Ncm Checklist - Occupied And Unoccupied Bed 2j3j62

Mindanao State University COLLEGE OF HEALTH SCIENCES Marawi City

Name:

Block:

Clinical Instructor:

Date:

Making an Unoccupied Bed Concept:

Purpose:

Preparation 1. Equipments: Assemble the equipment and bring it near to working area.        2. Procedures:  Perform hand hygiene.  Assemble equipment and arrange on a bedside chair in the order in which items will be used.  Adjust patient’s bed to the high position and drop bed side rails.  Disconnect call bell or any tubes from bed linens.  Loosen all linen as you move around bed from the head of the bed on the far side to the head of the bed on the near side.  Fold reusable linens, such as sheets, blankets or spread, in place on bed in fourths and then hang them over a clean chair.  Snugly roll all soiled linen inside the bottom sheet and place directly into laundry hamper. Do not place them on floor or furniture. Do not hold soiled linen against your uniform.

Rationale

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If possible, shift mattress up to the head of the bed. Place bottom sheet with its centerfold in the center of the bed and high enough to have sufficient amount of the sheet to tuck under the head of the mattress. Place drawsheet with its centerfold in the center of the bed and position so it will be located under patient’s midsection. If using a protective pad, place it over the drawsheet in the proper area. Not all agencies use drawsheets routinely. The nurse may decide to use one. Tuck bottom sheet securely under the head of the mattress on one side of the bed, making a corner according to agency policy. Using a fitted bottom sheet eliminates the need to miter corners. Tuck remaining bottom sheet and drawsheet securely under mattress. (at this point, before moving to the other side of the bed, top linens may be laced on the bed, unfolded, and secured, allowing the entire side of the bed to be completed one at a time. Move to the other side of the bed to secure bottom sheet under the head of the mattress and miter the corner. Pull remainder of the sheet tightly and tuck under mattress. Do the same for the drawsheet. Place top sheet on bed with its centerfold in the center of the bed and with the too of the sheet placed so that the hem is even with the head of the mattress. Unfold top sheet in place. Follow same procedure with the top blanket or spread, placing upper edge about 6 inches below top of the sheet. Tuck top sheet and blanket under foot of the bed on the near side. Miter corners. Fold upper 6 inches of the top sheet down over the spread and make a cuff. Move to the other side of the bed and follow the same procedure for securing top sheets under the foot of the bed and making a cuff. Place pillow on the bed. Open each pillow case in the same manner as opening other linens. Gather pillow case over one hand toward the closed end. Grasp pillow with hand inside the

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pillowcase. Keeping a firm hold on top of pillow, pull cover onto pillow. Place pillow at the head of the bed with the open end facing toward the window. Fan-fold or pie-fold top linens. Secure signal device on the bed according to agency policy. Adjust bed to the low position. Dispose of soiled linen according to agency policy. Perform hand hygiene.

Mindanao State University COLLEGE OF HEALTH SCIENCES Marawi City

Name:

Block:

Clinical Instructor:

Date:

Making an Occupied Bed Concept:

Purpose:

Preparation 1. Assessment:  Determine if client is incontinent or has excess drainage on bed linens.  Check chart for orders or specific precautions for movement and positioning.  Assess skin condition and the health of the client. Equipments: Assemble the equipment and bring it near to working area.       2. Procedures:  Explain procedure to patient.  Check patient’s chart for limitations on patient’s physical activity.  Perform hand hygiene.  Assemble equipment and arrange on a bedside chair in the order in which items will be used.  Close door or curtains.  Adjust patient’s bed to the high position. Lower side rail nearest you, leaving opposite side rail up. Place bed in the flat position unless contraindicated.

Rationale

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Check bed linens for patient’s drainage. Place a bath blanket, if available, over patient. Have patient hold onto bath blanket while you reach under it and remove top linens. Leave top sheet in place if a bath blanket is not used. Fold linen that is to be reused over the back of a chair. Discard soiled linen in laundry bag or hamper. If possible and if another person is available to assist, grasp mattress securely and shift it up to the head of the bed. Assist patient to turn toward the opposite side of the bed and reposition pillow under patient’s head. Loosen all bottom linens from the head and sides of the bed. Fan-fold soiled linens as close to patient as possible. Using clean linen, make the near side of bed the following – actions 9, 10, and 11. Fan fold clean linen as close to the patient as possible. Raise side rail. Assist patient to roll over the folded linen in the middle of the bed toward you. Move to the other side of the bed and lower the side rail. Loosen and remove all bottom linen. Place in a linen bag or hamper. Hold soiled linen away from your uniform. Ease the clean linen from under the patient. Pull taut and secure bottom sheet under the head of the mattress. Miter corners. Pull side of the sheet taut and tuck under side of the mattress. Repeat this with drawsheet. Assist patient to return to the center of the bed. Remove pillow and change pillowcases before replacing with open end facing the window. Apply top linen so that it is centered and top hems are even with the head of the mattress. Have patient hold onto the top linen so bath blanket can be removed. Secure top linens under foot of mattress and miter corners. Loosen top linens over patient’s feet by grasping them in the area of the feet and pulling gently toward the foot of the bed. Raise side rail. Lower bed height and adjust head of the bed to a

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comfortable position. Reattach call bell and drainage tubes. Dispose of soiled linen according to agency policy. Perform hand hygiene.