Bed making procedure in nursing is a fundamental of nursing work. The systematic procedures followed in bed-making are as follows :
- The uniform of nursing staff should not touch the bed while making a bed.
- Soiled linens should not be thrown on floor.
- First lift the mattress while loosening the bed-linen or removing the sheets. The sheets should not be pulled forcefully.
- The bed linens should be folded from top to bottom or side to side. This applies to fold the mattress also while making one unoccupied bed.
- As self precaution while tucking bedding under mattress, the palm of the hand should face downwards to prevent injury of nails.
- The open end of the pillow should not face to the entrance of ward.
- The beds should be in one line for better look.
Striping the Bed
This is a procedure to remove bed linen from a bed which has been previously used. This is required either to air the bed or put fee bed in sun or making it ready for future.
- When a chair or a stool has been provided with the bed, the chair or stool be placed at the foot end of the bed.
- Place the pillow over the seat of the chair or on stooL
- The bed sheet should be loosened from right side.
- Fold bed sheet twice, bring top hem to bottom hem, pick up at the centre.
- The blanket should be folded in similar way.
- Soiled sheets should be removed and should not be thrown on floor.
- Fold the draw sheet in two and place it over the chair.
- The mackintosh should be folded in similar pattern.
- The mattress should be turned from top to bottom or from, side to side.
Making an unoccupied bed or closed bed
- Spring or metalled-sheet bed.
- One mackintosh (Rubber
- Two large sheets.
- Pillow case.
- Bed spread or bed cover.
- Mattress protection, or mat.
- draw sheet).
- One draw sheet.
- One blanket.
- Mattress cover .
- The bed should be put where required.
- All other item* are kept on a bench near the bed for convenience. The items should not be brought one by one from store or storing place.
- The bottom protection or mattress protection or mat should be spread first over the bed.
- Then the mattress is spread over the bed.
- The mattress cover is then put on the mattress.
- The bottom sheet is spread over now with the wide hem at the top or head end.
- The sheet is well tucked under the mattress from all sides.
- The rubber sheet or mackintosh sheet is spread at the centre and tucked on side to side.
- At the same time the top of the draw sheet is placed 45 cms from head and about 30 cms is tucked under mattress on sides.
- Now you go to the other side of the bed and fold the draw sheet back over the rubber sheet towards centre of the bed.
If You Want To Be Good Nurse,You Must Know Bed Making Procedure In Nursing
- The lower sheet should be made light under head of mattress making a mitered (or square) corner and pull tightly and tuck from the top to the bottom.
- Then tighten and tuck in the mackintosh from the middle than top and bottom.
- Tighten and tuck in the draw sheet starting at the middle.
- Now you come to the initial side of the bed where you carted work first.
- Place the top sheet evenly on the bed wrong side of the hem tap and the wide hem in the line with the head of the mattress.
- Now bring the remainder of the sheet down to the feet end and under the mattress make a square corner and tuck in along the side. ‘
- The blanket is placed at the centre of the bed with its top 20 cms approximately from top of the mattress. The top sheet is folded back over the blanket.
- The blanket is folded under the foot of the mattress. Make a spare corner and tuck in along sides.
- The bed spread is placed evenly with the head of the mattress. The top is folded about 20 cms or less under the blanket. Now fold the top sheet down over spread and blanket and make a half mitred corner at the foot of the spread, tuck in the foot of the mattress.
Occupied Bed Or Open Bed
For an occupied bed,the care is taken to make a comfortable bed without much disturbance to the patient.so the procedure is entirely different from making an unoccupied bed.
- The bench is placed at the foot end of the blood
- The patient or the bed attendant should be told the fresh linen are to put and used ones are to removed.This knowledge of bed making or notice to the patient will lessen his annoyance or disturbance.
- The linens are kept ready on the bench
- A bed side screen may be placed for better privacy and less annoyance to the patient
- if the patient is in fowler’s position the head is lowered first before changing the linens
- The top bedding is first loosened
- Then the bed spread is slowly removed.
- The patient’s head is lifted and all pillows are re except one taking help by one more assistant.
- Pull the mattress up. Never allow the patient to put up. You can take the help of another staff. Loosen bottom bedding and remove top sheet by pulling it from under cover.
- Move the pillow to one side. Turn patient on side away you. Roll or unfold the draw sheet against the pr”:
- Brush or clean the mackintosh sheet and fold it back 1 over the patient.
- Now roll the bottom sheet as far as under the patient’s as possible.
- At times the bottom sheet can be replaced with the sheet.
- The clean sheet is spread straight lengthwise with fo-id centre of bed. 30 to 40 cms. is left at the head to tuck mattress.
- Tuck in at the top making a square corner. Also tuck at C sides and bottom.
- Bring back the mackintosh lying over the patient, for tighten and tuck well.
- Place the clean draw sheet with widthwise fold at the of the bed. Push it as far under the patient as possible. in both the fold and the upper layer of the draw sheet the patient as far as possible. Tuck in the free end the under mattress.
- Now lifting the top bedding turn the patient on his towards you.
- Then go to the other side of the bed, pull out soiled linen which has been folded under patient.
- Now pull the clean bottom sheet under the patient, then draw sheet and mackintosh over the patient.
- Pull and tighten the bottom sheet and tuck in at top making square corner. The sides are tucked smoothly.
- Pull and tighten rubber sheet and tuck well.
- Pull and tighten draw sheet and tuck well.
- Place clean top sheet over the patient with large hem at $ head with wrong side of the hem up. Then tuck in making a square corner at the foot of the bed.
- Place bed spread with the top of the bed. Unfold and make a half square corner at the foot of the bed.
- Turn the top of the bed spread under the blanket.
- Turn the top sheet back over the blanket and bed spread.
- Now go back to the other side, fold and tuck in top of bedding as on the first side.
- Hold pillow under your arm and change the pillow cover. Now put it under patient’s head by lifting and supporting; the head if the patient is unable to do so
Bed prepared to support a patient in sitting position.
This is a special type of bed prepared for a heart patient. The aim of such bed is mainly to prevent dyspnoea or breathlessness and thereby to provide comfort to the patient. Also it prevents complications or acceleration of symptoms.
- All material required for ordinary bed making.
- Cardiac table.
- Back rest where Fowler’s bed is not available.
- Extra pillow for back.
- Air ring and footrest board.
One simple bed is made as already described with foot rest at the foot of the bed.
- The backrest is placed at the back of the patient and for extra comfort one or two pillow’s are placed on it.
- The cardiac table is placed in front of the patient with one This is to provide comfortable leaning of the patient and rest .of the head on it.
- The cardiac bed is also used for patients with respiratory distress.
The name itself indicates a special bed for a fracture patient. The speciality lies in making the bed firm or hard to provide immobility to the fractured part of the bone. This provides better comfort to the patients, promotes better opposition of fractured end and thereby quick union and prevents complications
- Materials required
- Same as for a simple bed.
- Fracture board.
- Fracture bed.
- Sand bag if required.
- Bed cradle if required.
The fracture board is placed directly over the bed springs
A thin firm mattress or matting or pad over the fracture board for comfortable position.
- The inner spring mattress should be removed.
- The other procedures are same as described in ordinary bed making.
This is a special type of bed with a cradle to carry the weight of the linens. The main aim of such bed is to protect an affected nut from the weight of the upper bedding, to protect the upper bedding from moist applications and to support heating or warming electrical appliances and cold application by ice bag in cases of haemorrhage from gastric or pulmonary area.
The simple bed making items.
- Bath blankets.
- Roller bandage or tape for tying.
- The foundation of the bed is made.
- The patient is covered with both blankets and the cradle is adjusted.
- The cradle is placed over part of the patient where special protection is required.
- The cradle is secured to the sides and end of the bed.
- The top sheet is placed over the cradle and it comes over the chest of the patient. The extra portion of the sheet is tucked evenly at foot and square corner is made under the mattress, but only folded neatly across the end of the cradle.
- The first blanket is put up to patient’s shoulder and tucked smoothly at foot with square corner.
- The top blanket is tucked well under mattress.
- The spread cover is put and tucked under the mattress at the foot and half square corner is made.
- The pillow is replaced.
Post Operative Bed
This is a special type of bec^ meant for patient coming from operation theatre either in anesthetized form or otherwise. The aim of such bed is to protect the patient from immediate comply anaesthesia or choking and protect mattress and other line blood, vomits, and other discharges. The bed is also made in a way that the patient can be easily lifted or transfer re: stretcher if required at later stage.
1. Two bed sheets. 2. One draw 3. One blanket. 4. Rubber sheet or Mackintosh sheet. 5 sponge holder, 6. One basin for vomitus. 7. Two mouth 8. Small hand towel. 9. BP apparatus. 10. Hot water t 11. Airway. 12. Sterile drainage bottle with tube if recp 13. Transfusion set with stand.
- A simple bed is made as per normal procedure making.
- The bottom comer of top bedding should not be mitred
- The upper bedding is fan folded to one side apposite the stretcher.
- In cold season the hot water bottle is placed in middle off bed and covered with fan folded top bedding.
- The te~ ture of water in hot water bottle should not exceed 50°C.
- The small mackintosh sheet covered with towel is open side at top of the bed.
- The basin for collection of vomits is placed at bed stand.
- The transfusion stand is kept ready at bed side.
- BP instrument, pulse meter can be kept ready at bed stand.
- In special case where required, the suction apparatus is kept ready at bed side.