Occupied bed making Procedure.pptx

Occupied bed making Procedure

1. Occupied Bed Making Procedure Prof Nagamani.T

2. Definition An occupied  bed is making the bed where the patient physically available in the bed or the bed is being retained for the patient . An occupied bed is made while the patient is still in the bed. The patient may not be able to move him or herself out of the bed.

3. Purpose of Occupied Bed Making To provide a neat and clean bed. To refresh the patient who is confined to the bed. To change the linen with the least possible disturbance to the patient. To draw or fix the sheets under the patients very firmly so that it would not wrinkle. To remove crumbs from the bed. To make the patient feel comfortable.

4. Equipment of Occupied Bed Making: Dusters-2 Bed or cot, Mattress with cover, Bed sheet -2, Pillowcase -1 or 2, 1 Protective sheet and cotton draw sheet, Mackintosh-1, Kidney tray with Paper bag, Chair/ stool -1 , Bucket for soiled linen/ linen hamper-1 Clean gloves- optional.

5. Points to Remember During Occupied Bed Making   Provide privacy for the patient. Carefully turn the patient to prevent over-exertion and feeling insecure. Carefully observe the patient skin to identify any signs of bedsore. If the patient wears glasses, ask for removing to prevent breakage and injury. Ensure enough space for the patient to roll without smacking nose on a side rail. Ensure the patient’s arm on the bed is not in an awkward position when the patient is rolled. Ensure bed in a flat position and rise to an appropriate working height.

6. Remove patient’s personal items from bed and disconnect call devices. Carefully checks that no tubes (such as IVS pole,  foley’s catheter, oxygen tube, gastric tube, NG tube, drain) are entangled in the bed linens . Apply diaper’(optional) when a patient in the side position. Do not place clean linen on another patient’s bed or furniture. Keep side rails up when patient turn. Keep bed sheet smooth and wrinkles free to prevent friction.

7. Ask the patient to help if the patient can participate. Place all dirty linens in a laundry bag or hamper without contaminating the uniform. Never put soiled linen on the floor or the other surfaces. Return bed in a low and safe position and keep side rails up. After occupied bed making, attaches call light within the patient’s reach. Re-position bedside table and over bed table within patient reach.

8. Procedure of Occupied Bed Making Two nurses must work together when the patent is seriously ill or difficult to manage. Wash hands to prevent infection. Gather all equipment at the patient’s bedside and explain the procedure to the patient . Provide privacy to the patient. Loosen the tucked linens on all sides and remove the bed spread and blanket leaving the top shet over the patient. Remove pillow unless contraindicated. Place the clean and dry top sheet over the dirty top sheet and then remove the dirty linen one by one.

9. Turn the patient on half of the bed on the other side of the bed ( away from you) and keep side rails up. Place a pillow between the patient and side rails. Work on the unoccupied side of the bed and roll the draw sheet, mackintosh, and bottom sheet if soiled. Rolls of fanfold the soiled linens toward the patient’s back and tucks the roll slightly under the patient. Covers dirty and moist areas of the soiled linen with a waterproof pad. Place clean bottom sheet and tuck head part and miter the corner .

10. Damp dust the mackintosh and roll it back. Place draw sheet over the mackintosh on the near side of the mattress, with the center vertical fold at the center of the bed. Place the patient on the clean side of the bed. Work on the other side and remove dirty linens. Make the other side of the bed and spread clean linens. Tuck the head part of the bottom sheet, miter at the side . Adjust the mackintosh and draw sheet, make it wrinkle free and tuck it. Place the patient in the center of the bed.

11. Place the pillow and make the patient comfortable. Spread the top sheet and fold the head part up to the patient’s chest. Replace blanket and spread over the top sheet and make the bed as open bed. Tuck the foot end giving enough space for movement. ( Make a pleat in the sheet and blanket across the foot end of the bed) If needed place a foot board or cradle at the foot end of the bed.

12. After care Place the patient in a comfortable position. Tidy the room. Replace the articles in to its place. Discard or send the soiled linen to laundry as per the hospital policies. Remove gloves and wash hands thoroughly. Record if any observations made during the procedure eg ., bed sore, redness, swelling etc.

13. Thank You