CNA Skills – Bed Making

CNA Skills Bed Making can be either closed bed, open bed , occupied bed or ether bed.

Closed Bed – is one that is made and designed to protect the sheets from dirt and to have a neat, tailored appearance.

Purpose:

  1.  To meet the patient’s needs by providing safe comfortable bed
  2.  For neatness and tidiness
  3.  To save time and energy for the caregiver

Special Considerations:

  1. Finish one side of the bed at a time
  2. Place rubber sheets according to patient’s needs
  3. Don’t use torn linens
  4. The caregiver should study her movements so as to avoid waste of time and energy throughout the procedure

Procedure

Key Points

1. Prepare all necessary equipments and take to bedside. Arrange them in order of their use. See that the mattress is level and in place To eliminate unnecessary motion
2. Place sheet folded lengthwise on the center of the mattress, giving more allowance at the head part and fold
3. Tuck these top hems of the sheet under the mattress and the miter. Do the same with the bottom hem, then tuck sheet along the side from head to foot
4. Place rubber sheet approximately 18 inches from the top of the mattress and tuck on your side To keep the mattress from becoming soiled or wet
5. Do the same with the draw sheet Be sure it covers all the rubber sheet so that no portion of the rubber touches the patient’s skin
6. Place top sheet folded lengthwise, wrong side up in the line with head or mattress and center of bed and unfold
7. tuck sheet under mattress at head part of the bed and miter
8. Go to the other side of the bed and tuck the bottom sheet, rubber sheet and draw sheet Be sure that the bottom sheets, rubber sheet and draw sheets are tight and smooth and free from wrinkles.
9. Place bed spread even with sheet at top; tuck it under the foot part of the mattress and the miter
10. Grasp and fold back top covers of closed bed about 18 inches from head of the bed
11. Put the pillow inside pillow case and place it flat on the bed with the open and away from the door
12. Unfold the sheet and bed spread and pull toward the head of the bed as far as they will go Do not allow sheet to hang below bedspread

 

Open Bed – is one originally made as closed bed, the top bedding are re-arranged for the patient

Purpose:

  1. To meet the patient’s needs by providing a safe comfortable bed
  2. For neatness and tidiness
  3. To save time and energy for the personnel

General Considerations:

  1. Finish one side of the bed at a time
  2. Place rubber sheets according to the patient’s needs
  3. Don’t use torn linens
  4. The caregiver should study her moves so as to avoid waste of time and energy throughout the procedure

Procedure:

  1. Fan fold bed spread of closed bed toward foot of the bed
  2. Grasp and fold back top sheet about 18 inches from the head of the bed

Occupied Bed – is a bed with a patient in it

Purpose:

  1. To make a tight, neat bed for the comfort of patient and appearance on the ward
  2. To change the linen and make the bed with the least possible disturbance to the patient and least energy exerted by the personnel.

Precautions:

  1. Control the amount of physical exertion that the procedure will cause by:
    • Efficient rapid workmanship in handling the bedding
    • Care in lifting and turning the patient
    • No jarring the bed
    • Lifting the mattress at minimum height to tuck the sheets
  2. Secure assistance if necessary

Procedure

Key Points

1. Explain the procedure to the patient To gain his cooperation
2. Bring all the preparations to the bedside table
3. Screen the patient if in the ward To provide privacy
4. Loosen all linen around and remove the pillow if patient does not object
5. Move the patient toward the far side of the bed Guard against patient rolling too near the edge of bed to prevent from falling
6. Rolled the soiled bottom sheet and draw sheet toward the center of the bed
7. Take the clean linen (bottom sheet and draw sheet) roll ½ and spread the remaining half and tuck foot apart
8. Spread the top sheet wrong side up and tuck foot part
9. Turning patient to the side already fixed Never exposed patient while turning
10. Work on linen at the opposite side following the same procedure as stated from 6-8
11. Move the patient toward the center of the bed
12. Remove bed and change pillow case. Then shake before replacing it
13. Fix all articles in the bedside table

 

Ether Bed – is one that is prepared to receive a patient who had undergone an operation, under general, local or spiral anesthesia

Purpose:

  1. To provide in which the patient can be quickly placed after surgery
  2. To provide comfort and warmth thus maintaining body heat and lessening the danger of shock and pneumonia

General Considerations:

  1. See to it that everything needed to administer post operative care is assembled and ready for use before the patient arrives.

Procedure

Key Points

1. Arrange bed linens and chairs according to order of use
2. Place bottom sheet, rubber sheet and draw sheet as in closed bed
3. Add extra rubber sheets and draw sheet on head part of the bed Provide protection for mattress or pillow (from vomitus and exudates)
4. Put top sheet and blanket
5. Fold about one foot from both head and foot parts toward the center
6. Fan fold lengthwise to side The bed is readied so that it can be quickly and easily opened for the patient
7. Put hot water bags underneath the cover To provide extra warmth
8. Pin paper bag to cotton draw sheet at head of the bed toward bedside table. Pin paper wipes beside paper bag
9. Arrange paper and pencil. Kidney basin on bedside table. Cover with towel To enable patient to communicate through writing

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