Occupied and Unoccupied bed

• To conserve client's energy

  Purpose
• To promote client comfort

  Purpose
• To provide a clean, neat environment for the client

  Purpose
• To provide a smooth, wrinkle-free bed foundation,thus minimizing sources of skin irritation

  Purpose
• Assess skin condition and need for a?

  Special mattress, footboard, heel protectors
• Rationale of: Assess client’s ability to reposition self.

  This will determine if additional assistance is needed.
• Determine presence of incontinence or excessive drainage from other sources indicating the need for protective?

  Waterproof pads
• Bed-making is usually delegated to?

  UAP
• Instruct the UAP about the handling of any?

  Dressings, tubes, and special equipment
• Equipment:

  •Two flat sheets or one fitted and one flat sheet

  • Cloth drawsheet (optional)

  • One blanket

  • One bedspread

  • Incontinent pads (optional)

  • Pillowcase(s) for the head pillow(s)

  • Plastic laundry bag or portable linen hamper, ifavailable
• Rationale of: Determine what linens the client may already have inthe room.

  This avoids stockpiling of unnecessary extra linens.
• What to do prior to performing the procedure?

  Introduce self
• Verify the client’s identity using?

  Agency protocol
• After performing hand hygiene, observe other appropriate?

  Infection control procedures
• Apply clean gloves if linen is?

  Soiled with body fluids
• When linen is soiled with body fluids of the client, what should we wear?

  Clean gloves
• Remove the top?

  Bedding
• Remove any equipment attached to the?

  Bed linen
• What should we do to all the top linen at the foot of the bed?

  Loosen
• What should we do with the spread and blanket after loosening the top linen?

  Remove
• This can be left to the client because it will provide sufficient warmth while changing the bed

  Top sheet
• The top sheet can be replaced with?

  Bath blanket
• Spread the top blanket over the?

  Top sheet
• Ask the client to hold what part of the blanket when changing bath blanket?

  Top edge
• Reaching under the blanket from the side, grasp thetop edge of the sheet and draw it down to the foot ofthe bed, leaving the blanket in place.
• After removing the sheet from the bed, place it in the?

  Soiled linen hamper
• 5. Change the?

  Bottom sheet and drawsheet
• Raise this when the client will turn toward

  Side rail
• Rationale of: Raise the side rail that the client will turn toward.

  This protects clients from falling and allows them to support themselves in the side-lying position. If there is no side rail, have another nurse support the client at the edge of the bed.
• How should we fold the dirty linen?

  Fanfold
• Fanfold the dirty linen toward to what part of the bed?

  Center
• Rationale of: Fanfold the dirty linen (i.e., drawsheet and the bottomsheet) toward the center of the bed, as close to and under the client as possible


  Doing this leaves the near half of the bed free to be changed
• Place the new bottom sheet on the bed, and vertically fanfold the half to be used on the far side of the bed as close to the client as possible.
• Tuck the sheet under the near half of the bed and miter the corner if a contour sheet is not being used.
• Place the clean drawsheet on the bed with the centerfold at the center of the bed. Fanfold the uppermost half vertically at the center of the bed and tuck the near side edge under the side of the mattress.
• Assist the client to roll over toward you, over thefanfolded bed linens at the center of the bed, onto theclean side of the bed.
• Move the pillows to the clean side for the client’s use. Raise the side rail before leaving the side of the bed.
• Move to the other side of the bed and lower the siderail.
• Remove the used linen and place it in the portable hamper.
• Unfold the fanfolded bottom sheet from the center of the bed.