Textbook For Nursing Assistants: Chapter 15 - Bedmaking

Textbook For Nursing
Assistants
Chapter 15 – Bedmaking
Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing
Assistants.
Slide 1
Linens and Other Supplies for
Bedmaking
Assistants.
Slide 2
Linens
Many types of linens are used to make a bed
Linens that you may commonly see in use in a health care facility include the
following:
Mattress pads
Bottom and top sheets
Draw sheets
Bed protector
Blankets
Bedspreads
Pillows and pillowcases
Bath blankets
Occasionally, other equipment or supplies are used on a person’s bed, depending on
the specific needs of the patient or resident. Some of the items used include the
following:
A pressure-relieving mattress
A bed board
A bed cradle
A footboard
Assistants.
Slide 3
Linens: Mattress Pads
A mattress pad is a thick layer of padding that is placed
on the mattress to help make the bed more comfortable
for the patient or resident, and to protect the mattress
from moisture and soiling
Fitted mattress pad:
Has elasticized sides that wrap around and underneath the
mattress, holding the pad securely to the mattress
Flat (non-fitted) mattress pad:
Pad is not secured to the mattress
Rubberized mattress:
A mattress with a rubber coating
When a rubberized mattress is in use, a mattress pad may be
used to help pull moisture away from the person’s skin
Assistants.
Slide 4
Linens: Bottom and Top Sheets
A bed is made with two sheets, a bottom
sheet and a top sheet
Bottom sheet may be:
Flat, or non-fitted
Fitted
The top sheet is a flat sheet
The sheets may be white or colored, plain
or print
Assistants.
Slide 5
Linens: Draw Sheets
A draw sheet is a small, flat sheet that is placed over the
middle of the bottom sheet, covering the area of the bed
from above the person’s shoulders to below his or her
buttocks
A lift sheet is simply a draw sheet that is used to help lift
or reposition a person who needs assistance with
moving in bed
Assistants.
Slide 6
Linens: Bed Protector
A bed protector is a square of quilted absorbent
fabric backed with waterproof material
It measures approximately 3 feet by 3 feet
It may be disposable, or it may be laundered and
reused
It is used for people who are incontinent or have
draining wounds
Sometimes, only the bed protector needs to be
changed, resulting in more efficient and
economical care
Assistants.
Slide 7
Linens: Blankets
Blankets are usually woven cotton and should
be available as requested by a person for his or
her comfort
Blankets may be of wool, cotton, or synthetic,
depending on the person’s preference and the
climate
Electric blankets should be checked for faulty
wiring or plugs and may not be safe to use if the
person is incontinent or unable to adjust the
controls independently; should only be used
according to facility policy
Assistants.
Slide 8
Linens: Bedspreads
A bedspread adds the finishing touch to a well-
made bed and can add a decorative touch to a
person’s room
Hospitals and extended-care facilities may
supply bedspreads for their patients to use
Other types of health care facilities or agencies
may encourage their residents to use their own
bed coverings
Allowing a person to use his or her bedspread
from home is one way to foster a sense of
independence and individuality in residents
Assistants.
Slide 9
Linens: Pillows and Pillowcases
Pillows are used for comfort and to aid in
positioning
They may be available in many sizes, are
made from a variety of materials and may
be covered with waterproof material or
treated with a waterproofing substance
Pillows are always covered with clean
pillowcases
Assistants.
Slide 10
Linens: Bath Blankets
A bath blanket is a lightweight cotton
blanket or flannel sheet that is used to
provide modesty and warmth during a bed
bath or a linen change
A flat sheet may also be used for this
purpose if the facility does not provide a
special bath blanket
Assistants.
Slide 11
Linens: Pressure-Relieving Mattress
May be placed on top of the regular
mattress to help prevent skin breakdown
in patients and residents who must stay in
bed for long periods of time
Newer versions of pressure-relieving
mattresses may be filled with air or water,
and are made out of a material that is
easily cleaned
Assistants.
Slide 12
Linens: Bed Board
A bed board is a piece of wood (usually
plywood) that is placed under the mattress
to provide extra support
It keeps the mattress from sagging,
helping to keep the person’s body properly
aligned
Assistants.
Slide 13
Linens: Bed Cradle
A bed cradle is a metal frame that
is placed between the bottom and
top sheets to keep the top sheet,
the blanket, and the bedspread
away from the person’s feet
Bed cradles are often used for
people who are recovering from
burns to prevent the top sheet from
touching the burned skin, which
would be very painful
They are also often used for
people who are at risk for
developing pressure ulcers on their
feet
Assistants.
Slide 14
Linens: Footboard
A footboard is a
padded board that is
placed upright at the
foot of the bed
The person’s feet
rest flat against the
footboard, helping to
keep the feet in
proper alignment
Assistants.
Slide 15
Handling of Linens
Assistants.
Slide 16
Guidelines for Handling Linens
1. WHAT YOU DO WHY YOU DO IT
Always wash your Washing your hands
hands before collecting prevents microbes on
clean linens your hands from being
transferred to the clean
linens
Assistants.
Slide 17
Do not hold linens, If you hold clean linens
clean or dirty, against against your uniform,
microbes on your uniform
your uniform
could be transferred to the
linens
If you hold dirty linens
against your uniform,
microbes from dirty linens
could be transferred to
your uniform
Assistants.
Slide 18
When collecting Extra linens brought into a
person’s room are considered
linens, collect only soiled, and therefore must not
those that you will be returned to the clean linen
cart or used for another person
need for that person’s
These linens must now be
bed laundered, which costs the
facility extra money and
manpower and creates
additional wear on the linens,
shortening their lifetime of use
Assistants.
Slide 19
Collect linens in the order Collecting linens in the order
that they will be used and that they will be put on the bed
helps you to remember which
flip the stack over so that linens you need to collect
the item you will need first You will be able to make the
is on the top of the stack bed more efficiently, without
searching through the stack for
the proper item
Assistants.
Slide 20
Place clean linens on Clean linens can
a clean surface in the become contaminated
room, such as the with microbes if you
over-bed table or a place them on a “dirty”
chair surface, such as the
Do not place clean floor
linens on the floor
Assistants.
Slide 21
Wear gloves when removing Any item contaminated with blood or
other body substances is a potential
used linens from a bed
source of exposure to pathogens for the
Roll the linens toward the health care worker
center of the bed to confine the Following the standard precautions
soiled area inside and wearing proper personal protective
equipment (PPE) will help to minimize
your exposure
Confining the soiled area to the inside
of the linens helps to ensure that other
people, such as the people in the
laundry, do not come in contact with the
potentially infectious material
Assistants.
Slide 22
If body fluids or substances These infection
leak through the linens to the
mattress or bed frame, the control methods help
mattress or bed frame should be to prevent the clean
wiped with an appropriate
cleaning solution before placing
sheets from becoming
clean linens on the bed contaminated
Remove your gloves and
wash your hands before
handling the clean linens
Assistants.
Slide 23
After removing the dirty linens Placing the dirty
from the bed, place them in the
linen hamper immediately linens in the linen
Your facility may require you hamper immediately
to place dirty linens in a plastic helps to control the
bag or pillowcase before placing
them in the linen hamper spread of infection
Do not place dirty linens on
the floor or on any other
surface.
Assistants.
Slide 24
Standard Bedmaking Techniques
Assistants.
Slide 25
Standard Bedmaking Techniques
Routine bedmaking is usually done in the morning,
before visiting hours, while your patients or residents are
bathing or dressing
How often the linens on a person’s bed are changed will
vary according to the type of health care facility and the
person’s needs
However, a person’s bed must be remade each time any
of the linens become soiled or excessively wrinkled,
regardless of the time of day
Change as many of the bed linens as necessary to
ensure a clean, dry, wrinkle-free bed for your patient or
resident
Assistants.
Slide 26
How to Make a Mitered Corner
Mitering is a way of folding and tucking the
sheet so that it lies flat and neat against
the mattress
Assistants.
Slide 27
Closed Bed
A closed bed is an empty bed
A bed that is unoccupied because the previous patient or resident
has been discharged from the facility and a new patient or resident
has yet to arrive is considered a closed bed
A bed that is unoccupied because the patient or resident is simply
not in it at the moment
(and is not expected back
any time soon) is also
considered a closed bed
Assistants.
Slide 28
Open Bed
When the top sheet, blanket, and bedspread of a closed
bed are turned back, or fanfolded, the closed bed
becomes an open bed, or a bed ready to receive a
patient or resident
The wheels of an open bed should always be locked and
the bed should be in the lowest position
Assistants.
Slide 29
Surgical Bed
A surgical bed is a closed bed that has
been opened to receive a patient or
resident who will be arriving by stretcher
Assistants.
Slide 30
Occupied Bed
Some conditions make it difficult or
impossible for a person to get out of bed
for a linen change. When this is the case,
it is necessary to change the linens while
the person is still in the bed. This is called
making an occupied bed.
Assistants.
Slide 31
Guidelines for Bedmaking
Always place The seams of the
linens on the bed so sheets can rub the
that the seams of person’s skin,
the sheets face causing irritation
away from the and leading to skin
person’s skin breakdown
Assistants.
Slide 32
Linens must be The wrinkles and
pulled tightly to avoid extra layers of linens
wrinkling. Layering can cause skin
should be kept to a breakdown and
minimum contribute to the
formation of pressure
ulcers
Assistants.
Slide 33
Linens should be Besides causing
changed whenever discomfort, soiled or
they become soiled or wet sheets can cause
wet, regardless of the skin breakdown and
time of day contribute to the
formation of pressure
ulcers
Assistants.
Slide 34
Do not shake linens Recall that dust is a
when placing them on transport mechanism for
microbes. Shaking linens
the bed
stirs up dust from the floor.
The dust then settles on
surfaces in the room and
can be easily transferred
onto eating utensils or into
a wound, causing an
infection.
Assistants.
Slide 35
When you need to change the This can be a very frightening
experience for a bedridden person,
linens on a person’s bed with
particularly if the person is unconscious
the person still in the bed, Even if the person is conscious,
always be sure to explain what movement may cause pain, and
you are doing throughout the incontinence can be very embarrassing
procedure if it occurs
If the person is mentally impaired, he
Close the door, pull the or she may become combative
privacy curtain, and keep the Talk reassuringly to the person, even if
person covered the person is unconscious
Always provide for privacy and
modesty by keeping the person covered
at all times
Assistants.
Slide 36
Check the bed Personal items may
become lost in the bed
linens for personal linens
items before Personal items may be
removing the linens expensive and
from the bed inconvenient to replace
If they hold sentimental
value, they may be
irreplaceable
Assistants.
Slide 37
End of Presentation
Assistants.
Slide 38

Textbook For Nursing Assistants: Chapter 15 - Bedmaking

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Textbook For Nursing Assistants: Chapter 15 - Bedmaking

Uploaded by

Copyright:

Available Formats

Textbook For Nursing

You might also like