1. | Position client on far side of bed , facing away . Adjust pillow under head. be sure side rail is up |
2. | Loosen bottom linen , moving from head to foot |
3. | With same side down fan fold bottom sheet towards client . first draw sheet , then bottom sheet .tuck edges of linen just under buttocks , back and shoulder .don’t fold mattress pad if it’s to be reused |
4. | Wipe of any moisture on exposed mattress with towel and approximate disinfectant |
5. | Apply clean linen to exposed half of bed · Place clean mattress pad on bed by folding it lengthwise with centres crease in middle of bed . fanfold top layers over mattress .if pad is reused , smooth out wrinkles · Unfold bottom sheet lengthwise so that centres crease is situated lengthwise along centers of bed alongside client. Smooth bottom layers of sheet over mattress .allow sheet edge to hang about 25cm over mattress edge. Lower linen of bottom sheet should lie seam down and even with bottom edge of mattress |
6. | Mites bottom sheet at head of bed · Face head of bed diagonally .place hand away from head of bed under top corner of mattress , near mattress edge and fit · With one hand , tuck top edge of bottom sheet smoothly under matress so that side edges of sheet above and below mattress would meet if brought together . · Face side of bed and pick up top edge of sheet at approx. 45cm from top of mattress · Lift sheet and lay it on top of mattress to form near triangle fold , with lower base of triangle even with mattress edge · Tuck lower edge of sheet which is hanging free below mattress , under mattress .tuck with palm down .do without pulling triangular fold · Hold position of sheet covering side of mattress in place with one hand .With other hand , pick up top of triangular linen fold and bring it down over side of mattress ,tuck this position under mattress |
7. | Tuck in remaining position of sheet under mattress , moving towards foot of bed . keep linen smooth |
8. | Optional : Open draw sheet so that it unfolds in half .long centers fold along middle of bed lengthwise and position sheet so that it will be under buttocks and torso . fanfold top layer towards client with edge along back . smooth bottom layer out over mattress and tuck excess edge under mattress |
9. | Place water proof pad over draw sheet with centres fold against clients side.fanfold for half towards client |
10. | Raise side rail on working side and go to other side |
11. | Lower side rail. Assist client to roll slowly on other side. Over folds of linen |
12. | Loosen edges of soiled linen from under mattress |
13. | Remove soiled linen by folding it into bundle or square , with soiled linen turned inside .discard in linen bag |
14. | Spread fan folded clean linen smoothly ones edge of mattress from head to foot of bed |
15. | Assist client on rolling back into supine position .reposition pillows |
16. | Mites top corners of bottom sheet .when tucking corners , be sure sheet is smooth and free of wrinkles |
17. | Facing side of bed , grasp remaining edge of bottom sheet .lean back , keep back straight and pull as you tuck excess linen under mattress ,proceed from head to foot of bed |
18. | Smooth fan folded draw sheet out over bottom sheet .grasp edge of sheet with palms down , lean back and tuck sheet under mattress .tuck from middle to top and then to bottom |
19. | Place top sheet on client with centrefold lengthwise down middle of bed. open sheet from head to toe and unfold over client |
20. | Ask client to hold clean top sheet or tuck sheet around clients shoulder . Remove bath blanket and discard in linen bag . |
21. | Place blanket on bed , unfolding it so that crease runs lengthwise along middle of bed .Unfold blanket to cover client .top edge should be parallel with edge of top sheet and 15-20 cms from top sheets edge |
22. | Place spread over bed according to step 30 . be sure that top edge of spread extends about 2.5 cm above blanket’s edge. Tuck top edge of spread over and under top edge of blanket |
23. | Make cuff by turning edge of top sheet down ones top edge of blanket and spread |
24. | Standing on one side at foot of bed , lift mattress corner slightly with one hand and tuck top linens under mattress . top sheet and blanket are tucked under together. Be sure that linens are loose enough to allow movement of clients feet |
25. | Make modified mittered corners with top sheet, blanket and spread · Pick up side edge of top sheet, blanket and spread approx. 5cm from foot of mattress , under mattress .do not pull triangular fold and lay it on bed · Tuck lower edge of sheet , which is hanging free below mattress , under mattress .don’t pull triangular fold · Pick up triangular fold and bring it down over mattress while folding linen in place alongside of mattress .don’t tuck tip of triangle |
26. | Raise side rail , make other side of bed , spread sheet , blanket and bed spreads out evenly .fold top edge of spread over blanket and make cuff with top sheet , make modified mittered corner at foot of bed |
27. | Change pillow case · Have client raise head, while supporting neck, remove pillow. allow client to lower head · Remove soiled case by grasping pillow at open end with one hand and pulling case over pillow with one hand . discard case in linen bag · Be sure pillow corners fit evenly in corners of pillow case .place pillow down over pillow with other hand . |
28. | Place call light within clients reach and return bed to comfortable position |
29. | Open room contains. Rearrange furniture .place personal items within easy reach on overbedtable or bedside table or bedside stand. Return bed to comfortable height |
30. | Discard dirty linen in hamper or chute , wash hands |
31. | Bedmaking need not be documented. record clients vital signs and symptoms if there are changes |
32. | Ask if client feels comfortable |
No comments:
Post a Comment