Presentation Bed Making in nursing and ICU .pptx

Bed making in icu and nursing

1. Bed Making Practice guidelines Principles to keep in mind Purposes of bed making Types of beds Articles Procedure

2. Practice Guidelines Wash hands thoroughly after handling a client’s bed linen. Hold soiled linen away from uniform. Linen for one client is never placed on another client’s bed. Place soiled linen directly in a portable linen hamper or tucked into a pillow case at the end before it is gathered up for disposal.

3. Principles of keep in mind Micro organisms are found everywhere on the skin, on the articles used by the client and in the environment. The nurses take care to prevent the transference of microorganisms from the sources to the new host by the direct contact or indirect contact or prevent the multiplication of the microorganisms. A safe and comfortable bed will ensure rest ,sleep and prevent several complications in bedridden patients. Good body mechanisms maintain the body alignment and prevents fatigue. Planned and organized ways of working saves energy, time and equipment.

4. TO PREVENT SPREAD OF MICRO-ORGANISMS Action -   The nurse should wash her/his hands before and after the bed making procedure to prevent cross- infection. Bed linen and clothes must be changed frequently to ensure cleanliness. Do not drop the removed bed linen on the floor. Gently shake the linen to remove dust. Do not flap the bed clothing because it transfers dust and bacteria easily. Linen should be folded and held away from the nurses to prevent direct contact with dust and micro- organisms. Daily cleaning and dusting of beds and units will keep them free from dust and micro-organisms. Soap, water, air and sunshine will help them to be clean. Damp dusting is recommended because dry dusting raises dust. Nurse should maintain a necessary distance from patients to prevent droplet infection. Clean the less contaminated area first and then the clean high contaminated area to minimize the spreading of micro-organisms to the clean area. Linens should be disinfected before sending them to the laundry. Nurses who having respiratory infections should not attend to the clients.

5. protected and comfortable bed Action -   Nurse should make a smooth and unwrinkled bed because a wrinkled bed exerts pressure on bony prominence and lumps. The wrinkles cause bedsores due to friction between skin and wrinkled sheets. Pull the bottom sheet tightly to avoid wrinkles. Tuck the linen far enough and tightly to keep it fixed. Smooth the mattress, if there is a collection of cotton in one place before making a bed. Do not keep any wet linen on the bed. Daily dusting should be done to remove any peeling or seeds that are adhered to the bed linen of a bedridden client. A bed should have enough space to move from side to side. The movements prevent bedsore, stimulate blood circulation and maintain muscle tone. Use comfort devices to provide additional comfort to the client.

6. Good body mechanisms   Action -   The stability of the body is assured by keeping the centre of gravity over its base. In the standing position, the nurse can have a wide base by separating his/her feet. The nearer to the centre of gravity a weight is held, the less is strain produced. E.g. it is more suitable to place the linen on the edge of the bed instead of holding it above shoulder level. Flex the knees and hips when tucking the sheet under the mattress. This position shifts the work to the long and strong muscle of the thigh and keeps the back in good alignment. When placing and tucking the linen, face the direction of the work and move with the work rather than twisting the body and overreaching.

7. Planned and organized Action -   Collect and arrange all the articles before starting the bed making procedure. At the first finish on one side of the bed making and then go to the opposite side. Remove the bed linen one by one holding the open end towards the floor when stripping the bed so that the client's possessions and the hospital articles are not sent to the laundry. The bed sheets are folded in such a way that they can be replaced easily.

8. Purposes of bed making To give a neat and tidy appearance to the unit. To provide a clean and comfortable bed for the patient. To keep it ready for any emergencies. To receive the patient comfortably. To prevent bed sores . To establish interpersonal relationship .

9. Types of beds Simple Beds Open Bed Close Bed Occupied Bed Special beds Post operative Bed Cardiac Bed Blanket Bed Amputation Bed Fracture Bed

10. Closed Bed The closed bed is an empty bed, which is covered with the top linen so that all linen beneath the linen is fully protected from dust and dirt while waiting for the patient admission. The closed bed is uncovered when the client is admitted.  

11. Cont. Open Bed - The term open bed is used to describe the hospital bed when it is about to be occupied by a client. It is made either for a new client or an ambulatory client.   Admission Bed - The admission bed is made as an open bed. The client gets into the bed after a bath and changing into a hospital dress if it is a custom in the hospital. Occupied Bed - This is to make a bed with the client in. This is made for a client who cannot get out of bed. The preparation and the aftercare of the client will be the same as in an open bed.

12. Cont. Operation Bed Or Post- Anaesthetic Bed Or Recovery Bed - It is prepared for a client who is recovering from the effects of anaesthesia following a surgical operation.   Cardiac Bed - A cardiac bed is used to help the client to assume a sitting position that can afford him the greatest amount of comfort with the least strain. The main purpose of the cardiac bed is to relieve dyspnoea caused by cardiac disease.   Fracture Bed - It uses for a client with a fracture of the trunk or extremities to provide firm support by the use of a firm mattress that rests on a fracture board or bed board.   Amputation Bed Or Stump Bed Or Divided Bed - An amputation bed is used after the amputation of the leg to take the weight of the bedclothes off the site of the operation.   Blanket Bed - The blanket bed is made for a client who is suffering from renal disease to promote elimination through the skin.

13. Different types of bed

14. Cardiac Bed

15. Articles Cot Mattress and pillow Chair or stool Bedside table Mackintosh Blanket Mattress cover Top sheet and bottom sheet Draw sheet Pillowcase Counterpane Laundry bag Dusters

16. Procedure Keep the article near the unit. Explain the procedure .Make the patient to sit in the chair comfortably. Hand washing. Remove the pillow and place it in a side. Remove the old linens, if there (blanket, top sheet ,draw sheet, mackintosh, bottom sheet) Dust the mattress and the cot and the furniture's.

17. Mitre corner

18. Cont. Spread the the bottom sheet, mackintosh and draw sheet . Tuck the near side first from top to bottom. Make mitre corner. Go to opposite side. Tuck that side. Spread the top sheet (blanket if needed). Make a knee pleat. Tuck near side bottom and then the opposite side. Allow the sides to hang freely. Put the pillow cover on pillow. Place it with open end away from the door side.