Making an Occupied Bed

Purpose

1. To change the linen with the least possible disturbance to the patient.
2. To draw or fix the sheets under the patients very firmly so that it would not wrinkle.
3. To remove crumbs from the bed.
4. To make patient feel comfortable.

Equipments

• Necessary linen.
• Tray for stripping and airing.
• Laundry bag or hamper

Procedure

1. Do the medical handwashing.
2. Gather equipments at bed side and arrange according to use. Explain procedure to patient and screen.
3. Loosen the linens starting at the foot part, then to the sides and around. Remove pillows unless contraindicated.
4. Place clean top sheet over dirty top sheet wider hem, wrong side out at the head part of bed. Spread, then remove the dirty linen without exposing the patient.
5. Turn patient towards one side of the bed.
6. Work on the unoccupied side of the bed. Roll dirty linens toward the patient (except rubber sheet).
7. Place bottom sheet following the principles, tuck head part miter corner tuck. Roll used rubber sheet towards you. Replace with a new one.
8. Place draw sheep over rubber sheet. Tuck together.
9. Turn patient towards made bed.
10. Work on the other side. Remove dirty linens.
11. Spread clean linens, tuck head part of the bottom sheet, miter at side, tuck all together. Do the same with rubber sheet and draw sheet.
12. Turn patient to the center of the bed.
13. Arrange top sheet, fold head part up to the patient’s chest.
14. Make a toe pleat.
15. Tuck foot part, miter corner.
16. Time limit, check features of a good bed and proper body mechanics.

Principles

1. Provision for privacy as situation requires.
2. Carefully turning the patient. So as to prevent over exertion and feeling or insecurity.
3. Provision of opportunity for patient to Participate.
4. Placement of top bedding so that shoulder may be covered and the necessary adjustments made over toes.
5. Careful observation of skin areas of the patient.