Component Task: Making a Simple Occupied Bed

This is a type of bed made for an in-patient. It may also be made for a patient who has difficulty in moving out of bed. During the procedure, the patient stays in bed while the bed is made.

Aims

·         Conserve the patient/client energy

·         Ensure patient comfort and safety

Types

·         Changing bottom sheet of a patient from side to side

·         Changing bottom sheet of a patient from top to bottom

Requirements

a.      A trolley with the following items:

·         Two large cotton sheet (Bed linen)

·         One water proof draw mackintosh or bed mat if necessary

·         One draw sheet

·         Pillow slips

·         One top sheet

·         Counterpane if necessary

b.      Two chairs or heart table

c.      Mattress

d.      One or two pillows

e.      Linen bin or receptacle

f.        Disposable gloves if necessary

Steps

1.        Establish rapport (Refer to steps)

2.      Explain procedure to patient to gain his/her cooperation and participation

3.      Ensure patient privacy

4.      Perform hand hygiene

5.      Collect and arrange items on trolley and bring them to the bedside

6.      Arrange sheets in order of use on chairs or a heart table

7.       Remove any equipment attached to the bed e.g. drip stand, side rails etc.

8.      Loosen sheets at the side of bed and remove extra beddings leaving only the top sheet

9.      Leave patient with only one pillow and cover him/her with top sheet

10.    Assist the patient to turn to the side away from the clean portion of the linen supported by another nurse

11.      Roll dirty bottom sheet under patient, use gloves if necessary.

12.    Cover the bed with a clean rolled bottom sheet halfway in the middle of the bed

13.    Create a mitered or envelope corner at the ends

14.    Put on bed mat or draw mackintosh and draw sheet mid portion of the bed tucking in greater part nearest to the door

15.    Assist patient gently unto the clean sheet

16.    Remove dirty bottom sheet and places it in a receptacle

17.    Pull the bottom sheet at the other end tightly and tuck in

18.    Spread top sheets and counterpane if necessary over the existing sheets

19.    Ask assistant to hold the top edge of the clean sheets while the old sheet is gradually pulled down to the foot end of the bed and place in a receptacle

20.  Cover patient with top sheet and counterpane if necessary and make patient comfortable

21.    Clear items and removes screen

22.  Perform hand hygiene