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1 Bed making o 1.1 Introduction o 1.2 Lesson Content o 1.3 Rules to be observed when making beds o 1.4 Reasons for bed making
1.5 Types of hospital beds
Patients need to be nursed in bed to make them comfortable.The nurse will also be comfortable without straining on her back. Hospital beds patients positions can easily be changed with minimal dis turbances to him.
500pxBeds to give domfort regardless of your illment, Image provided Courtesy ofFlickr.www.flickr.com
By the end of the lesson, students should be able to:
• • • •
define bed making. mention at least seven rules of bed making. mention four reasons for making beds. mention five types of bed.
It is the techniques of preparing different types of bed in making a patients/clients comfortable or his/her position suitable for a particular condition.
Rules to be observed when making beds
1. All equipments should be collected before starting. 2. Two nurses are required and they should work in harmony avoiding jerky movements and jarring the bed. 3. Bed should be made in such a way that patient can be put in it without difficulty. 4. It should be suitable for treating certian conditions. eg. shock. 5. The bed should be free from crumbs and creases and should give a maximum comfort to the patient. #Pillows and other bed accessories should be well arranged to give support twhere necessary. 6. The patient's face should never be covered by sheets or blankekts. 7. The patient must never be exposed. 8. Extra assisstance should be available and, if nacessary, one should be called upon to help lift the patient.
Aputation bed. 10. For treatment of certian conditions. For patients comfort. To keep the ward neat and tidy. Always have a dirty linen bin at hand in which to put dirty linen. To prevent cross infection. Operation bed. . Plaster of Paris bed. Dirty linen should not be carried across the ward to prevent cross infectoin. Routine beds: • • Simple unoccupied bed. 13. Special beds: • • • • • • • Cardiac bed.9. 1. 15. 12. Always wash hands before and after bed making. Reasons for bed making 1. Types of hospital beds 1. Orthopedic bed. 4. allow room for the patient feet for free movement or turning when placing the top sheet over the patient. Divided bed. The open side of a pillow case should be away from the main door of the ward. When pillows are being shaken the nurse should turn away from the patient. 2. An occupied bed. 14. Any conversation during bed making should not be on personal matters between the nurses. 3. Adimission bed. 11.
. Lastly the nurse should know the reasons for making the patient bed.Summary Bed making is the tecniques of making different types of bed.Put your summary here Introduction Today we shall start our lesson by looking at simple occupied bed. a continuation of the last lesson.Before bed making the nurse shuold observe certian rules.
Objectives By the end of the lesson. 2. Lesson Content Definition It is a type of hospital bed that does not have a patient in it. metiontion and collect all the requirement needed for making simple unoccupied bed. define simple unoccupied bed. Requirements A trolley with the following . 3. students should be able to: 1. do a return demonstration on simple unoccupied bed.
After bed making the nurse must make sure that all the locker (bedside) and the two chairs used have been replaced in their proper positions. The above articles should be collected and put over two chairs placed back to back at the bottom of the bed. Cover mackintosh with draw sheets and tuck it in. 11. 12.• • • • • • • Two large cotton sheets One water proof draw mackintosh (if necessary) One draw sheet (if necessary) One or two pillows Pillow stips/covers One blanket optional One bed cover or counterpane Procedure/steps 1. Tuck the sheets under the mattress using enveloped carners. Place the bed cover or counterpane loosely over the sheet. The sheet is loosely tucked in at the bottom to prevent restriction of feet. 13. 4. 14. 10. . Place a draw mackintosh (if necessary) across the bed with the upper corner under the edge of the pillow. Fold over about twenty inches of the sheet at the top. Tuck in at the bottom end under the mattress using envelop carners. Summary We have learnt about the definition of simple unoccupied bed. Pull sheet tight so that there are no creases. Fold top sheet over the counterpane with all the sides tucked under the mattress 15. Remove trolleys. 3. Place bottom sheet evenly on the bed. Place long mackintosh on mattress if necessary. 2. 7. Place the pillows on the bed so that the open ends of the slip are away from the door. 16. the requirements neede for making a simple unoccupied bed and the procedure for making a simple unoccupied bed. 6. 9. It is helpful to palace the linen in order which it is required. 8. 5. Place top sheet on with the wrong side uppermost. starting from top.
Lesson 3: Making a Simple Occupied Bed From WikiEducator Jump to: navigation.Activity Two students should: 1. collect the requirements neede for making a simple unoccupied bed. . It is similar to the simple unoccupied bed. todays lesson will not be difficult. demonstrate how to prepare a simple unoccupied bed. search Contents [hide] • • • • • 1 Introduction 2 Lesson Content 3 Requirements 4 Methods 5 Procedures/steps Introduction A simple occupied bed is also a type of hospital bed. 2. With our knowledge in the previous lesson.
deferentiate between simple unoccupied bed and simple occupied bed.com Objectives By the end of the lesson.www. students should be able to: • • • define a simple occupied bed.Image provided by Courtesy of Fkickr. . Lesson Content Definition It is a hospital bed with a patient in it.flickr. mention and collect the requirements needed for simple occupied bed.A patient relaxing in her sick bed.
Place two chairs at the foot end of the bed. 6. Discord trolley. 2. 10. Turn patient over to the other side and remove draw sheet if soiled. 4. by folding it into three parts on to the chair. If top to bottom method is employed.Requirements Extra requirement in addition to simple unoccupied bed is Dirty linen bin. Remove counterpane or blanket. If side to side method is employed 7. Provide privacy by placing a screen across the ward door (routine bed making). if present. 5. 3. Do not expose patient. NB: If routine bed making is not in progress the individual bed is screened. Side to side 2. Methods 1. Lift patient to the bottom of the bed and remove draw sheet if soiled. 15. 8. 9. Explain procedure to patient if he is conscious. Replace pillows and other bed accessories. Untuck the bed clothes beginning from the top. 2. Replace top linen and leave patient comfortable. 11. 1. Roll draw sheet and mackintosh up to the patient’s back. Roll the patient gently from side to side and support him in this position (lateral position). Pull draw sheet if dirty or wet and change it. 14. 12. Top to bottom Procedures/steps 1. 13. Remove all pillows and other bed accessories where necessary. .
particularly over the feet. Two methods are employed: • • Side to side method or Top to bottom method. Summary Simple occupied bed is that bed with patient in it. . He should be allowed freedom to move.Note • • Clean patient if he has soiled himself before puttting him on tje clean sheet. The extra requirement needed in addituin to simple unoccupied bed is the dirty linen bin. Activity Teacher calls two students to: • • mention and collect the requirements for making a simple occupied bed. demonstrate how to prepare a simple occupied bed. The bed clothes should not be tucked in too tightly around the patient.
Lesson 4: Making an Admission Bed From WikiEducator Jump to: navigation. We will look at one of them called the admission bed. Lesson Content . the nurse does not care for all kind of patients using the same bed but rather special condition calls for special beds. define admission bed. demonstrate how to prepare an admission bed. 3. search Contents [hide] • • • • • • 1 Introducton 2 Lesson Content 3 Definition 4 Purpose 5 Requirements 6 Steps/Procedure Introducton Special beds are those beds used for patients with specific conditions. 2. Objectives By the end of the lesson. In the wards. mention the requirements needed for making admission bed. students should be able to: 1.
Summary Admission bed is a special bed used for admitting patients. 6. To allow immediate admission. Place second bath blanket over the bed. bed blocks or elevator. Purpose 1. It is made in such a way that a patient or client is admitted without delay. To give promt treatment. 3. 4. Steps/Procedure 1. Bath blankets and bed accessories are some of the special requirements needed. One of the purpose of making an admission bed is that it facilitate bathing . Cover with a long waterproof sheet or a long mackintosh if necessary Use one bath blanket or sheet over the waterproof sheet and tuck in all arond or fold under itself.Definition It is a specailly made bed for patients who are admitted into the ward. 2. Put on top bed clothes. Put in hot waterbottles if necessary. A trolley with the following items: • • • long mackintosh sheet or mackintosh if necessary one or two blankets if necessary bed accessories depending on patient's condition eg. Place conterpane loosely over the top bed clothes. 7. Fold the bedclothes over at the side nearest to the door. To provide womth for the patient. To facilitate bathing of patient in bed without undue disturbance. back rest etc. Tuck in the bed clothes on other side. 8. Requirements Extra requirements to be added to those for simple unoccupiep bed. 4. leaving it open to facilitate quick admittance. 3. 5. bed cradle. 2. 9. Make up bed as for simple unoccupied bed until draw sheet or mackintosh is in position.
demonstrate how to prepare an admission bed. Activity Teacher calls two students to: • • collect the requirements needed for making an admission bed.of patient in bed with undue disturbances. Assignment Explain why it is important for a patient to have his bath in bed especially on admission? .
the student should be able to: 1.Lesson 5: Making an Operation Bed From WikiEducator Jump to: navigation. Lesson Content Definiton It is a type of bed that is made ready to receive a patient returning from operating theatre. define an operation bed. 3. 2. search Contents [hide] • • • • • • 1 Introduction 2 Lesson Content 3 Definiton 4 Purpose 5 Requirements 6 Steps/Procedures Introduction Objectives By the end of the lesson. list the requirements needed for making an operation bed. 4. Purpose . do a return demonstration on operation bed. state at least four purposes of making an operation bed.
4. Place blanket on bed. o kidney dish contianing: swab holding forceps tongue holding forceps spatula o agallipot with gauze swabs o an injection tray o mouth gag o a receiver for soiled swabs o a gallipot with cold water o a receiver to receive mouth wash o temperature. To clear mouth of any saliva for which purpose a tray is set. To receive patient from theatre. 5. Fold the top clothes at the openside and three part over the bed for easy admissoin of the patient. Put top clothes on as for admission bed. o dressing towel. Place hot water bottle on bed if necessary. One or more blanket if necessary. 7. Turn back the bottom end of the top clothes. A post aneasthetic tray by the bedside containing the following: o vomiit bowl. Requirements Extra requirement to be added to those required for a simple unoccupied bed. • • Drip stand. 6. Make up simple unocupied bed until drwa sheet is in position. Bed accessories to suit patients condition. To protect linen from vomit and saliva. Place water proof and dressing towel at top of bed. if necessary. pulse and respiration tray o blood pressure apparatus o charts for recording Steps/Procedures 1.• • • • To provide wormth. Leavve pillow on chair. 2. 8. • • Mackintosh or any waterproff material and or dressing towel. 3. . To combact shock.
Summary Operation bed is used to nurse patients who have undergone surgery. demonstrate jow to prepare an operation bed. The use of some bed accessories also help to prevent complications Activity Teacher calls two students to: • • collect the requirement for making an operation bed. The bed is made in such a way that nursing the patient becomes more easier. .Note: Remove hot waer bottle before patient is put in bed.
and mattresses should be inspected regularly to identify potential areas of entrapment. is to elevate the side rails. or for those with altered mental status. State four reasons for making an operation bed. side rails. Another precaution to take. Not all of these are interchangeable. Purpose The purpose of a well-made hospital bed. and mattress should leave no gap that is wide enough to entrap a patient's head or any other part of the body. Unless a patient is accompanied by a health care professional or other caregiver. is to provide a safe. the nurse should consider the patient's mobility. However. health care professionals should be aware of a safety alert issued by the Food and Drug Administration (FDA) in 1995 concerning the use of hospital beds' side rails. and ability to change positions. Definition A hospital bed is the piece of equipment most frequently used by the hospitalized patient. and risk for pressure ulcer development. side rail. safety. Because of a number of injuries and deaths related to side rail entrapment. List three bed accessories that are used in prepareing an operation bed. as well as an appropriately chosen mattress. Precautions When selecting a bed. medical condition. Safety factors should also be considered. The ideal hospital bed should be selected for its impact on patients' comfort. especially for weak or bed-bound patients. and may increase the potential for entrapment. the bed should always be placed in its lowest position to reduce the risk of injury from a possible fall.Assignment • • • Define an operation bed in your own words. Be alert for side rails or mattresses that have been replaced. where repositioning is more easily achieved. as well as patients' homes. . and pressure ulcers are prevented. comfortable place for the patient. the FDA recommends the following actions to prevent potential deaths and injuries related to side rail entrapment: • • All hospital bed frames. Hospital beds are also found in long-term-care facilities. The alignment of the bed frame. overall medical condition.
Some of these beds help to turn the immobile patient. Air is circulated via silicone microspheres. Most hospital beds have water-repellent mattresses. as well as provide support to the upper extremities as the patient gets out of bed. especially during cardiopulmonary resuscitation. a number of specially designed beds. Two nurses change bedsheets with the patient in the bed. or on a pendant. in a bedside table. a hospital bed is usually about 268 inches (650 cm) above the floor. However. They should also be cautioned against raising the bed to a position that may contribute to injuries or falls. Consider additional safety measures for those patients at high risk for entrapment. and mattresses have been created to aid in caring for bed-bound patients. and high-air-loss beds. . in addition to inclining the entire bed with the headboard up or down. (Photograph by Cliff Moore. These features include: • • • Wheel locks: These should be used whenever the bed is stationary.• • • Check side rails for proper installation. The frame is separated into three sections so the head and foot of the bed can be raised and lowered. and may make it easier for nurses to lift or reposition the patient. The major categories of specialized beds are: • Air-fluidized beds: These are also known as bead beds. Patients should be instructed how to use the bed controls. The electrical controls enable patients to reposition the bed with very little effort. Reproduced by permission. Side rail protective barriers may be used to close off open spaces. Do not use side rails as a substitute for patient protective restraints. frames. Removable headboard: This feature is important during emergency situations. Side rails: They help to protect patients from accidentally falling out of bed. sand beds. The bed's position is typically changed by using electrical controls that may be located on the side or foot of the bed. At its lowest level.) Various safety features are present on hospital beds. Science Source/Photo Researchers. creating a fluid-like state. The majority of hospital beds are powered by electrical motors. but some are run manually (using a crank) or by hydraulic methods. Description The usual hospital bed consists of a mattress on a metal frame that can be raised or lowered horizontally.
if any of the sheets touch the floor. Never fan or shake linens. or postoperative: These techniques are similar to the open unoccupied bed. Bariatric beds are available for especially obese patients. Loosen the top linens. and place it in the appropriate linen bag or other designated container. and help the patient assume a side-lying position. or when the patient is out of the room for tests. The top bed linens are placed so that the surgical patient can transfer easily from the stretcher to the bed. They allow air to escape from the surface of the bed. blanket. the top covers are folded back so the patient can easily get back into the bed. where the patient is in the bed while the linens are being changed. and bedspread are pulled up to the head of the mattress and beneath the pillows. The bed can rotate a patient up to 270°. making certain they are neither loose nor wrinkled. When changing bed linen. Roll the bottom linens toward the patient. Miter the corners of any non-fitted sheets. which can spread microorganisms and. the top sheet. A closed bed is done in a hospital bed prior to the admission of a new patient. . The other method of making a hospital bed is an occupied bed. Any sheets that become wet or soiled should be changed promptly.• Low-air-loss beds. The categories of unoccupied bed making include: • • • Open unoccupied: In an open bed. and cover the mattress. the nurse should keep the soiled linen away from the uniform. Closed unoccupied: In a closed bed. The bed can be made in a variety of ways. Place waterproof pads and/or a draw sheet on the bed. Surgical. Place the bottom sheet on the mattress. Preparation The nurse normally makes the bed in the morning after a patient's bath. recovery. The nurse should perform the following when making the occupied bed: • • • • Raise the bed to a comfortable working height. The nurse should straighten the linens throughout the day. These beds have interconnected air cells with a minimum depth of five inches (123 cm). The top sheets and bedspread are folded lengthwise or crosswise at the foot of the bed. There are also a variety of support surfaces that can be placed on top of the existing mattress. depending on the particular patient situation. These surfaces and mattresses include: • • • • • static air-filled overlays alternating air-filled mattress overlays gelor water-filled mattress overlays foam mattresses low-air-loss replacement mattresses The rotokinetic bed is used primarily for severely immobilized patients or patients with spinal cord injuries. or specialized mattresses that can reduce the risk of pressure ulcer formation. they should be replaced. seam side down.
This position is appropriate when the patient is eating. at its lowest level. and sense of comfort. This position helps to promote adequate lung expansion. It is a position preferred by many for sleeping. and for those in cervical traction. well-made bed has on a patient's care. Remove the dirty linen and dispose of appropriately. This position is not frequently used. This helps to promote postural drainage or to promote venous return in patients with poor peripheral circulation. Place the clean top sheets over the patient and remove the used top sheet and blanket. the head of the bed is raised about 30°. Semi-Fowler's: In this position. considering the particular needs of each patient: • • • • • Fowler's: The head of the bed is raised to an angle of 45° or more. Loosen the linens at the foot of the bed for the patient's comfort. KEY TERMS Draw sheet sheet placed over the bottom sheet to help lift or move a patient and to protect the bottom sheet from soiling. It is also used during nasotracheal suctioning or during nasagrastic tube placement. Raise the side rail. the patient should be assessed for comfort and safety. but it is important that all health care professionals be aware of the positive impact an appropriate. safety. Pull all sheets straight and taut. It may also be used for patients with hypotension. Assist the patient to roll over the linen. . Reverse Trendelenburg: The entire bedframe is tilted with the foot of the bed down. and go to the other side of the bed. Aftercare After preparing the hospital bed. Return the patient's bed to the appropriate position. The nurse or nursing assistant normally makes up the bed. The nurse also needs to place the bed into one of the following positions. Fowler's position bed position where the head of the bed is raised to an angle of 45° or more. though it may help to prevent esophogeal reflux. Slide the clean sheets over and secure. Trendelenburg: The entire bed frame is tilted with the head of the bed down.• • • • • • • Tuck in the remaining half of the clean sheets as close to the patient as possible. Flat: Keeping the bed flat is appropriate for some patients with spinal injuries. Health care team roles Selecting and preparing a bed for the patient are important responsibilities for the nurse. Change the pillowcase. a semisitting position. Miter the corners of the top linens at the foot of the bed. a semisitting position.
.Trendelenburg bed position where the entire frame of the bed is tilted with the head of the bed down.