Equipment:
Clean linen (sheets, pillowcases, blankets/duvet cover, counterpane) and a linen skip are required. The procedures and rationales are given below.
Procedure
|
Rationale
|
Plan the timing of
this activity
(For speed and
efficacy, two staff should perform
this activity, if
possible)
|
To limit/reduce disturbance, flow of micro-organisms in the
air when other activities are occurring. To fit in with
client activity
|
Wear apron, wash
hands
|
Prevents cross-infection. Only wear gloves if in contact
with body secretions
|
Prepare the
environment around the bed/cot
|
Safety for nurse
|
Ensure bed brakes
are on
|
Client/nurse safety
|
Raise bed to an
appropriate height
|
Reduce the risk of back injury. Nurse safety
|
Keep clean and dirty
linen separate
|
Reduce the risk of cross-infection
|
Strip bed onto bed
stripper and/or chair at the base of the bed/cot with minimal movement of
bedclothes, removing each item separately
|
Reduces airflow and circulating organisms. To prevent items
such as spectacles being sent to the laundry in error
|
Fold soiled linen
inwards. Hold away from apron and place immediately in linen skip. Do not
drop bedding on the floor
|
Reduces transmission of microorganisms and risk of
cross-infection
|
Check the mattress
for wear and tear and replace if necessary
|
Client comfort and infection control
|
If soiled, clean
with soap and water
|
Infection control
|
Place bottom sheet
on the mattress. Open out
the sheet ensuring
equal amounts of material
at top, bottom and
sides to tuck in
|
To reduce slippage of sheets and potential for creasing
|
Ensuring sheet is
flat, smooth and crease-free,
make a small pleat
at the foot end prior to tucking in
|
To increase client comfort, and to reduce the risk of
pressure sores and possibility of plantar flexion
|
Tuck in at the base
of the bed/cot, leaving sheet open at the top
|
To reduce slippage
|
Add
blanket/counterpane/duvet in the same
manner, according to
client needs/wishes
|
Client comfort
|
Once complete, fold
top sheet over blanket/counterpane/duvet
|
To promote easier access for client
|
Change pillowcases
as required and arrange to suit client needs/wishes
|
Client comfort
|
Lower bed to suitable
height for client/child and ensure bed brakes are on
|
To promote client safety and ease of access
|
Replace equipment
including call button within client’s reach
|
To promote client safety
|
Remove linen
skip/equipment and leave area clean and tidy
|
To prevent cross-infection
|
Remove apron and
wash hands
|
To prevent cross-infection
|
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