"l
BED MAKING
promoting
patient' and
procedure aimed at promoting eomfort to the
I Bed making is a hospital ward patient while undergoing
The hospital bed is a safe area for the
cleanliness and tidiness of the ward'
treatment and aids in convenient patient care
andreadilyadaptabletothespecificneedsofan
Awell-madebedisneat,comfortable,freeofwrinkles
individual Patient.
TYPES OF BEDS
a) Admission bed / Closed or unoccupied bed'
b) OPen /occuPied bed
c) Post oPerative bed
d) Divided/ amPutation bed
e) Cardiac bed
f) Fracture bed
Principles:
SafetY:
7. Wash hands before Proceeding'
2. All beddings must be clean' from getting in contact with patient's
body'
3. Protect mattress, pillows and rubber sheets (use bottom shelf of the trolley or
4. Avoid contact of beddings with n""r ..0 other paiient's-unit.
dirtY linen carrier)
[Link],usegoodbodymechanicsandmakeeachmovementpurposeful. fan out the clean or
spieao of microorganisms. Do not shake or
6. Roll all soiled linen to minimize
tro'your uniform and place it in the laundry hamper'
soiled linen. Hold the soiled linen,*'v
\ 7. Never make beds during meal times d
[Link].
lift such patients up
g. when making an occupied bed with a patient in a special position, always
andneverlaythemflatonthebedhowevershorttimeitmaybe.
Comfort:
L. Prepare the patients and the ward for bed makingtucked in'
2. Make under-n"dOing smooth' tight and securely
3"Placeupperbeddinghighenoughtocoverpatientsshouldercomfortably.
4,securetobeddingatfootsothatitwillstayinwellandbelooseoverthefeet'
[Link].n"occupiedbed,keepthepatientcoveredatalltimes.
Resources: (time, energy and materials)
L, Bring all equipment to bed at one time.
2. Remove all used equipment at one time.
3. Avoid unnecessary trips around the bed by placing each piece on bed before going to far aide of
bed.
4. Sure accurate movements will make it unnecessaryto pat and straighten linen.
5. Always start making the bed from top to bottom
General requirements
a A clean trolley with;
a 2 clean sheets
a L blanket
a 1 bed cover
a L pillow slip
a l dirty linen carrier
Specific requirements
1. Admission bed- no extras
2. Post- operative bed..
o 1 bath towel
o L mackintosh
o L drawsheet
o Post operative tray
o Vomitus bowlwith lid
o
oxygen apparatus by the bed side
3. Amputation/ divided bed
o Draw sheet and mackintosh
o 2 sand bags
o Bed cradle
o Extra counterpane
4. Fracture bed
Fracture board
Any other necessary orthopedic apparatus
5. Cardiac bed
o Backrest
o Extra pillows
o Air rings
o Foot board
Procedure for making an admission bed
Y STEP RATIONALE
Wash hands and dry them Minimize spread of infection
Starting with the bottom sheet folded, put in the Placing in the middle of the bed promotes easy
middle of the bed and unfold with the right side up. spreading. Spreading with right side up ensures
Leave enough at the top to ensure tacking. the folds do not irritate the skin.
Tuck the top neatly and securing the sheet by Secures the sheet firmly and keeps it straight
making a diagonal or envelop corner, then the
bottom and lastly the sides, pulling tightly.
' "'..1' ' ' Spread the top sheet with the right side down ( the Ensures that there are no wrinkles
top to be level with the mattress while leaving
enough linen to tuck at the bottom
Spread blanket, making envelop corners and fold ir4aintains neatness
slightly at the top. Spread cover same way as
blanket
Fold all top linen back in 3 layers Maintains neatness
Cover pillow and place them at the head side of the Avoids dust collecting in the slips
bead with open ends away from the door
Occupied bed
Procedure used to change linen on the patient's bed r,r,hen the patient is still in bed. The main objective
is to promote patient's comfort and minimize sources of wrinkles and skin irritatron while conserving
energy.
lndications;
a. Bed ridden patients
b. Patients restricted in bed by different forms of treatments e.g. traction.
Pre- procedures
I Assess patient's condition and need for special bed appliances
I Assess whether the patient has had a bath or the linen are soiled to enable planning for
additional requirements, or if a bed bath could be needed
Assess the physiological and mental state of the patient to determine need for assistance
Procedure for making an occupied bed. (2 nurse procedure)
L. Explain the procedure to the patient Promotes cooperation and assistance
2. Wash, dry and wear clean gloves Minimizes spread of infection
3. Close nearby windows, screen bed and ensure the bed Reduces exposure to cold, promotes
is locked privacy and patient's safety
4. Take requirements to patient's bedside Facilitates organization and promotes
efficiency
5. Remove all equipments attaches to the bed linen Some equipments interfere with
l procedu re, promote efficiency
6. Loosen all linen and remove top linen, from the head The foot dirty that
is considered more
to the foot of the bed the head. Promotes efficiency
7 " Roll and place soiled linen in the receiver for dirty linen To prevent cross infection, promote
while leaving patient covered with the top sheet privacy of the patient and prevent the
oatient from chilline.
8. Assist the patient to lie on one side facing a'r,'a'y'from Creates space for applying linen,
the side the linen would be placed, ano let ass s:ar.t promote patient's safety, allows
support the patient. Roll the dirty linen to,,', arJs ihe placement of clean linen without
patient and open up the clean bottom sheet, contamination, while ensuring
mackintosh and draw sheet on the area uncoiered, patient's comfort without straining
tuck and fasten with an envelope corner the nurse
9. Assistant patient to glide over the clean sheet as the Allows nurse to complete removing
assistant strips the dirty linen from the other side, pulls and replacing the bottom sheet with
and spreads clean linen and tucks tiehtly. minimal discomfort to the patient.
10. Assist the patient to the center of the bed and ensure Promote patient's comfort
his comfort. Continue with the top linen as in the
unoccupied bed.
11. Leave the patient comfortable in bed and place all Communicates regard for the patient,
items used by the patient within reach, inform the promotes self esteem and patient's
patient of completion of the procedure co mfo rt,
