nursing assistant - bedmaking

28
 Nursing Assistant Bedmaking

Upload: smitha-john

Post on 06-Apr-2018

231 views

Category:

Documents


0 download

TRANSCRIPT

8/3/2019 Nursing Assistant - Bedmaking

http://slidepdf.com/reader/full/nursing-assistant-bedmaking 1/28

 Nursing Assistant

Bedmaking

8/3/2019 Nursing Assistant - Bedmaking

http://slidepdf.com/reader/full/nursing-assistant-bedmaking 2/28

DEFI NITIO N

Bed making is a technique ,in which an

area is provided for the client or patient

for him to be comfortable and to do his

activities of daily living.

8/3/2019 Nursing Assistant - Bedmaking

http://slidepdf.com/reader/full/nursing-assistant-bedmaking 3/28

PURPOSES OF BEDMAK I NG

Provides comfort and protection for a

patient confined to bed

Bed must be free from all wrinkles

because wrinkles cause discomfort and

can lead to formation of decubitus

To give to the unit or ward a neatappearance

To observe the patient

8/3/2019 Nursing Assistant - Bedmaking

http://slidepdf.com/reader/full/nursing-assistant-bedmaking 4/28

Contd««

To promote cleanliness

To establish an effective nurse patient

relationship

To provide active and passive exercise

to the patient

To help the relatives to learn to care for 

the sick at home

To adapt to the needs of the patient and

to be ready for any emergency

8/3/2019 Nursing Assistant - Bedmaking

http://slidepdf.com/reader/full/nursing-assistant-bedmaking 5/28

Comfort due to bedmaking

Bed should be clean, neat, & dry

Body exerts pressure unevenly over bony

prominences when against mattress for extended periods ± always use mattress pad

Bed linen MUST be wrinkle-FREE!

State of mind affected by bed condition- keep

bed in good repair, clean, well-made, wrinkle-free, & attractive with bedspread

Keep call light in place, clipped to linen

Keep resident reality-oriented by using

personal pillows, afghans, familiar objects

8/3/2019 Nursing Assistant - Bedmaking

http://slidepdf.com/reader/full/nursing-assistant-bedmaking 6/28

Bed linen as an irritant

Use sheets to separate blanket from skin,

preventing fibers from irritating

Keep bottom linens tucked in & wrinkle free

Cover plastic with cotton drawsheet

Straighten & tighten loose sheets, blankets, &

bedspreads as necessary Strong laundry soaps may cause skin

irritation, watch for problems & report

8/3/2019 Nursing Assistant - Bedmaking

http://slidepdf.com/reader/full/nursing-assistant-bedmaking 7/28

Aseptic technique with bed

making Wash hands, germs spread by cross-

contamination

Hold & carry linen away from uniform

 ± Dirty linen makes you dirty

 ± Clean linen gets dirty

Shaking linens or fluffing in air spreads dust &germs

Keep linen off floor or bedside table as to notspread germs. Soiled linen should be placedin a linen hamper or rolled tightly & tucked atfoot of bed

Cover dirty linen hampers

8/3/2019 Nursing Assistant - Bedmaking

http://slidepdf.com/reader/full/nursing-assistant-bedmaking 8/28

TYPES OF BED

8/3/2019 Nursing Assistant - Bedmaking

http://slidepdf.com/reader/full/nursing-assistant-bedmaking 9/28

OCCUPIED BED

BED IS MADE WHILE P ATIENT IS IN

IT

USUALLY DONE AFTER THE

MORNING BATH

8/3/2019 Nursing Assistant - Bedmaking

http://slidepdf.com/reader/full/nursing-assistant-bedmaking 10/28

Unoccupied bed

 A bed made without patiet in the bed.

8/3/2019 Nursing Assistant - Bedmaking

http://slidepdf.com/reader/full/nursing-assistant-bedmaking 11/28

Ty pes of unoccupied bed

CLOSED BED

MADE FOLLOWING DISCHARGE OF

P ATIENT

PURPOSE IS TO KEEP BED CLEAN

UNTIL NEW P ATIENT ADMITTED

8/3/2019 Nursing Assistant - Bedmaking

http://slidepdf.com/reader/full/nursing-assistant-bedmaking 12/28

OPE N BED

FANFOLD TOP SHEETS TO FOOT OF

BED TO CONVERT CLOSED BED TO

OPEN BED

FANFOLD MEANS TO FOLD SHEETS

LIKE ACCORDIAN PLEATS

DONE TO WELCOME A NEW P ATIENT OR FOR P ATIENTS WHO

 ARE AMBULATORY OR OUT-OF-BED

8/3/2019 Nursing Assistant - Bedmaking

http://slidepdf.com/reader/full/nursing-assistant-bedmaking 13/28

Unoccupied bed

 A bed made without patiet in the bed.

8/3/2019 Nursing Assistant - Bedmaking

http://slidepdf.com/reader/full/nursing-assistant-bedmaking 14/28

MITER ED COR  NER S

PURPOSE IS TO HOLD LINEN

FIRMLY IN PLACE ON BEDS,

STRETCHERS, AND EXAM TABLES

 A MITERED CORNER IS A SPECIAL

FOLDING TECHNIQUE THAT

SECURES THE LINEN UNDER THEMATTRESS

8/3/2019 Nursing Assistant - Bedmaking

http://slidepdf.com/reader/full/nursing-assistant-bedmaking 15/28

DR AW SHEETS

HALF SHEETS FREQUENTLY USED

ON BEDS

EXTENDS FROM P ATIENT¶S

SHOULDERS TO THE KNEES

USED TO PROTECT THE MATTRESS

IF SOILED, IT CAN BE CHANGED

WITHOUT CHANGING THE BOTTOM

SHEET

8/3/2019 Nursing Assistant - Bedmaking

http://slidepdf.com/reader/full/nursing-assistant-bedmaking 16/28

DISPOSABLE BED PROTECTORS,

 ALSO CALLED UNDERP ADS, ARE

USED IN SOME AREAS INSTEAD OFDRAW SHEETS

8/3/2019 Nursing Assistant - Bedmaking

http://slidepdf.com/reader/full/nursing-assistant-bedmaking 17/28

Hospital beds

Manually operated ± hand cranks at foot

of bed to raise or lower head, foot, or 

total bed. Keep cranks down when notin use

Electric beds ± controls at side for 

resident & NA use or at foot of bed for NA use

8/3/2019 Nursing Assistant - Bedmaking

http://slidepdf.com/reader/full/nursing-assistant-bedmaking 18/28

Hospital beds

Side rails ± Uses

P

revent resident from falling out of bed Provide security

Give resident support to hold or grasp when moving or turning

 ± Regulations regarding use

Considered restraints Must have consent to use

Need for use must be noted in resident¶s record & careplan

Resident must be checked frequently if side rails areordered

8/3/2019 Nursing Assistant - Bedmaking

http://slidepdf.com/reader/full/nursing-assistant-bedmaking 19/28

Bed positions High position ± encourages staff to use good

body mechanics

Low position ± encourages ambulatoryresident to get in & out of bed safely

Fowler¶s position ± used for resident comfortin eating & breathing easily

Semi-Fowler¶s position ± used for comfort,raise knees 15 degrees to keep from slidingdown in bed

Trendelenberg¶s position ± HOB lowered,FOB raised. Requires doctor¶s order 

Reverse trendelenberg ± FOB lowered, HOBraised. Requires doctor¶s order 

8/3/2019 Nursing Assistant - Bedmaking

http://slidepdf.com/reader/full/nursing-assistant-bedmaking 20/28

Body Mechanics in bed making

Know limitations. Don¶t lift, turn, or moveresident alone if in doubt

Get close to side of bed, don¶t make from thetop or bottom of the bed

Back straight, knees bent, feet apart

Move feet to turn in direction wanted & avoid

twisting back Raise bed to comfortable height

Make one side of bed before beginning other side

8/3/2019 Nursing Assistant - Bedmaking

http://slidepdf.com/reader/full/nursing-assistant-bedmaking 21/28

Making an Unoccupied bed

Place linen on clean surface

Stack linen in order to be used with first

thing on top & last thing on bottom Place bed in flat position

If removing soiled linen, untuck linen &

roll towards center with soiled sideinside

Place soiled linen in hamper 

8/3/2019 Nursing Assistant - Bedmaking

http://slidepdf.com/reader/full/nursing-assistant-bedmaking 22/28

Contd««. Remove pillowcase, place in hamper & place

pillow on clean surface

Wash hands

Mattress pad

Bottom sheet, small hem at bottom, tuck in attop

Miter corners

Draw sheet Top sheet, large hem at top, tucked at bottom

Blanket, bedspread, tuck all top linentogether, mitering corners

Pillow & pillowcase

8/3/2019 Nursing Assistant - Bedmaking

http://slidepdf.com/reader/full/nursing-assistant-bedmaking 23/28

8/3/2019 Nursing Assistant - Bedmaking

http://slidepdf.com/reader/full/nursing-assistant-bedmaking 24/28

Tips for bed making

Keep the bed dry

and clean. Change

linens when needed.

Keep the bed

wrinkle-free.

Keep the bed free of 

food and crumbs.

Make the bed to suit

your care recipient.

8/3/2019 Nursing Assistant - Bedmaking

http://slidepdf.com/reader/full/nursing-assistant-bedmaking 25/28

General rules for bed making

Never use torn or pinned linens.

Never shake linens.

Never allow linens to touch your clothing.

Never put dirty linen on the floor.

When using a flat bottom sheet instead of a

fitted sheet, always miter the corners. Fan-folding the top of the bed enables the

care recipient to easily get in and out.

8/3/2019 Nursing Assistant - Bedmaking

http://slidepdf.com/reader/full/nursing-assistant-bedmaking 26/28

General rules for bed making,

cont. A plastic µdraw sheet¶ protects the

mattress.

Plastic must never touch the care

recipient¶s skin.

When the care recipient is in bed all

day, change the linen daily.

 Always use good body mechanics.

8/3/2019 Nursing Assistant - Bedmaking

http://slidepdf.com/reader/full/nursing-assistant-bedmaking 27/28

I NFECTIO N CO NTR OL

IMPORTANT TO LIMIT MOVEMENT

OF ORGANISMS AND SPREAD OF

INFECTIONWHILE IN BED

ROLL THE DIRTY OR SOILED LINEN

WHILE REMOVING IT FROM BED

HOLD DIRTY LINEN AW AY FROMYOUR BODY

8/3/2019 Nursing Assistant - Bedmaking

http://slidepdf.com/reader/full/nursing-assistant-bedmaking 28/28

THANK YOU