Bed Making

Bed 4. Footboard
- considered as an important part of the ▪ "Footboot" ??
patient's environment ▪ supports the immobilized client's foot in a
- place where the patient stays most of their normal right angle to the legs
time in the hospital ▪ w/o it, the patient can have a plantar
- most of the nursing care is rendered on flexion contracture
the bed
- process of making a neat and clean bed 5. Side Rails
for the client in hospital ▪ "Safety Sides"
▪ serves as a safe and effective means of
Hospital Bed preventing clients from falling out of the
- for the comfort and well being of the patient bed
& for the convenience of health care workers ▪ some kinds of side rails: full length, four-
standard size: 66 cm (26 inches) high, half, and quarter length
0.9 m (3 ft) wide, & 6.5 ft length ▪ ensures safety but some researches say
Parts: that excessive use of side rails do not deter
1. Bed Frame the older patients in going out of bed
▪ has 3 sections that allows movement to the unassisted.
head and foot part to be elevated separately alternative: the height of the bed can be
▪ Adjustable Height Setting: has a button/lever lowered and placing a mat on the floor
used to elevate or maneuver the bed beside the hospital bed can prevent serious
injuries if patients accidentally fall out of
Commonly used Bed Positions: the bed
a. Flat Position
- mattress is completely horizontal 6. IV Rods
- the patient may be in supine/prone position ▪ "Intravenous Rod"
b. Fowler's Position ▪ freely standing on the floor and not
- the head part is elevated attached on the bed
- can promote lung expansion ▪ usually made of metal, support intravenous
c. Trendelenburg's Position (IV) infusion containers while fluid is being
- foot part is inclined/elevated administered to a client
- promotes venus repair
- designed for postural drainage Purpose of Bed Making:
▪ to provide clean, safe, and comfortable bed
2. Mattress for the patient to promote rest and sleep
▪ usually covered with a water-repellent ▪ to reduce the risk of infection by
material that resists soiling maintaining a clean environment
▪ has a handle on the side called "Lugs" ▪ to prevent bed sore by ensuring wrinkle-
▪ there are special kinds of mattress made up free bed
of different materials for a certain purpose ▪ to economize time, material, and energy
(foam, inner spring coil, air) to prevent (equipment should be ready)
pressure in bony prominences and etc. ▪ to observe patient and prevent
complications
3. Headboard ▪ to maintain a clean environment and neat
▪ piece of furniture that attaches to the head appearance to the unit
of the bed
Types of Bed Making: ▪ center of gravity is close to your body
1. Occupied Bed ▪ height of the bed is in a comfortable
- patient is physically present in the bed working height for the nurse
2. Unoccupied Bed
- bed is made while the client is out of the bed 2. Follow the standard precautions.
has 2 kinds: ▪ perform proper hand hygiene
▪ Open Bed - top covers are folded back 3. Always wash your hands before handling
to make it easier for a client to get in clean linen.
▪ Closed Bed - top sheet, blanket, and ▪ hand washing before handling clean
bedspread are drawn up to top of the linen and after contact of soiled linens
bed and under the pillow 4. Bring enough linens to patient's room.
▪ have necessary materials on the
Changing an Unoccupied Bed: bedside to save time and effort
Purpose: 5. Always keep linen covered.
• to promote the client's comfort ▪ use hamper for soiled linens
• to provide a clean, neat environment 6. Never shake linens.
• to provide a smooth and wrinkle-free bed ▪ soiled linens can cause spread dust
foundation, minimizing sources of skin particles and organisms
irritation 7. Don't take linens from on person's room
Assessment: to use for another room.
• assess the client's health status ▪ prevents cross contamination
(assist patient from bed to the chair) 8. Hold linens away from your uniform.
• assess pulse and respirations if indicated ▪ prevents infection and spread of
(vital signs) microorganisms
• note all the tubes and equipment 9. Never put dirty linens on the floor or on top
connected to the client of clean linens.
Materials & Equipment: ▪ use linen hamper
• 2 flat sheets or 1 fitted and 1 flat sheet 10. Roll dirty linens away from your body when
• Cloth draw sheet removing it from the bed.
• 1 blanket
• 1 bedspread 11. The bottom linens must be tightly tucked
• Waterproof pads (optional) without wrinkles.
• Pillow case for the head pillow ▪ Miter
• Plastic laundry bag or portable linen hamper, 12. Straighten and tighten loose linens
if available whenever necessary.

Surgical Bed 13. Make one side of the bed completely

15 Principles of Bed Making: 15. Arrange the linen in the reverse order of use.
1. Use good body mechanics at all times. ▪ Bottom -> Rubber -> Drawsheet ->
▪ feet is apart for wider base of support Top -> Blanket
▪ bending of knees rather than hips to
prevent back strains
5 Kinds of Linen:
1. Blanket
- large piece of cloth. soft, woolen, and
used for warmth as a bed cover
2. Top Sheet
- used to cover the patient to provide
warmth, made of thick cotton, thermal
material
3. Draw Sheet
- piece of cloth spread over the rubber
sheet and is used to absorb moisture
4. Rubber Sheet
- used to protect the bottom sheet
from soiling
5. Bottom Sheet
- used to cover the bed after mattress cover