Bed-making procedure notes PDF

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Bed-making procedure notes Fundamentals of Nursing Practice...

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Bed –making -

The Nurse’s knowledge of the patient will determine the position of the bed and the type of bed making You can delegate the responsibility of bed making to unlicensed personnel if you give them permission and directions on how to make it. It is not ordered by a physician or doctor. It is an independent nursing action.

Unoccupied Bed – for patients who are ordered bed rest w/o bathroom priviledges or those bed-ridden patients Occupied Bed – a conscious and coherent patient, you can ask the patient to sit for a while. Fanfold (for kumot) -

Easier to cover the patient without difficulty, they’ll just pull the linen sheet.

Mitering -

A means of anchoring sheets on mattresses, you put the sheets on the corner-under of the bed.

Toe Pleat (vertical, horizontal, regular and surgical) -

To provide additional space for patient’s toes

Foot Drop Bed Support -

Done for patients who have paralysis on foot to prevent loose foot resulting to less blood circulation equally resulting to atrophy (muscle is shrinking) Also prevents pressure because it is made of foam. It is a heel and support that helps to prevent foot drop

Bed Cradle -

A device designed to keep the top bedclothes off the feet, legs, and even abdomen of a client. Also called “Anderson Frame” Used for clients for severe burns.

PURPOSE OF BED MAKING A. On changing an unoccupied bed o to promote the client's comfort o to provide a clean near environment for the client o to provide a smooth, wrinkle-free bed foundation, thus minimizing sources of skin irritation B. On changing an occupied bed o to conserve the client's energy and maintain current healthy status o to promote the client's comfort o to provide a clean near environment for the client o to provide a smooth, wrinkle-free bed foundation, thus minimizing sources of skin irritation IMPORTANCE OF BED MAKING 1. It helps maintain a clean, orderly and comfortable room which contributes to the patients sense of well-being. 2. Helps the patient secure proper rest and comfort which are essential for health and refresh him/her by providing cleanliness 3. It helps prevent or avoid microorganisms to come in contact with the patient which could cause tribulations. 4. It minimizes the sources of skin irritation by providing smooth, wrinkle-free bed foundation.

The Bed (3 sections) 1. 2. 3.

Much smaller in width so nurses can reach both sides of the bed when doing patient care. High positions of bed is to prevent nurse for unnecessary stooping or leaning down the patient Low positions of bed is to allow patients to step on the floor easily. Has side rails to prevent the patient falls Length: 1.9m (6.5ft) Wide: 0.9m (3ft) Height: 66cm (26in)

Common Types of Bed Occupied Bed -

MAKE SURE TO MAKE THE SHEETS WRINKLE-FREE UNDER THE PATIENT Observe the privacy, comfort and safety of the patient. (Cover the patient with a sheet to provide them privacy) You have an unlicensed personnel as an assistant to provide bed-making. You can ask help for unlicensed personnel, co-nurse, or the significant other or relatives for support in bed making. You can perform self bed making by yourself with bed side rails as your assistant to prevent patient fall

Unoccupied Bed -

Made when there is no patient confined in bed.

When to change bed? -

Early in the morning only once a day unless it is soiled by urine or feces. It is done at the same time with early morning care of the patient. Or it depends on the hospital protocol

Common Types of Bed Open Bed -

Surgical beds have fanfold in the sides because they are transferred from other bed to other bed.

Closed Bed -

Top sheets are drawn up to the head of the mattress (w/o fanfold) For beds to have yet a patient

Postoperative Bed -

Aka recovery bed or anesthetic bed (anesthesized patient are mostly uncooperative ones with anxiety or just plainly makulit like child patients)

Special Types of Bed Water Bed -

Special mattress filled with water It controls temperature of water, reducing pressure on body parts For patients confined for a long period of time.

Turning Frames (Stryker Wedge) -

It allows repeated changes between the supine and prone positions without disturbing spinal alignment For patients with spinal cord injuries.

Rotation Bed -

Promote postural drainage, peristalsis and help prevent the complications of mobility.

Circoelectric Bed -

Permits frequent turning of several injured or immobilized patient with minimal trauma or extraneous movement.

Clinton Therapy bed -

Aka air- fluidized bed Mimics a movement of fluid, prevents pressure source (same functions as water bed)

Air Therapy Bed -

Provide different levels of support to different body parts...