Goal: The bed linens are applied without injury to the patient or nurse.
1. Check chart for limitations on patient’s physical activity.
2. Assemble equipment and arrange on bedside chair in the order the items will be used.
3. Perform hand hygiene. Put on PPE, as indicated.
4. Identify the patient. Explain what you are going to do.
5. Close curtains around bed and close the door to the room, if possible.
6. Adjust the bed to a comfortable working height, usually elbow height of the caregiver (VISN 8 Patient Safety Center, 2009).
7. Lower side rail nearest you, leaving the opposite side rail up. Place bed in flat position unless contraindicated.
8. Put on gloves. Check bed linens for patient’s personal items. Disconnect the call bell or any tubes/drains from bed linens.
9. Place a bath blanket over patient. Have patient hold on to 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. Do not place on floor or furniture. Do not hold soiled linens against your uniform.
10. If possible, and another person is available to assist, grasp mattress securely and shift it up to head of bed.
11. Assist patient to turn toward opposite side of the bed, and reposition pillow under patient’s head.
12. Loosen all bottom linens from head, foot, and side of bed.
13. Fan-fold soiled linens as close to patient as possible.
14. Use clean linen and make the near side of the bed. Place the bottom sheet with its center fold in the center of the bed. Open the sheet and fan-fold to the center, positioning it under the old linens. Pull the bottom sheet over the corners at the head and foot of the mattress.
15. If using, place the drawsheet with its center fold in the center of the bed and positioned so it will be located under the patient’s midsection. Open the drawsheet and fan-fold to the center 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 center fold. Not all agencies use drawsheets routinely. The nurse may decide to use one.
16. Raise side rail. Assist patient to roll over the folded linen in the middle of the bed toward you. Reposition pillow and bath blanket or top sheet. Move to other side of the bed and lower side rail.
17. Loosen and remove all bottom linen. Discard soiled linen in laundry bag or hamper. Do not place on floor or furniture. Do not hold soiled linens against your uniform.
18. 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. Pull the drawsheet tight and smooth. Tuck the drawsheet securely under the mattress.
19. Assist patient to turn back to the center of bed. Remove pillow and change pillowcase. Open each pillowcase in the same manner as you opened other linens. Gather the pillowcase over one hand toward the closed end. Grasp the pillow with the 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.
20. Apply top linen, sheet and blanket, if desired, so that it is centered. Fold the top linens over at the patient’s shoulders to make a cuff. Have patient hold on to top linen and remove the bath blanket from underneath.
21. Secure top linens under foot of mattress and miter corners. (Refer to Skill Variation in Skill 7-8.) Loosen top linens over patient’s feet by grasping them in the area of the feet and pulling gently toward foot of bed.
22. Return patient to a position of comfort. Remove your gloves. Raise side rail and lower bed. Reattach call bell.
23. Dispose of soiled linens according to agency policy.
24. Remove any other PPE, if used. Perform hand hygiene.
0 comments:
Post a Comment