To prevent bedsores
 To establish an effective nurse-patient relationship  To provide active and passive exercises  To observe the client ( eg, oral hygiene, ability of self care, presence of bed sore etc.)  To promote cleanliness  To prevent injuries  To dispose the soiled linen appropriately  To develop skill in maintaining body mechanics for the nurse  To help relatives to learn the patient care at home.
1. Simple bed or unoccupied bed.  Close bed (Admission bed),  Open bed,  Post-operative bed/ recovery bed/ anesthetic bed 2. Occupied bed. 3. Special beds  Cardiac bed,  Fowler’s bed,  Fracture bed,  Amputation bed/ Stump bed/ Divided bed  Operation bed  Blanket bed  Therapeutic bed
# Principle 1 Micro organisms are found every where on the skin, on the articles used by the patient and in the environment. The nurse takes care to prevent the transfer of micro organisms from source to the new host by direct or indirect contact or prevent the multiplication of organisms.
 The nurse washes her hands before and after bed making to protect the patient and herself from cross infection.  Bed clothes are changed frequently to ensure cleanliness  When removing the bed linen, care to be taken not to drop them on the floor.  Shake the linen gently to remove the dust. Flapping the bed clothes cause air motion and thus cause transference of bacteria along with the dust.  Linen should be folded and held away from the nurse to prevent direct contact with the microorganisms.
 Dusting and thorough cleaning of the patient’s bed and the unit daily and keep them free from infection.  Dry dusting raises dust. Damp dusting is recommended.  Do not interchange the patient linen.  Nurses with respiratory infection should not attend the patient  Clean from less contaminated area to more contaminated area.  Clean the bed first before cleaning the locker  Maintain reasonable distance from patient face to prevent droplet infection.
 A safe and comfortable bed will ensure rest & sleep and prevent several complications among bed ridden patients. ( Eg., Bed sores, foot drop etc.)
 The nurse should make sure that the bed is wrinkle free and smooth to prevent bed sore due to friction between the skin and the mattress or wrinkled sheets.  Pull the bottom sheet tightly so that there are no wrinkles  The linen is tucked far enough under the mattress, keep it fixed, tight and smooth.  Make sure the mattress remains flat and even with the corners firm and square.  Remove unwanted waste like cotton to avoid discomfort for the patient.
 Do not keep any wet linen on the bed.  Daily dusting should be done to remove any food waste or hospital waste like gauze, needles, cotton etc.)  Expose the mattress and pillow to sunlight and aeration to keep them fresh.  A bed should have enough space for free moving of the patient to prevent bed sore, stimulate circulation and to maintain muscle tone.  Use comfortable devices to provide additional comfort to the patient.
 Good body mechanics maintain the body alignment and prevents fatigue # Principle 3 Action to take  Maintain good body alignment when bed making (avoid bending, twisting, stretching)  Use large muscles rather than back muscles  Work smoothly and rhythmically- 2 people can make beds together to save time and effort.  If possible raise the bed height to avoid bending and back strain.
 Client safety and comfort # Principle 4 Action  Ensure that the locks of the bed are on.  Ensure the height of the bed is adjusted to its proper height after the bed making  Make sure the bedside rails are on.  Avoid areas of potential pressure on the bed.  Promote comfort by having wrinkle free and bed free from rough areas, creases,food crumbs and foreign bodies.
 Systematic ways of functioning saves time, energy and material. # Principle 5 Action to take  Assemble all articles and arrange them conveniently before staring the procedure.  Arrange the linen in reverse order  When stripping the bed, remove the bed linen one by one holding the open end towards the floor.  The bed sheets are folded in such a way that it can be replaced easily.
 Micro organisms are found every where on the skin, on the articles used by the patient and in the environment. The nurse takes care to prevent the transfer of micro organisms from source to the new host by direct or indirect contact or prevent the multiplication of organisms.  A safe and comfortable bed will ensure rest & sleep and prevent several complications I bed ridden patients. ( Eg., Bed sores, foot drop etc.)  Good body mechanics maintain the body alignment and prevents fatigue  Client safety and comfort  Systematic ways of functioning saves time, energy and material.
 Wash hands before and after the procedure  Do not expose the patient unnecessarily.  Protect the patient from draught.  Do not cover the patient’s face while placing the linen  Do not mix clean linen with soiled linen  Never place the woolen blanket directly on the patient body except for blanket bed  Always get extra help to make bed for helpless patients and to prevent them from falling.
 Never allow the patient to lie down on mackintosh directly.  Do not let the linen touch your body or uniform  Maintain good body mechanics  Make the bed firm, smooth and wrinkle free  Practice economy of time, energy and material  Do not shake dirty linen to prevent germs spread around the room  Maintain privacy while making occupied bed making
 Inspect cot, mattress and pillows daily for presence of vermins, and destroy them.  Expose the mattress and pillow for sunlight when needed.  Make adaptations according to weather, climate changes, individual needs, customs and habits.  Ensure patient safety and comfort during the procedure  The nursing principles such as individuality, comfort, safety and good relationship should be maintained.
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