Bed making

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 Bed making
• It is a scientific way of preparing a bed for the patient.

• A clean, dry, smooth bed enhances patient’s feeling of

well-being.

• If the linens are soiled, wet, or stained, they need to

be changed.

• In most instances beds are made after patient receives

certain care.
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 Closed bed

•Is a smooth, comfortable and clean bed, which is prepared

for a new patient
• It is prepared for a newly admitted patient
• Top sheet, blanket and bed spread are drawn up to the top
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of the bed and under the pillow
 Open bed

•It is one which is made for an ambulatory pt

•Are made in the same way with closed, but the top
covers of an open bed folded back to make it easier to
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get in.
 OCCUPIED BED
• Is one, which made while the patient is on the bed (used
for bed ridden patient).
•Placement of linen during an occupied bed linen change

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Purpose:

1. To provide comfort and to facilitate movement of

the patient

2. To conserve patient’s energy and maintain current

health status

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•It is a bed used when clients have left for operating room or
procedural area
Purpose:
•To facilitate the clients transfer from stretcher to bed
•Patients having surgery

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Amputation bed: a regular bed with a bed cradle and
sand bags.

• Purpose: To leave the amputated part easy for observation

Fracture bed: a bed board under normal bed and cradle

• Purpose: to provide a flat, unyielding surface to support a

fractured part

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Cardiac bed: is bed for patient with heart problem

• Purpose: to ease difficulty in breathing

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General Instructions

1. Put bed coverings in order of use

2. Wash hands thoroughly after handling a patient's bed linen

• Linens and equipment soiled which secretions and excretions
• harbor micro-organisms that can be transmitted directly or by
hand’s uniforms

3. Hold soiled linen away from uniform

4. Linen for one client is never (even momentarily) placed on

another client’s bed
5. Soiled linen is placed directly in a portable linen hamper
or a pillow case before it is gathered for disposal

6. Soiled linen is never shaken in the air because shaking

can disseminate secretions and excretions and the
microorganisms they contain

7. When stripping and making a bed, conserve time and

energy by stripping and making up one side as
completely as possible before working on the other side
8. To avoid unnecessary trips to the linen supply area, gather all
needed linen before starting to strip bed

9. Make a vertical or horizontal toe pleat in the sheet to provide

additional room for the clients feet.

• Vertical- make a fold in the sheet 5-10 cm 1 to the foot

• Horizontal – make a fold in the sheet 5-10 cm across the bed near
the foot

10. While tucking bedding under the mattress the palm of the hand
should face down to protect your nails.
•Make sure the wheels on the bed are locked before you
begin to make the bed.

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• Once you have collected the linen, turn
the stack over onto the other hand
•Mattress pad
•Bottom sheet
•Draw sheet
•Top sheet
•Blanket
•Bedspread
•Pillowcase

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Note
• Pillow should not be used for babies
• The mattress should be turned as often as
necessary to prevent sagging, which will cause
discomfort to the patient.
 Closed Bed
• It is a smooth, comfortable, and clean bed that is
prepared for a new patient

Essential Equipment:
• Two large sheets
• Rubber draw sheet
• Draw sheet
• Blankets
• Pillow cases
• Bed spread
Procedure

• Wash hands and collect necessary materials

• Place the materials to be used on the chair.
• Turn mattress and arrange evenly on the bed
• Place bottom sheet with correct side up, center of
sheet on center of bed and then at the head of the
bed
• Tuck sheet under mattress at the head of bed and
miter the corner
• Remain on one side of bed until you have completed
making the bed on that side
Procedure…
• Tuck sheet on the sides and foot of bed, mitering the
corners
• Tuck sheets smoothly under the mattress, there
should be no wrinkles
• Place rubber draw at the center of the bed and tuck
smoothly and tightly
• Place cotton draw sheet on top of rubber draw sheet
and tuck.
• The rubber draw sheet should be covered completely
Procedure…
• Place top sheet with wrong side up, center fold of
sheet on center of bed and wide hem at head of
bed
• Tuck sheet of foot of bed, mitering the corner
• Place blankets with center of blanket on center of
bed, tuck at the foot of beds and miter the corner
• Fold top sheet over blanket
• Place bed spread with right side up and tuck it
Procedure…
• Miter the corners at the foot of the bed
• Go to other side of bed and tuck in bottom sheet,
draw sheet, mitering corners and smoothening out
all wrinkles, put pillow case on pillow and place on
bed
• See that bed is neat and smooth
• Leave bed in place and furniture in order
• Wash hands
Occupied Bed

• Purpose: to provide comfort, cleanliness and

facilitate position of the patients

Essential equipment:
• Two large sheets
• Draw sheet
• Pillow case
• Pajamas or gown, if necessary
Procedure

• If a full bath is not given at this time, the patient’s back

should be washed and cared for
• Wash hands and collect equipment
• Explain procedure to the patient
• Carry all equipment to the bed and arrange in the order it
is to be used
• Make sure the windows and doors are closed
• Make the bed flat, if possible
• Loosen all bedding from the mattress, beginning at head
of the bed, and place dirty pillow cases on the chair for
receiving dirty linen
• Have patient flex knees, or help patient do so. With
one hand over the patient’s shoulder and the
shoulder hand over the patient’s knees, turn the
patient towards you
• Never turn a helpless patient away from you, as this
may cause him/her to fall out bed
• When you have made the patient comfortable and
secure as near to the edge of the bed as possible, to
go the other side carrying your equipment with you
• Loosen the bedding on that side
• Fold, the bed spread half way down from the head
• Fold the bedding neatly up over patient
• Roll dirty bottom sheet close to patient
• Put on clean bottom sheet on used top sheet center,
fold at center of bed, rolling the top half close to the
patient, tucking top and bottom ends tightly and
mitering the corner
• Put on rubber sheet and draw sheet if needed
• Turn patient towards you on to the clean sheets and
make comfortable on the edge of bed
• Go to the opposite side of bed. Taking basin and wash
cloths with you, give patient back care
• Remove dirty sheet gently and place in dirty pillow
case, but not on the floor
• Remove dirty bottom sheet and unroll clean linen
• Tuck in tightly at ends and miter corners
• Turn patient and make position comfortable
• Back rub should be given before the patient is turned
on his /her back
• Place clean sheet over top sheet and ask the patient
to hold it if she/he is consciou
• Go to foot of bed and pull the dirty top sheet out
• Replace the blanket and bed spread
• Miter the corners
• Tuck in along sides for low beds
• Leave sides hanging on high beds
• Turn the top of the bed spread under the blanket
• Turn top sheet back over the blanket and bed
spread
• Change pillowcase, lift patient’s head to replace
pillow. Loosen top bedding over patient’s toes and
chest
• Be sure the patient is comfortable
• Clean bedside table
• Remove dirty linen, leaving room in order
• Wash hands
Thank you

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