Group 10

- NOVELYA MARCELLINA
- RISKI NOVIAMALIA
- M REZA PAHLEPI

MAKING THE BEDS

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What is the meaning of Bed making ? Explain !
 Bed making - is a technique, which provides enough area to the patient on
which s/he can be comfortable.
 Types
 Unoccupied bed
 Closed bed
 Open bed
 Occupied bed
 Cardiac bed
 Post operative/anesthetic bed
 Amputation bed
 Fracture bed

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 Cont..
 A standard hospital beds has 66cm (26in) height, 0.9m (3ft) width and 1.9m
(6.5ft) length.
 Some beds can be extended in length.
 Most hospital beds have” high” and “low” position that can be adjusted either
mechanically or electrically.
Purpose
 To give comfort
 Facilitate pt movement
 Prevent skin irritation

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What is the meaning of Open bed purpose and equipment ?
Open bed is one which is made for an ambulatory patient are made in the same way but the
top covers of an open bed are folded back to make it easier of a client to get in.
 Purposes of making open bed
 To provide clean and comfortable bed for the patient
 To reduce the risk of infection by maintaining a clean environment
 To prevent bed sores by ensuring there are no wrinkles to cause pressure points
 Equipment
 Two large sheets
 Rubber draw sheet
 Draw sheet
 Rubber sheet (Mackintosh )
 Blankets
 Pillow cases
 Bed spread
 Clean glove
 Chart

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 How is the Procedure of open bed purpose ?
1. Wash hands and collect necessary materials.
2. Place the materials to be used on the chair. Turn mattress and arrange
evenly on the bed.
3. Place bottom sheet with correct side up, center of sheet on center of bed
and then at the head of the bed.
4. Tuck sheet under mattress at the head of bed and miter the corner.
5. Remain on one side of bed until you have completed making the bed on
that side.
6. Tuck sheet on the sides and foot of bed, mitering the corners.
7. Tuck sheets smoothly under the mattress, there should be no wrinkles.
8. Place rubber and draw sheet at the center of the bed and tuck smoothly
and tightly.
9. Place cotton draw sheet on top of rubber draw sheet and tuck. The rubber
draw sheet should be covered completely.
10. Place top sheet with wrong side up, center fold of sheet on center of bed
and wide it at head of bed.
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11. Tuck sheet of foot of bed, mitering the corner.
12. Place blankets with center of blanket on center of bed, tuck at the foot of
beds and miter the corner.
13. Fold top sheet over blanket
14. Place bed spread with right side up and tuck it.
15. Miter the corners at the foot of the bed.
16. Go to other side of bed and tuck in bottom sheet, draw sheet, mitering
corners and smoothening out all wrinkles, put pillow case on pillow and
place on bed.
17. See that bed is neat and smooth
18. Leave bed in place and furniture in order
19. Wash hands
20. Recording and documenting

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 How to Making an occupied Bed ?

 An occupied bed is a bed prepared for a weak patient (bed ridden) who is
unable to get out of bed.
Purposes
 To provide comfort and to facilitate circulation of the patient
 To provide cleanliness and facilitate position of the patients bed
 To conserve patient’s energy and maintain current health status
 To comfort the patient
Equipment
 Two large sheets
 Draw sheet
 Rubber sheet (mackintosh).
 Pillow case

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 Pajamas or gown, if necessary
 Spread sheet
 Chart
 Clean glove
 Procedure
1. Wash hands and collect equipment
2. Explain procedure to the patient
3. Carry all equipment to the bed and arrange in the order it is to be used.
4. Make sure the windows and doors are closed.
5. Make the bed flat, if possible
6. Loosen all bedding from the mattress, beginning at head of the bed, and place dirty
pillow cases on the chair for receiving dirty linen.
7. Have patient flex knees, or help patient do so. With one hand over the patient’s
shoulder and the other hand over the patient’s knees, turn the patient towards you.
 Never turn a helpless patient away from you, as this may cause him/her to fall out of
bed.
8. When you have made the patient comfortable and secure as near to the edge of the
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bed as possible, go to the other side carrying your equipment with you.
9. Loosen the bedding on that side.
10. Fold, the bed spread half way down from the head. Fold the bedding
neatly up over patient.
11. Roll dirty bottom sheet close to patient
12. Put on clean bottom sheet on used top sheet center, fold at center of bed,
rolling the top half close to the patient, tucking top and bottom ends tightly
and mitering the corner
13. Put on rubber sheet and draw sheet if needed.
14. Turn patient towards you on to the clean sheets and make comfortable on
the edge of bed.
15. Go to the opposite side of bed. Taking basin and wash cloths with you,
give patient back care.
16. Remove dirty sheet gently and place in dirty pillow case, but not on the
floor.
17. Remove dirty bottom sheet and unroll clean linen.
18. Tuck in tightly at ends and miter corners.

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19. Turn patient and make position comfortable.
20. Back rub should be given before the patient is turned on his /her back
21. Place clean sheet over top sheet and ask the patient to hold it if she/he is conscious.
Go to foot of bed and pull the dirty top sheet out
22. Replace the blanket and bed spread
23.Miter the corners
24. Tuck in along sides for low beds
25. Leave sides hanging on high beds
26. Turn the top of the bed spread under the blanket
27. Turn top sheet back over the blanket and bed spread
28. Change pillowcase, lift patient’s head to replace pillow. Loosen top bedding over
patient’s toes and chest.
29. Be sure the patient is comfortable
30. Clean bedside table
31. Remove dirty linen, leaving room in order
32.Wash hands.
33. Recording
10 and documentation
 How to Making cardiac bed ?
 Cardiac bed is a bed prepared for a patient with heart disease or dyspnea and to provide easy
breathing for patient with minimum strain.
 Purpose
 In order to ease difficulty in breathing
 To Provide comfort and safety
 To relieve dyspnea
 To prevent complication
 EQUIPMENT
 Linens
 Bed spread
 Blanket
 Extra pillows (4 – 6 Pillows)
 Pillowcase
 Cylinder with oxygen
 Draw Sheet
 Footrest& back rest
 Rubber sheet
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 Over bed table
 Procedure
1. Wash your hands
2. Assemble the necessary equipment and carry to bed side
3. Place chair at the foot of the bed
4. Arrange the linen on chair in the order that it will be used
5. Turn mattress and arrange on the bed.
6. Put on mattress cover if available
7. Place bottom sheet with right side up, center of sheet on center of bed and wide hem at the head of
the bed.
8. Tuck sheet under mattress at head of bed and miter the corner.
9. Remain on one side of bed until you have completed making the bed on that side.
10. Tuck sheet on the sides and foot of bed mitering the corners.
11. Tuck sheets smoothly under the mattress. There should be no wrinkles.
12. Place rubber draw sheet in the center of the bed and tuck tightly.
13. Place cotton draw sheet on top of rubber draw sheet and tuck. Rubber draw sheet should be
covered completely.
14. Place top sheet with wrong side up, center fold sheet at center of bed and wide hem at foot of bed.
15. Tuck sheet at foot of bed mitering the corner.

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16. Place blankets with center of blanket on center of bed and tuck at the foot of bed
and miter corner. Fold top sheet over blanket.
17. Place bed spread with right side up. Tuck at the foot of bed miter corners and cover
top bedding.
18. Go to other side of bed fanfold the top covers at the center of bed and tuck in
bottom sheet and draw sheet mitering corners, smoothing out all wrinkles, continue
with blanket and spread the same with the opposite side.
19. See that bed is neat and smooth
20. Put bed in semi fowler’s position by raising the head of bed; if bed is gatched raise
at the head of bed if bed is normal bed put extra pillows.
21. Put footrest to prevent the patient from sliding down.
22. Place over bed table over the bed and a pillow over it to allow the patient’s hands to
rest on it.
23. Wash the hand thoroughly
24. Record in the nurse’s order of any observation made on the patient.

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 What is the meaning of Post
operative/anesthetic bed making ?
 Anesthetic bed is a bed especially prepared to receive a patient after surgery and major
recovery from general anesthesia.
 Purposes
 To facilitate easy transfer of the patient from stretcher to bed.
 To facilitate removal of secretion
 To protect the mattress and bedding from bleeding, vomiting, drainage or discharges.
 To protect the patient from becoming chilled or give warmth.
 Equipment
A. For bed making
1. Two large sheets.
2. Draw sheet(two)
3. Bath blanket
4. Woolen blanket
5. Rubber sheet (Mackintosh)
6. Two tongue blades or a mouth gag
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7. Small towel.
8. Pillow case
9. Spread sheet
10. Additional Sheets and blanket
11. bed blocks as needed
12. An extra rubber sheet & draw sheet for operated areas
B. For first aid activity
1. Emergency drug
2. Minor set
3. Vital sign equipment
4. Suction machine
5. Oxygen cylinder
6. Sterile Suction catheter
7. Sterile glove
8. Examination lamp (at hand if needed).
9. Airway tube
10. Sterile drainage bottle with tubing,
11. IV Stand.
12. Emesis basin and paper bag.

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13. Iv fluid
14. Hot water bag
15. Safety pin
16. Bed cradle
17. Tissue paper
18. An emesis basin
19. Chart
20. Paper and pen for recording vital signs and charting
 Procedure
1. Wash your hand & prepared equipment
2. Strip the bed
3. Make the foundation of the bed as usual with large sheet, rubber draw sheet,
bath blanket, draw sheet, etc.
4. Place one rubber sheet where the site of operation will rest
5. Place other rubber sheet across head of the bed where head will lie to protect
bed from vomitus}
6. Cover each rubber sheet with draw sheet tucking it firmly under matters
7. Place top bedding as before but do not tuck in the bottom. Fold down the top
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as you would do in an occupied bed.
8. Then fold the bottom of the linens up so that the fold is even with the bottom of the
mattress.
 Do not tuck the linen in. Unfold the top linens to the side so that they lay opposite
from where you will place the client’s stretcher.
 Alternatively, you may fanfold the linens to the foot of the bed. Leave a tab on top
for easy grasping.
9. In cold season, place hot water bottles in middle of the bed, and cover with fanfold
top bedding temperature of hot water is never to exceed 50°C (122°F).
10. Have two or more pillows available, but do not put them on the bed.
 Rationale: A pillow may be contraindicated for a client; usually the physician or
charge nurse will determine when it is safe for the client to have one.
11. Place pillow at the head of the bed between bed & mattress and tie it back with a
piece of bandage to protect had of Patient.
12. Place all necessary materials at the side of the bed opposite to the stretcher on
which the patient will come
13. Arrange emergency equipment{ B/P apparatus ,suction machine, Drug}
14. Close the windows. Leave the room clean and in order
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15. Receiving the patient from operation room
A. Remove folded to cover of the bed
B. Place the patient on bed and cover quickly
C. See that patient is properly placed in bed with head to the left side and comfortable
D. Check patient s condition operated area, urine, vital sign, colour of patient etc.
E. Do after care and Comfort the patient after procedure
16. Return used equipment to utility room and wash your hand
17. Proper documentation

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