Checklists for Clinical Nursing Skills - page 52

152
SKILL 7-9
Making an occupied bed
(continued)
Comments
Excellent
Satisfactory
Needs practice
Copyright © 2014 by Wolters Kluwer Health | Lippincott Williams & Wilkins.
Checklists for Clinical Nursing Skills by Louise Sparkes, Jennifer Bassett and Elisabeth Jacob.
16. Remove and dispose of dirty gloves and put on clean
ones. Use clean linen and make the near side of the bed.
Place the bottom sheet with its centre fold in the centre
of the bed. Open the sheet and fan-fold to the centre,
positioning it under the old linen. Pull the bottom sheet
over the corners at the head and foot of the mattress.
17. If using, place the drawsheet or protective underlay with
its centre fold in the centre of the bed and positioned so it
will be located under the patient’s midsection. Open the
drawsheet and fan-fold to the centre of the mattress. Tuck
the drawsheet securely under the mattress. If a protective
pad is used, place it over the drawsheet in the proper
area and open to the centre fold. Not all facilities use
drawsheets routinely. The nurse may decide to use one.
18. Raise the bed side rail. Assist the patient to roll over
the folded linen in the middle of the bed towards you.
Reposition the pillow and blanket or top sheet. Move to
the other side of the bed and lower the bed side rail.
19. Loosen and remove all bottom linen. Discard soiled linen
in the laundry bag or hamper.
Do not place on floor
or furniture. Do not hold soiled linen against your
uniform.
20. Remove gloves if worn and undertake hand hygiene.
Ease clean linen from under the patient. Pull the bottom
sheet taut and secure at the corners at the head and foot
of the mattress. Mitre the corners if using a flat sheet. Pull
the side of the sheet taut and tuck under the side of the
mattress. Repeat this with the drawsheet.
21. Assist the patient to turn back to the centre of the bed.
Remove the pillow and change the pillowcase. Open
each pillowcase in the same manner as you opened other
linen. Gather the pillowcase over one hand towards the
closed end. Grasp the pillow with your hand inside the
pillowcase, keep a firm hold on the top of the pillow and
pull the cover onto the pillow. Place the pillow under the
patient’s head, with the open end facing towards away
from the door.
22. Apply top linen, sheet and blanket, if desired, so that it is
centred and hems are even with the head of the mattress.
Fold the top linens over at the patient’s shoulders to make
a cuff. Have patient hold on to top linen and remove the
blanket, if used, from underneath.
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