UNIVERSITY OF THE VISAYAS

COLLEGE OF NURSING
GULLAS MEDICAL CENTER
Gov. M. Cuenco Ave., Banilad, 6014 Mandaue City, Phils.
Tel. No.: (032)346-9292 loc.126; (032)416-1538

OCCUPIED BEDMAKING

Name: _______________________________ Grade: ________

Year: ___________ Date Performed: _____________________

Intended Learning Outcomes:

1. Explain the reasons for making the patient’s bed
2. Discuss the basic methods of making a bed
3. Identify safety and comfort measures underlying bedmaking procedures
4. Describe steps for making a bed
5. Perform the procedure correctly

Definition:

Occupied bed- is made when the client is not able or not permitted to get out of bed.
Either the nature of their illness may contraindicate their sitting out of bed, or they may
be restricted in bed by the presence of traction or other therapies.

The most important part of making an occupied bed is to get the sheets smooth and
tight under the client so that there will be no wrinkles to rub against the client’s skin. If
you divide the bed into two parts –the side the patient is lying on and the side you are
making, so the weight of the patient is never on the side where you are working. Always
keep the side rail up on the patient’s side.

Purposes:
1. To conserve the client’s energy
2. To promote client comfort

Assessment:
 Note specific precautions for moving and positioning the client
 Determine presence of incontinence or excessive drainage from other sources
indicating the need for protective waterproof pads

Planning:
 Proper disposal method of linens that contain drainage

Equipment:
 Mattress
 Bottom sheet
 Draw sheet
 Top sheet
 Pillow
 Pillow case
 Clean gloves
 Face towel
 Bath towel
 Patient’s gown
 Bath blanket
 Linen bag hamper
 UNIVERSITY OF THE VISAYAS
COLLEGE OF NURSING
GULLAS MEDICAL CENTER
Gov. M. Cuenco Ave., Banilad, 6014 Mandaue City, Phils.
Tel. No.: (032)346-9292 loc.126; (032)416-1538

Implementation:

Preparation:
 Gather all equipments

Performance:
 Accomplish by using the legend according to observed task/activity.
Legend:

2 – Yes, able to perform well

1 – Yes, able to perform but needs improvement
0 – No, was not able to perform
N/A – Not Applicable

MAKING THE OCCUPIED BED

Steps
1. Assemble equipment in the
order in which it will be used,
and place on a chair near the
bed
2. Check client’s identity
3. Tell the client you are going
to make the bed
4. Provide privacy
5. Wash hands and put on clean
gloves
6. Raise the bed to a
comfortable working height
and lock in place. Keep side
rails up
7. Loosen all the sheets around
the entire bed
Rationale 2 1 0 N/
A
Facilitates ease of nurses’ work.
Saves time and energy
Ensures that the procedure is
done to the right client
Gain client’s cooperation
Minimizes unnecessary exposure
This is essential to prevent the
transmission of microorganisms to
the nurse and others
Facilitates ease of work.

8. Cover the client with the bath Provides warmth

blanket by placing it over the
top sheet. Without exposing
the client, remove the top
sheet from under the bath
blanket
9. Raise and lock bedside rails Protects the client from falling

10.Adjust the pillow. Promotes client comfort

11.Help client turn toward side Weight of client is never on the

rail side where the nurse is working
 UNIVERSITY OF THE VISAYAS
COLLEGE OF NURSING
GULLAS MEDICAL CENTER
Gov. M. Cuenco Ave., Banilad, 6014 Mandaue City, Phils.
Tel. No.: (032)346-9292 loc.126; (032)416-1538
12.Fold the cotton draw sheet Makes stripping of sheets easier
toward the client and tuck it
against her back
13.Fold the plastic draw sheet Makes stripping of sheets easier
toward the client and tuck it
against her/his back
14.Fold and tuck bottom sheet Makes stripping of sheets easier
against her back.
15.Take the large clean sheet
and fold it in half lengthwise

16.Place the sheet on the bed, Leaves the near half of the bed
still folded, with the fold free to be changed.
running along the middle of
the mattress. The small hem
end of the sheet should be
even with the foot edge of
the mattress. Fold the top
half of the sheet toward the
client. Tuck the folds against
her back.
17. Miter the corner at the Secures bottom sheet in place
head of the mattress. Tuck in
bottom sheet on your side
from head to foot of the
mattress
18. Place the clean plastic Secures plastic draw sheet in
draw sheet. Fold the top half place
toward the client, tucking the
folds under her back.
19. Place the clean cotton Secures draw sheet in place
draw sheet over the plastic
sheet, folded in half. Fold the
top half toward the client,
tucking the folds under her
back, as you did with the
bottom sheet. Tuck the draw
sheet under the mattress
20. Adjust the pillow on your
side and help client turn
towards you.
21. Raise the bedside rail on you Ensures client safety
side of the bed and lock in
place.
22. Go to the opposite side of Completing one entire side of the
the bed bed at a time saves time and
energy
23. Roll or assist client over
hump onto clean sheets
24. Remove the old bottom Wrinkled linens can cause
 UNIVERSITY OF THE VISAYAS
COLLEGE OF NURSING
GULLAS MEDICAL CENTER
Gov. M. Cuenco Ave., Banilad, 6014 Mandaue City, Phils.
Tel. No.: (032)346-9292 loc.126; (032)416-1538
sheet and cotton draw sheet discomfort and possible skin
from the bed. Pull the fresh breakdown
bottom sheet toward the
edge of the bed. Tuck it
under the mattress at the
head of the bed and make a
mitered corner. Then tuck
the bottom sheet under the
mattress from the head to
the foot pulling firmly to
remove wrinkles
25. Pull the plastic draw sheet
and clean cotton draw sheet
toward you
26. Then, one at a time, tuck Secures sheets in place
the draw sheets under the
mattress along the side.
27. Be sure to pull all the sheets Secures sheets in place
tight as you tuck them in for
a tight foundation

28. Adjust the pillow and have Facilitates easy removal of bath
the client turn on her back, blanket
loosening the bath blanket
as she turns
29. Change the pillowcase and Promotes comfort
place the pillow under the
client’s head
30. Spread the clean top Maintains privacy
sheet over the bath
blanket with the wide
hem to the top. Remove
the bath blanket without
exposing the client
31. Tuck the clean top sheet Secures sheets in place
under the mattress at the
foot of the bed. Miter the
corners of the sheet
32. Spread the blanket over Prevents the client from chilling.
the top sheet Provides warmth.
33. Tuck the blanket in at the Holds linens firmly in place
foot of the bed. Make a
mitered corner with the
blanket
34. Make the cuff :
a. Fold the top hem edge
of the spread over and
under the top hem of
the blanket
b. Fold the top hem of
the top sheet back
over the edge of the
spread and blanket to
form a cuff. Turn
down the rough edge
 UNIVERSITY OF THE VISAYAS
COLLEGE OF NURSING
GULLAS MEDICAL CENTER
Gov. M. Cuenco Ave., Banilad, 6014 Mandaue City, Phils.
Tel. No.: (032)346-9292 loc.126; (032)416-1538
of the hem of the
sheet so the client
does not come in
contact with it.

35. Bag and dispose of used Reduces the transmission of

linen in the laundry microorganisms
hamper
Total:

REMARKS:

___________________________
Signature over printed name of Student

__________________________________
Signature over printed name of Clinical Instructor

OCCUPIED BEDMAKING

Name: _______________________________ Grade: ________

Year: ___________ Date Performed: _____________________

Intended Learning Outcomes:

6. Explain the reasons for making the patient’s bed
7. Discuss the basic methods of making a bed
8. Identify safety and comfort measures underlying bedmaking procedures
9. Describe steps for making a bed
10. Perform the procedure correctly

Definition:

Occupied bed- is made when the client is not able or not permitted to get out of bed.
Either the nature of their illness may contraindicate their sitting out of bed, or they may
be restricted in bed by the presence of traction or other therapies.

The most important part of making an occupied bed is to get the sheets smooth and
tight under the client so that there will be no wrinkles to rub against the client’s skin. If
you divide the bed into two parts –the side the patient is lying on and the side you are
making, so the weight of the patient is never on the side where you are working. Always
keep the side rail up on the patient’s side.

Purposes:
3. To conserve the client’s energy
4. To promote client comfort
 UNIVERSITY OF THE VISAYAS
COLLEGE OF NURSING
GULLAS MEDICAL CENTER
Gov. M. Cuenco Ave., Banilad, 6014 Mandaue City, Phils.
Tel. No.: (032)346-9292 loc.126; (032)416-1538
Assessment:
 Note specific precautions for moving and positioning the client
 Determine presence of incontinence or excessive drainage from other sources
indicating the need for protective waterproof pads

Planning:
 Proper disposal method of linens that contain drainage

Equipment:
 Mattress
 Bottom sheet
 Draw sheet
 Top sheet
 Pillow
 Pillow case
 Clean gloves
 Face towel
 Bath towel
 Patient’s gown
 Bath blanket
 Linen bag hamper

Implementation:

Preparation:
 Gather all equipments

Performance:
 Accomplish by using the legend according to observed task/activity.
Legend:

2 – Yes, able to perform well

1 – Yes, able to perform but needs improvement
0 – No, was not able to perform
N/A – Not Applicable

MAKING THE OCCUPIED BED

Steps Rationale 2 1 0 N/
A
1. Assemble equipment in the
order in which it will be used,
and place on a chair near the
bed
2. Check client’s identity
 UNIVERSITY OF THE VISAYAS
COLLEGE OF NURSING
GULLAS MEDICAL CENTER
Gov. M. Cuenco Ave., Banilad, 6014 Mandaue City, Phils.
Tel. No.: (032)346-9292 loc.126; (032)416-1538
3. Tell the client you are going
to make the bed
4. Provide privacy
5. Wash hands and put on clean
gloves

6. Raise the bed to a

comfortable working height
and lock in place. Keep side
rails up
7. Loosen all the sheets around
the entire bed

8. Cover the client with the bath

blanket by placing it over the
top sheet. Without exposing
the client, remove the top
sheet from under the bath
blanket
9. Raise and lock bedside rails

10.Adjust the pillow.

11.Help client turn toward side

rail

12.Fold the cotton draw sheet

toward the client and tuck it
against her back
13.Fold the plastic draw sheet
toward the client and tuck it
against her/his back
14.Fold and tuck bottom sheet
against her back.
15.Take the large clean sheet
and fold it in half lengthwise

16.Place the sheet on the bed,

still folded, with the fold
running along the middle of
the mattress. The small hem
end of the sheet should be
even with the foot edge of
the mattress. Fold the top
half of the sheet toward the
client. Tuck the folds against
her back.
17. Miter the corner at the
 UNIVERSITY OF THE VISAYAS
COLLEGE OF NURSING
GULLAS MEDICAL CENTER
Gov. M. Cuenco Ave., Banilad, 6014 Mandaue City, Phils.
Tel. No.: (032)346-9292 loc.126; (032)416-1538
head of the mattress. Tuck in
bottom sheet on your side
from head to foot of the
mattress
18. Place the clean plastic
draw sheet. Fold the top half
toward the client,tucking the
folds under her back.
19. Place the clean cotton
draw sheet over the plastic
sheet, folded in half. Fold the
top half toward the client,
tucking the folds under her
back, as you did with the
bottom sheet. Tuck the draw
sheet under the mattress
20. Adjust the pillow on your
side and help client turn
towards you.
21. Raise the bedside rail on you
side of the bed and lock in
place.
22. Go to the opposite side of
the bed
23. Roll or assist client over
hump onto clean sheets
24. Remove the old bottom
sheet and cotton draw sheet
from the bed. Pull the fresh
bottom sheet toward the
edge of the bed. Tuck it
under the mattress at the
head of the bed and make a
mitered corner. Then tuck
the bottom sheet under the
mattress from the head to
the foot pulling firmly to
remove wrinkles
25. Pull the plastic draw sheet
and clean cotton draw sheet
toward you
26. Then, one at a time, tuck
the draw sheets under the
mattress along the side.
27. Be sure to pull all the sheets
tight as you tuck them in for
a tight foundation

28. Adjust the pillow and have

the client turn on her back,
loosening the bath blanket
as she turns
29. Change the pillowcase and
place the pillow under the
 UNIVERSITY OF THE VISAYAS
COLLEGE OF NURSING
GULLAS MEDICAL CENTER
Gov. M. Cuenco Ave., Banilad, 6014 Mandaue City, Phils.
Tel. No.: (032)346-9292 loc.126; (032)416-1538
client’s head
30. Spread the clean top
sheet over the bath
blanket with the wide
hem to the top. Remove
the bath blanket without
exposing the client
31. Tuck the clean top sheet
under the mattress at the
foot of the bed. Miter the
corners of the sheet
32. Spread the blanket over
the top sheet
33. Tuck the blanket in at the
foot of the bed. Make a
mitered corner with the
blanket
34. Make the cuff :
c. Fold the top hem edge
of the spread over and
under the top hem of
the blanket
d. Fold the top hem of
the top sheet back
over the edge of the
spread and blanket to
form a cuff. Turn
down the rough edge
of the hem of the
sheet so the client
does not come in
contact with it.

35. Bag and dispose of used

linen in the laundry
hamper
Total:
1.

REMARKS:

___________________________
Signature over printed name of Student

__________________________________
Signature over printed name of Clinical Instructor