5.3 Bedmaking Procedures – Personal Care Skills for Health ...

Author: Janey

Oct. 07, 2024

5.3 Bedmaking Procedures – Personal Care Skills for Health ...

STEP ACTION REASON 1.  Identify your client and explain the procedure. Promotes safety.  Communicating with the client promotes co-operation. 2. 
  • Wash and dry your hands.
  • Don gloves if linens are soiled with blood or body fluids.
Following Routine Practices prevents the spread of pathogens 3.
  • Assemble equipment and supplies (such as: clean linens and pillows).
  • Assemble supplies in the order they will be used: bottom or fitted sheet, slider sheets , soaker pad, top or flat sheet, then blanket, bedspread, and pillow cases(s).
  • Turn the pile of linens upside down and place on a clean surface within your reach.
  • Remember to carry linens away from your body.
Promotes organization and efficiency.

Carrying linens away from your body prevents bacteria from your clothes getting on the clean linens.

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4.
  • Raise the bed to waist level. Remember to use good body mechanics and never lean over the bed.
  • Work on one side of the bed at a time.
  • Move to the other side of the bed as needed.
  • Lower the bed rails on the side you are working.
Follows principles of body mechanics and reduces the risk of MSIs. Completing one side of the bed first promotes efficiency. 5. Remove and fold any bedding to be re-used (such as blankets, comforters or quilts) and place them on a clean surface. Do not shake linens as this will release micro-organisms the air. 6.
  • Loosen bedding on the side you are working.
  • Loosen top sheet at foot and bottom or flat sheet at the foot and top of the bed.
  • Leave top sheet or a bath blanket on the client.
Leaving the client covered provides warmth and privacy. 7.
  • Raise the bed to waist level. Never lean over the bed.
  • Work on one side of the bed at a time.
  • Move to the other side of the bed as needed.
  • Lower the bed rails on the side you are working.
Follows principles of body mechanics and reduces risk of MSIs. 8. Leave the pillow under client&#;s head for comfort. 9.
  • Turn the client to the opposite side from which you are working.
  • Ensure the bedrail on the opposite side is raised.
  • Position for safety and comfort.
10.
  • Roll the soiled bottom sheet and bed pad toward the client.
  • The soiled sheet and mattress pad should be rolled inward, so the soiled part does not touch the client.
 

Figure 5.3.7 Roll soiled sheets toward the client (Image courtesy of Kim Morris/ TRU.) CC BY 2.0

Prevents spread of pathogens.

11. Gently tuck the soiled sheets under the client. 12.
  • Position the clean bottom or fitted sheet lengthwise along the length of the client.
  • Tuck the clean bottom sheet next to and under the soiled sheets underneath the client.
  • Be sure the clean sheet is underneath the soiled sheet.
  • Tuck the bottom sheet in at the head and foot, under the mattress and smooth out any wrinkles.
This will ensure the new sheet stays clean, and that it will be easy to move to the other side after you turn the client onto their opposite side. Smoothing out wrinkles reduces skin irritation. 13.
  • Open ½ the slider sheet on your side.
  • Fanfold (fold it up accordion style) the remaining half.
  • Tuck this under the patient, over the clean sheet but under the soiled sheet.

Figure 5.3.8 Fanfolded clean sheets (Image courtesy of Kim Morris/ TRU.) CC BY 2.0

14.
  • Turn the client to the clean side of the bed. Let them know that they will feel a &#;bump&#; as they roll over the linens underneath them.
  • Position the client for safety and comfort.
  • If the bed has rails, ensure the bed rails are positioned up before you move to the opposite side of the bed.
Promotes safety and comfort 15. Go to the opposite side of the bed. 16.
  • Loosen the bottom sheet at the head and foot of the bed.
  • Roll the soiled bottom sheet and bed pad into a ball so that the soiled part of the linen is inside, and away from clean areas.
  • Place soiled linen in the appropriate receptacle.
Reduces spread of pathogens. 17.
  • Remove your gloves and wash your hands.
  • If you move away from the bed, ensure the bed rails are up.
Following Routine Practices reduces spread of pathogens. A raised bedrail promotes safety. 18.
  • Roll the clean bottom sheet, slider sheet, and soaker pad out from under the client.
  • Tuck in corners and smooth out wrinkles.
Smoothing out wrinkles reduces skin irritation. 19. Re-position the client back to the center of the bed. 20.
  • Remove the soiled top sheet and replace with the clean top sheet.
  • Replace blankets and top bedding over the client.
21. Bring the top sheet and blanket down over the top bedding to form a cuff. 22. Remove soiled pillow cases and replace with clean pillow cases, as outlined in the &#;Making an Unoccupied Bed&#; procedure (Table 5.3.1). 23. At the foot of the bed, make a toe pleat by lifting all linens with pinched fingers. This allows the patient to have room to move their feet and prevents deformities of the feet from pressure made by tight linens. 24. Position the client for comfort. 25.
  • Lower the bed to its lowest setting.
  • Ensure side rails are positioned according to care plan.
Ensures safety of client. 26. Remove gloves, and wash and dry your hands. Following Routine Practices reduces spread of pathogens. 27. Observe, record, and report any changes in condition or behavior. Communication with the health care team is an important aspect of the HCA role.

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Side view:
Step 1.
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Step 2.
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Step 3.
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