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Laboratory 1- Bed Making Notes

Laboratory 1- Bed Making Notes

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Published by twy113

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Published by: twy113 on Oct 05, 2009
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10/17/2010

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CC2433 Basic Health Assessment and Clinical SkillsBed Making 
CLINICAL SKILL- BED MAKINGBED UNIT
Hospital Beds1.Size: 66cm(high)(adjustable by lever or button), 0.9m(wide), 1.9m(length)(extendable)MattressesUsually are covered with a water-repellent material (resist soiling and can be cleanedeasily)Side RailsSafe and effective means of preventing client fall out of bed Vs more serious falls andinjuriesFootboard/ FootbootPrevent planter flexion contracturesBed CradlesTo keep the top bedclothes off the feet, legs, and abdomen of a clientCurved mental rod, bracketsIntravenous RodsIV poles, standsSupport IV infusion containers while fluid is being administered to the client
MAKING BED
Unoccupied Bed1.Admission Bed2.Surgical BedOccupied Bed
 
CC2433 Basic Health Assessment and Clinical SkillsBed Making 
Changing an Unoccupied Bed
Purposes
Promote the client’s comfort
To provide a clean neat environment for the client
To provide a smooth, wrinkle-free bed foundation, thus minimizing sources of skin irritationAssessment
Assess the client’s health status to determine that the person can safely get out of  bed/ any written order 
Assess the client’s vital signs
 Note all the tubes and equipment connected to the client Planning
Find the colleague to help
Provide clear information for the colleague the condition of the client, anywound, tube, urinary catheter or dressing
Provide clear instruction of proper disposal method of linens
Provide call bell to the clientEquipment
Two flat sheets
Waterproof drawsheet
Cloth drawsheet
Pillowcases
One blanket
Portable linen hamper 
One bedspreadImplementation1.Determine what linens the client may already have in the room to avoidstockpilling of unnecessary extra linens.2.Explain to the client.
3.Wash hands and observe other appropriate infection control procedures.
4.Place the fresh linen on the client’s chair or overhead table; do not use another client’s bed.
Why?________________________________________________
5.Assess and assist the client out of bed.6.Strip the bed.
Check bed linens for any items belonging to the client, and detach the call bell or any drainage tubes from the bed linen.
 
CC2433 Basic Health Assessment and Clinical SkillsBed Making 
Loosen all bedding systematically.
Why?_______________________________________________________
Remove the pillowcases, if soiled.
Fold reusable linens into fourth.
REMOVE THE WATERPROOF PAD. DO NOT SEND FOR LAUNDARY.
Roll all soiled linen inside the bottom sheet, hold it away from your uniform, and place it directly in the linen hamper 
Grasp the mattress securely, using the lug if present. Move the mattress upto the head of the bed.7.Apply the bottom sheet and drawsheet.
Miter the sheet at the top corner.
Waterproof drawsheet
 How?
 _____________________________________________________ 
Lay the cloth drawsheet.
Place the top linen and tuck in
Move to the other side and secure the bottom linens
Miter the corner of the sheet
 No wrinkles8.Apply or complete the top sheet, blanket and spreads.
Vertical or a horizontal toe pleat (________________) for additional space
Fold the cuff of sheet (________________ away from the head the bed)9. Put clean pillow cases on the pillow required.10. Provide for client comfort and safety.11. Document and report pertinent data (client’s condition and vital signs).
Variation: Surgical bed
Fold up the two outer corners of the top linens forming a triangle
The linens are horizontally fanfolded to the other side of the bed to facilitatetransfer of the client into the bed (
depends on different hospital settings).
Evaluation
Make sure the call bell/light is accessible to the client.
Check client’s condition
Make sure the wheels are locked.
Changing an occupied bed

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