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1.1 Bed-Making
日期:2017-09-03 14:34:27    来源:ISPN周老师
1.1 Bed-Making
 
        Bed making is one of the important nursing techniques to prepare various types of bed for clients to ensure comfort and useful position for a particular condition. The nurse plays inevitable role to ensure comfort and cleanliness for clients. It should be adaptable to various positions as per clients’ need because they spend varying amount of the day in bed.


Types of Bed Making in Hospital:
        Nursing staff make different types of bed according to client condition. They are listed below:
Simple bed or unoccupied bed.
Close bed (Admission bed),
Open bed,
Occupied bed,
Cardiac bed,
Fowler’s bed,
Fracture bed,
Operation bed.
Purpose of Bed Making in Hospital:  
        Bed-making is a nursing art. The purpose of the bed-making should be client-centered. The main purposes of bed-making are to prevent complications by ensuring comfort and security to client:
To provide rest and sleep.
To provide physical and psychological comfort and security to the client.
To give the unit neat appearance.
To establish an effective nurse-patient relationship.
To provide active and passive exercise to the client.
To promote fresh and cleanliness.
To develop skill in the posture/body alignment of the nurse in bed-making.
To observe, identify and prevent client’s complications.
To accommodate the client’s needs.
To reduce client’s exertion by bed-making.
To eliminate irritants to skin from client’s body.
To dispose soiled and dirty linen properly.
        Another purpose of bed-making is to save time, effort and material properly.
Basic Principle of Bed Making in Hospital:
        Skillful bed making contributes patients comfort. Some basic principles of bed-making are pointed below
1. It is important to learn that how to make a bed in such a way where least amount of energy and time is required.
2. During bed-making, use good body movement and make each step purposeful.
3. Keep everything ready on bed side before starting bed-making.
4. Change bed linen frequently to assure cleanliness.
5. To ensure the patient need by providing a safe and comfortable bed.
6. It should have a finished appearance.
7. To make bed tight and free from wrinkles, place all linen straight line on the bed.
8. Prevent complications of prolonged bed ridden patient such as pressure sore.
9. Soiled linen or linen whether clean or dirty should not be thrown on the floor, but it is should be kept in a dirty linen box.
10. After cleaning bed, dump soap water and disinfectant properly.
11. Try to prevent cross infection of microorganism during bed-making.
12. Ensure all bed-making in a nursing unit alike for uniformity of appearance.
Making An Occupied Bed
        Many times, it is not possible or practical to move a patient in order to change his or her sheets.  Soiled linens can lead to infection, as well as being uncomfortable for your patient.  If your patient is not able to leave the bed while you change bedding, you will need to change the linens while the patient remains in bed.  Whenever possible, this is best accomplished by two people.   Before you begin, wash your hands carefully and put on gloves.  Begin by greeting your patient and explaining that you will be changing his or her bedding.  Then, follow these steps:
1. Roll the patient gently onto his or her side, ensuring that the patient will not fall.  Then, undo the fitted sheet and roll it toward the patient, placing the top of the sheet where it touched the patient into the rolled up sheet.
2. Unfold a clean fitted sheet and place it on the portion of the bed that has been unmade.  Place a pad on top of the fitted sheet so that it will lie underneath the patient’s hips.  Gather the clean linen by rolling it inward, and place it underneath the edge of the dirty linen.
3. Gently roll the patient to the other side of the bed so that they are lying on the clean, rolled linen.  Remove all dirty linen and place it into the appropriate container.
4. Unroll the clean fitted sheet and pad, and pull it tightly against the bed to make sure there are no wrinkles.  Secure the sheet to the bed, and roll the patient onto his or her back.
5. Cover the patient with a clean flat sheet and blanket, and then secure the lower corners of the flat sheet using mitered or “hospital” corners.
6. Assist the patient in moving to a comfortable position, and adjust sheets and blankets as necessary.
7. Dispose of your gloves, and then wash your hands.
8. Replacing linens often is part of a comprehensive infection control system.  Clean linens also help the patient remain comfortable, and keep the room looking tidy.  By following this procedure, you will be able to complete linen changes in a quick and efficient manner, minimizing discomfort for your patient.



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