chapter 19 bedmaking copyright © 2012 by mosby, an imprint of elsevier inc. all rights reserved

Chapter 19Chapter 19Bedmaking

Copyright © 2012 by Mosby, an imprint of Elsevier Inc. All rights reserved.

BedmakingBedmaking

To keep beds neat and clean:To keep beds neat and clean:◦ Change linens Change linens whenever they become whenever they become

wet, soiled, or damp.wet, soiled, or damp.◦ Straighten linens Straighten linens whenever loose or whenever loose or

wrinkled and at bedtimewrinkled and at bedtime◦ CheckCheck for and remove food and crumbs for and remove food and crumbs

after meals.after meals.◦ CheckCheck linens for dentures, eyeglasses, linens for dentures, eyeglasses,

hearing aids, sharp objects, and other hearing aids, sharp objects, and other items.items.

◦ FollowFollow Standard Precautions and the Standard Precautions and the Bloodborne Pathogen Standard-Bloodborne Pathogen Standard-keep keep your uniform clean!your uniform clean!


Slide 2

Dangers of IncontinenceDangers of Incontinence

Skin breakdown from incontinence

What are some ways to prevent skin breakdown?


Slide 3

Closed BedClosed BedCopyright © 2012 by Mosby, an imprint of Elsevier Inc. All rights reserved.

Slide 4

Closed beds are made:◦ A closed bed is not in use.

The bed is ready for a new patient or resident. The bed is made for a resident who is up during

the day.

Open BedOpen Bed

The open bed is when top linens are fan-folded back so the person can get into bed. This is used for:

Newly admitted persons arriving by wheelchairPersons who are getting ready for bedPersons who are out of bed for a short time


Slide 5

Occupied BedOccupied Bed

You make an occupied bed when the person stays in bed.◦ Keep the person in good alignment-start in

the lateral position.◦ Follow restrictions or limits in the person’s

movement or position.◦ Explain each procedure step to the person

before done.


Slide 6

Surgical BedSurgical Bed

The surgical bed (recovery bed, post-operative bed) is made for persons:◦ Returning to their rooms from surgery◦ Who arrive at the agency by ambulance◦ Who go by stretcher to treatment or therapy

areas◦ Kept in high position


Slide 7

LinensLinens

When handling linens and making beds, practice medical asepsis.

◦ What another term for medical asepsis?

◦ Your uniform is considered dirty. Always hold linens away from your body and

uniform. Always wear gloves for dirty linen!

◦ Never shake linens. Shaking them spreads microbes.

◦ Place clean linens on a clean surface. Never put clean or dirty linens on the floor.


Slide 8

Linen Procedure StepsLinen Procedure Steps

1. Collect enough linens and gather in order 1. Collect enough linens and gather in order that you need them.that you need them.

2. Do not bring unneeded linens to a 2. Do not bring unneeded linens to a person’s room.person’s room.

3. Place the clean linen on a clean surface3. Place the clean linen on a clean surface 4. Raise the HOB to a good working height 4. Raise the HOB to a good working height

but lower when care is complete.but lower when care is complete. 5. Remove dirty linen one piece at a time.5. Remove dirty linen one piece at a time.

◦ Roll dirty linen away from youRoll dirty linen away from you 6. Change wet, damp, or soiled linens right 6. Change wet, damp, or soiled linens right

away.away.◦ Wear gloves and follow Standard Precautions and Wear gloves and follow Standard Precautions and

the Bloodborne Pathogen Standardthe Bloodborne Pathogen Standard..


Slide 9

Linens (cont’d)Linens (cont’d)

Bed padding: Must be tight and wrinkle free!◦ A drawsheet is a small sheet placed over the

middle of the bottom sheet and helps keep the mattress and bottom linens clean.

◦ A waterproof pad protects the mattress and bottom linens from dampness and soiling.

◦ Chux pads- are the waterproof blue pads◦ Many agencies use:

Incontinence products Waterproof pads or disposable bed protectors


Slide 10

Types of PaddingTypes of Padding

Water proof pad Chux pad


Slide 11

Linens (cont’d)Linens (cont’d)

◦ Cotton drawsheets may be used as assistive devices to move and transfer persons in bed. When they are used for this purpose, do

not tuck them in at the sides. Sentara prefers for them to be folded in

forths

◦ Different agencies use different products. The care plan or nurse will tell you which product to use on your patient


Slide 12

ReviewReview

Name the bed:


Slide 13


Slide 15


Slide 16

chapter 19 bedmaking copyright © 2012 by mosby, an imprint of elsevier inc. all rights reserved

Documents

bed persons

dirty linens

place clean linens

occupied bed

open bed

closed bed copyright

change linens

surgical bed recovery