nursing assistant - bedmaking
TRANSCRIPT
8/3/2019 Nursing Assistant - Bedmaking
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Nursing Assistant
Bedmaking
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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.
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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
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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
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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
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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
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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
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TYPES OF BED
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OCCUPIED BED
BED IS MADE WHILE P ATIENT IS IN
IT
USUALLY DONE AFTER THE
MORNING BATH
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Unoccupied bed
A bed made without patiet in the bed.
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Ty pes of unoccupied bed
CLOSED BED
MADE FOLLOWING DISCHARGE OF
P ATIENT
PURPOSE IS TO KEEP BED CLEAN
UNTIL NEW P ATIENT ADMITTED
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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
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Unoccupied bed
A bed made without patiet in the bed.
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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
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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
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DISPOSABLE BED PROTECTORS,
ALSO CALLED UNDERP ADS, ARE
USED IN SOME AREAS INSTEAD OFDRAW SHEETS
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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
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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
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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
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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
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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
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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
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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.
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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.
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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.
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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