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Bed Making Concept

This document provides instructions for bed making in a hospital setting. It discusses the necessary equipment for a hospital bed including safety features. It describes how to make different types of beds including closed, open, and occupied beds. The principles of bed making emphasize asepsis, body mechanics, work organization, individuality, and safety. Special bed equipment like bed boards and side rails are explained. Common bed positions like Fowler's position and Trendelenburg position are also defined. Finally, the document outlines the essential criteria for effective bed making.

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Britthaney Buladaco
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10 views

Bed Making Concept

This document provides instructions for bed making in a hospital setting. It discusses the necessary equipment for a hospital bed including safety features. It describes how to make different types of beds including closed, open, and occupied beds. The principles of bed making emphasize asepsis, body mechanics, work organization, individuality, and safety. Special bed equipment like bed boards and side rails are explained. Common bed positions like Fowler's position and Trendelenburg position are also defined. Finally, the document outlines the essential criteria for effective bed making.

Uploaded by

Britthaney Buladaco
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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NCM 122 RLE

BED MAKING

BED
A piece of equipment used mostly by a client.
It should be designed for comfort, safety, and adaptability for changing positions of the client.

BED MAKING
It is making the bed of the client by using bed sheets or linens

BED SHEETS / LINENS


These are materials used in making the bed of the patient such as the bottom sheet, cotton draw sheet,
rubber draw sheet, top sheet, blanket and bed spread.

CHARACTERISTICS OF A HOSPITAL BED


1. It is equipped to save time and energy
2. It is made so that the nurse can easily reach a patient in bed. The hospital bed is narrower than normal bed
3. The mattress is generally firm to provide good body support.
4. The bed is easily moved and contains a number of safety measures. (side rails, foot boards, wheels with
locks, headboards)
5. The bed should have rubber and cotton draw sheets placed over the middle area of the bed (buttocks area)
to protect the mattress and bottom sheet from discharges.
6. Linens are generally long and wide with durable quality.
TYPES OF BED MAKING
Unoccupied Bed

1. Closed bed
-made after a patient is discharged
- made for a newly admitted patient
- top sheet, blanket and bed spread are drawn up to the head of the mattress

2. Open bed
- made for a patient who is out of the bed (ce, lab, bedside chair)
- top covers (top sheet, blanket, bedspread) are folded back so that a client can easily get into thebed
2 ways on how to open the bed:
-triangular
-horizontal

3. Anesthetic bed
- also called surgical bed/ post operative bed, recovery bed
- made for a patient who underwent surgery or operation

4. Bed stripping
- stripping or removing the used or soiled linens from the bed

Occupied bed
- made while the patient is on bed
-made safely for a bedridden patient
PRINCIPLES OF BED MAKING

1. Asepsis
- prevent the spread of microorganisms by doing handwashing prior to collecting the linens
- keeping linens away from the uniform
- minimal shaking of the linens
- keeping linens of the floor

2. Body mechanics
- to prevent straining of the back
- adjusting the working area to waist level and keeping body close to the area
- face the direction of movement

3. Work organization
- assess the availablity of linens or supplies
- arrange linens according to order of use
a. bottom sheet
b. rubber sheet
c. cotton draw sheet
d. top sheet
e. blanket
f. bed spread
g. pillow case
* bath blanket (used for occupied bed making)
- employing sytematic and rhythmic movements throughout the procedure
* ensuring all materials are complete
* finishing one side first before transferring to the other side
- having bedside chair and or laundry hamper within easy reach

4. Individuality
- provide privacy and comfort to the patient by assessing the need for linen change and by keeping the
patients’ comfort

5. Safety
- prevent falls and injuries by purring the side rails up
- keeping call signals within clients reach
- checking beds for malfunctioning
SPECIAL BED EQUIPMENT

1. bed board or fracture board


- a board placed directly under the mattress to give additional support to the patients body
- physician often order bed boards to patients with back injury

2. side rails or safety sides


- used both on hospital beds and stretchers
functions:
* to prevent patient from rolling or falling out of the bed
* to give some patients especially the elderly, blind and the sedated a sense of security
* to provide a hand hold in which a patient can move up in bed or turn over
* if half rails, to provide a sense of security for patient while in bed and to provide support for setting out of
bed

3. foot boards
- a flat panel often made of wood or plastic that is placed at the foot of the bed
- often made in an L shape so that the base of it fits under the foot of the mattress
functions:
* to provide support for the patient's feet, maintaining natural position while the patient is in bed
* to keep the top covers off the patients feet, relieving pressure from the weight of the bed covers
* to facilitate foot comforts

4. Bed cradles or anderson frame


- a device designed to keep the top bed cloths off the foot, legs or even the abdomen of the patient

5. intravenous rods
- also known as IV poles or stands
- used to support intravenous infusion containers while fluid is being administered to a patient
BED POSITIONS

1. fowlers position
- head of the bed is raised to an angle
* high fowlers 60-90 degrees
* semi fowlers 45-60 degrees
* low fowlers 15-45 degrees

2. trendelenburg’s position
- entire bed frame is tilted with head of the bed down
- uses for postural drainage, facilitates venous return in patient with poor peripheral circulation
- contraindication: shock, head and chest injury, respiratory cases

3. reverse trendelenburg
- entire bed frame tilted with foot of bed down, used infrequently
uses- promotes gastric emptying, prevents esophageal reflux

4. hyperextension position
- both the head and the foot sections are lowered up to 15 degrees to create an angle in the bed foundation
uses- sometimes used for patients with spinal fractures but requires a doctors order
flat position
- entire bed frame is horizontally parallel with the floor
uses: for clients who are hypotensive, with vertebral injuries, cervical tractions
generally preferred for sleeping
ESSENTIAL CRITERIA FOR EFFECTIVE BED MAKING

1. The patient is protected from cross-infection


a. Keep all linens off the floor
b. Keep soiled linens away from the uniform
c. Do not shake bedding

2. The patient’s skin is protected from irritation


2 major threats to the integrity of the skin
a. Maceration and softening of the skin from prolonged contact with damp sheets
b. Interrupted or disturbed blood flow through the skin over areas concentrated pressure from
wrinkles.

3. The patient’s feet are protected from foot drop thus toe pleat is made.

4. The finished appearance is aesthetically pleasing

5. The nurse is protected from muscle strain and fatigue


a. Maintain proper body mechanics
b. Recall the principles in bed making
THINGS TO REMEMBER
Linens arranged Alignment Folding Remarks
according to use
Bottom Sheet Aligned at the foot of the bed Right Side In *the only linen aligned at
the foot of the bed
Rubber Sheet Aligned 18 inches from the head of the bed Right Side In
Cotton Draw Aligned 16 inches from the head of the bed Right Side In
Sheet or 2 inches above the rubber sheet
Top Sheet Aligned at the head of the bed Right Side Out *the only linen folded
folded right side out
Blanket Aligned 6 inches from the head of the bed Right Side In *the only linen that can
be re-used by the same
patient
Bed Spread Aligned 5 inches from the head of the bed Right Side In
or 1 inch above the blanket
Pillow Case Right Side In
Pillow
*Toe Pleat – Is made 6-8 inches from the foot of the bed then 2-4 inches across the bed.

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