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BEDMAKING

The document outlines the objectives and procedures for bedmaking in a healthcare setting, emphasizing the importance of providing a clean and comfortable environment for patients. It details the necessary equipment, implementation steps for making both occupied and unoccupied beds, and the rationale behind each step to ensure safety and hygiene. The document also includes evaluation criteria to ensure the bed is made correctly and efficiently.

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shaynesolis07
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0% found this document useful (0 votes)
78 views19 pages

BEDMAKING

The document outlines the objectives and procedures for bedmaking in a healthcare setting, emphasizing the importance of providing a clean and comfortable environment for patients. It details the necessary equipment, implementation steps for making both occupied and unoccupied beds, and the rationale behind each step to ensure safety and hygiene. The document also includes evaluation criteria to ensure the bed is made correctly and efficiently.

Uploaded by

shaynesolis07
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

BEDMAKING

Objectives:
1. To provide a clean, comfortable sleeping and resting environment for the patient.
2. To eliminate irritants to skin by providing wrinkle-free sheets and blankets.
3. To enhance the patient’s self-image by providing a clean, neat, and comfortable bed.
4. To handle soiled linens properly and prevent cross-contamination.
5. To use effective body mechanics and efficient movements in completing the procedure.

Equipment / Materials Needed

1. Flat or fitted bottom sheets- to cover the mattress


2. Flat Top Sheets- to cover the client
3. Pillow case
4. Bedspread- this becomes the top layer of the topsheet and provides an attractive feature.
5. Protective Rubber or Plastic sheet (optional)- to protect the bottom sheet and mattress
from urine, feces, or other body secretions.
6. Draw sheet (optional)- to cover the protective rubber sheet because some patients are
sensitive to rubber. It can also be used as a turning sheet.
7. Chair- used to hold clean-soiled linens.
8. Over bed table
9. Laundry cart or bag- used as receptacle for soiled linens
10. Gloves (optional)
11. Cleaning cloth
12. Newspaper
13. 1 % Lysol;

EXPECTED BEHAVIOR RATIONALE


ASSESSMENT This determines when a linen change is
1. Check to see whether the linen necessary.
(including the mattress pad,
blanket, and bedspread) needs to
be changed.
2. Determine what linens are needed. This determines what linen to prepare.
PLANNING
3. Gather all linens and other items To save time and energy.
needed.
4. Use effective body mechanics and To help prevent fatigue
efficient movement in completing
the procedure.
5. Obtain a laundry bag or hamper. To contain the soiled linens.
UNOCCUPED BED
A. OPEN BED

IMPLEMENTATION
6. Be certain the wheels are locked. To keep the bed from moving and to
prevent injury.
7. All garbage should be wrapped in To prevent spread of microorganisms.
a newspaper and place in a waste
container.
8. Remove rugs for drapes for To ensure that the bed is in good
cleaning. Report all evidences of condition for the use of the patient.
torn mattresses, bed springs,
broken furniture, tear in sheets,
etc. for repair.
9. Dampen cloth with 1 % Lysol To remove dirt and microorganisms
solution to cleanse mattress and present on the mattress and bed springs.
bed springs. Leave slightly damp
but not wet.
10. Clean all furniture well It is also necessary that proper
housekeeping is provided for the
patient.

11. Line dresser and table drawers


with clean paper.
12. Arrange furniture in order.
Replace all necessary equipment
in order.

13. Check shades for blinds screen,


cover for cleanliness.

14. Place linens on a clean, dry surface Provide easy access to items.
in reverse order of usage at the bed
side.

15. Position the bed flat, raise to Maintain good body mechanics during the
appropriate working height, and procedure.
lower siderails.
16. Move the mattress up to the head
of the bed by grasping the mattress
edge and using good body
mechanics turn the mattress upside
down to air the other side of the
mattress.
17. Working from the foot of the bed
a. Place the clean bottom Placing the linen at the center of the bed
sheet folded into four saves time and easy spreading the bottom
layers on the bed, so that sheet.
the vertical center folds of Having extra sheet at the top helps keep it
the sheet is at the center of in place when the head of the bed is raised
the mattress and the bottom and lowered.
edge of the sheet extends
about 1 inch (2.5 cm) over
the end of the mattress.
b. Open the sheet across the Bottom sheet is not tucked in at the
bottom of the bed and then bottom, so that it can readily be changed
pull the top layer up to the with removing the top covers. Make sure
top of the bed, so that the that the rim of the sheet is facing down, so
sheet is fully spread. that it will not rub against the client’s
skin.

18. Move to the head of the bed on the Tucking decreases the chance that the
same side. Tuck excess sheet sheet will pull out from under the
under the mattress at the near side mattress.
of the head of the bed. If contour sheet is used, it should fit under
the corners of the mattress.
19. Miter the upper portion of the A mitered corner is tighter and less likely
bottom sheet at the corner near to come apart.
side of the nurse. In mitering the
corners of the bed linens, the
nurse:
a. Grasps the edge of the
sheet with the hand and
bring onto mattress so that
the edge forms a right
angle.
b. Tucks lower edge of the
sheet under the mattress.
c. Place finger on sheet where
it meets the mattress and
lowers top of sheet over
finger.
d. Tucks sheet securely under
mattress.

20. Lay the rolled plastic sheets/ Rubber sheets will prevent soiling the
rubber sheets on the center line of bottom sheet and mattress from any
the bed and spread toward both discharges or urine.
sides of the bed. Tuck in or the
near side.
21. Lay the cotton draw sheet on the Any exposed plastic or rubber can be
bed with the vertical center folded irritating to the patient’s skin.
into four layers on the bed, so that
the vertical centerfold is at the
center of the bed and the top edge
should be even with the top edge
of the mattress.
22. Place the top sheet folded into four The right side of the sheet should touch
layers on the bed, so that the the patient’s body to prevent irritation.
vertical centerfold is at the The upper side of the top sheet should not
centerline of the bed and the top be tucked for the patient to get into the
edge should be even with the top bed.
edge of the mattress.
23. Open the sheet across the top of Pulling the top sheet helps prevent
the bed, and pull the top layer up wrinkle from developing.
to the bottom of the bed. So that
the sheet is fully spread.
24. Make either a horizontal or a A toe pleat provides additional room for
vertical toe pleat in the sheet. Tuck the patient’s feet. It is an optional comfort
excess top sheet under the measures. Additional toe space can also
mattress. Miter the corners of the be provided in loosening the top covers
top sheet at the side near you. around the feet over after the patient is in
bed.
25. Move to the opposite side of the This complete the task.
bed.
26. Starting at the head of the bed, To fully spread the bottom sheet.
unfold the bottom sheet.
27. Pulling the sheet firmly, miter the Mitered corners help secure the linen at
side corner at the head of the bed. the head of the bed.
28. Tuck the side of the bottom sheet Pulling the bottom sheet firmly helps
working toward the foot of the prevent wrinkles from developing under
bed, pull the sheet firmly so that the patients when he/she moves around
there are no wrinkle in it. the bed.
29. Straighten by unfolding the rubber Tucking decreases the chance that the
sheet, draw sheet and the top sheet will pull out from under the
sheet, and finish tucking in. mattress.
30. Fanfold the top portion of the top Makes it easier for the patients to get into
sheet about 18 inches from the the bed.
head part of the bed.
31. Change pillowcases Do not hold the pillow under the arm or
In changing pillowcase, the nurse: chin to put on pillowcase because
a. Turn the pillowcase wrong contamination can occur.
side out.
b. Grasp the closed end of the
pillowcase at the center
with one hand.
c. Reaching through the
pillowcase, grasp the end
of the pillow.
d. Continuing to grasp the
end of the pillow, pull the
pillowcase down over the
pillow.
32. Place the pillow at the head of the For aesthetic purposes.
bed in the center, with the open
end of the pillowcase facing away
from the door of the room.
33. Wash your hands. To prevent cross contamination.

EVALUATION
34. Make the bed with clean linens.
35. Ensure that there are no wrinkles.
36. Work efficiently and safely.
37. Furniture and equipment are
properly arranged.
38. Uses good body mechanics

B. CLOSED BED

EXPECTED BEHAVIOUR RATIONALE


1. Follow steps 1-34 in making an To complete the task.
open bed.
2. Put up all sides of the top sheet This will prevent the accumulation of dust
above the bed in an “envelop” on the top sheet while the bed is still
style. unoccupied
3. Cover the top sheet with the bed This will protect the bed from dust.
spread to include the pillow.

4. Going to the foot part of the bed, To held the bed spread secure in place.
tuck the excess bottom edge and
miter the corners.

EVALUATION
5. Make the bed with clean linens.
6. Ensure that there are no wrinkles.
7. Work efficiently and safely.
8. Furniture and equipment are
properly arranged.
C. SURGICAL BED

EXPECTED BEHAVIOUR RATIONALE


1. Make an unoccupied bed. Provides clean linens for the patient
returning from surgery.

2. Add blanket over the top sheet. Thick blanket provides warmth for the
post operative patient.

3. Fanfold the top covers to the far side or Allows the patient to be transferred to the
bottom of the bed so that the bottom bed from the stretcher easily and then to
sheet is exposed. Leave the side rails be covered quickly. Leaving the side rails
down and the bed in the highest down allows the personnel to assist in
position from the floor. transferring patient to the bed.

4. Place under pads at the head of the bed Protects linen from soiling.
and at the level where there is likely to
be wound drainage.

5. Drop the pillow upright at the bottom A post-op patient is generally placed flat
of the bed. on bed.

6. Place an intravenous pole at the head Provides a place to hang IV fluid


of the bed, suction machine, kidney container.
basin, small towel or tissue and oxygen
tank.
7. Put hot water bag under the blanket. This will provide warm to the blanket
which will prevent the patient from
chilling.

D. STRIPPING THE BED

8. Starting on one side of the bed, These movements consume the nurse’s
loosen all the linens, start at body movements.
the head of the bed, working
around the foot, and moving
up to the other side of the
head.

9. Remove the pillowcase, place The bedside chair can be used to hold
the pillow on the bedside chair. bedding that can be reused.
Gather pillowcase from the
open end and fold it back
inside-out. Fold back the open
end and fashion it at the back
of the bedside chair to be used
as hamper.
10. Using both hands, grasp the The nurse collects all the linens at the
top edge, one hand at the bedside and takes them to the linen
center, the other at the mattress hamper.
edge. Fold it in half by
bringing the top edge over with
the bottom edge. If it is soiled,
roll the linen and place it in the
linen hamper. If the linen is
clean, fold it and place in the
chair. Do the same with the
cotton draw sheet, rubber sheet
and bottom sheet.
11. Move the mattress up to the This will stop dips forming and your
head of the bed by grasping the weight altering part of the mattress,
mattress edge and using good causing uneven sleeping. Airing will
body mechanics, turn the remove any storage smells of damp or
mattress upside down to air the cold.
other side of the mattress.
12. Wipe the chair and out-bed To deter cross infection.
table.
13. Wash your hands. To prevent spread of infection.

OCCUPIED BED

EXPECTED BEHAVIOUR RATIONALE


ASSESSMENT
1. Check to see whether the linen This determines when a linen change is
(including the mattress pad, necessary.
blanket, and bedspread) needs to
be changed.
2. Determine what linens are needed. This determines what linen to prepare.
3. Determine the patient’s ability to
assist with the procedure and
whether additional help is needed.
4. Assess for drainage or To prevent cross contamination.
incontinence to determine whether
personal protective equipment,
such as procedure gloves and
gown, is needed.
PLANNING
5. Gather all linens and other items To save time and energy.
needed.
6. Use effective body mechanics and To help prevent fatigue
efficient movement in completing
the procedure.
7. Obtain a laundry bag or hamper. To contain the soiled linens.
IMPLEMENTATION
1. Identify the patient and explain the Promotes patients cooperation.
procedure.
2. Place linens on a clean, dry surface Provide easy access to items.
in reverse order of usage at the bed
side.

3. Position the bed flat if possible, Maintain good body mechanics during the
and raise it to appropriate working procedure.
height. Lower the side rails nearest To prevent the patient from falling out of
you. bed, lower the siderail only on the side
where you are standing.
Having the head f the bed flat makes it
easier to smooth bottom sheet.
4. Loosen all the bedding. Remove Facilitates easy removal of linens.
the patient’s personal items from To prevent items from getting lost.
the bed.
5. Check that no tubes (e.g. IV, Prevents dislodging tubes accidentally.
NGT) are entangled in the bed
linens.
6. Remove the blanket but leave the Covering the patient ensures that he/she
top sheet over the patient or will not become chilled and preserves
replace it with a bath blanket as modesty.
follows:
a. Spread the bath blanket over
the top sheet.
b. Ask patient to hold the top
edge of the blanket if able to
do so. Otherwise, tuck the
edge of the blanket under the
client’s shoulders.
c. Reaching under the blanket
from the side, grasp the top
edge of the sheet and draw it
down to the foot of the bed.
d. Remove the sheet from the
bed and place it with the
soiled linen.

7. Slide the patient to the side of bed Placing the patient close to the side rail
farthest from you, and place her in will allow you to place the clean linen
a side-lying position, facing the over a larger area, making it easier to roll
side rail. Place pillow under the the patient back onto the clean linen.
patient’s head. If needed for Patient who cannot maintain the side-
support, place a pillow between lying position should have a pillow placed
the patient and the siderail. between their chests and the side rail to
prevent them from accidentally rolling
into the side rail.
8. Roll or tightly fanfold the soiled This will make room for linen change,
linens toward the patient’s back. prevent linen from shaking and places
Tuck the roll slightly under the linens in compact package under the
patient. patient.

9. Place the clean bottom sheet, on To have spread evenly the bottom sheet.
the near side of the mattress, with
center vertical fold at the center of
the bed.
10. Unfold the bottom sheet Tucking and mitering will prevent the
lengthwise. Fanfold the half of the bottom sheet from moving
clean linen that is to be used on the
far side, folding it as close to the
patient as possible and tucking it
under the dirty linen. Tuck the top
edge of the sheet under the
mattress and miter top corner of
the bottom sheet at the head part.
11. Tuck the side edges of the bottom Wrinkles under the patient can cause skin
sheet under the mattress moving irritation.
from the head to foot. Smooth out
all wrinkles.
12. Place the clean rubber sheet and Rubber sheet will protect the linen from
draw sheet. any discharges from the patient.
a. Lay it on the bed with the
center fold at the center of
the bed.
b. Fanfold the uppermost half
vertically at the center of
the bed.
c. Tuck the near side edge
under the side of the
mattress.
13. Roll the patient over the clean and This will give access to work on the other
dirty linen. Explain to the patient side of the bed.
that he/she will be rolling over a
“lump” and then gently pull the
patient toward you so that he/she
rolls onto the clean linen.
14. Raise the siderail on the clean side Prevents the patients from falling.
of the bed.
15. Move the pillows to the clean side. Always ensure patient comfort and safety
Position the patient comfortably before going to the other side of the bed.
on her side, near the siderail.
16. Go to the other side of bed, and Never place linen on the floor; cross
lower the siderail. Pull the soiled contamination can occur.
linen from under the clean linen,
and place it in laundry bag or
hamper.
17. Pull clean linens through, and tuck Ensures that no wrinkles will be under the
them in. Pull taut, starting with the patient.
middle section.
18. Assist the patient to a supine Makes it easier to place the top linen.
position close to center of the
mattress.
19. Place the top sheet over the patient This will provide comfort to patient by
and remove the bath blanket: providing a clean top sheet. Tucking and
a. Spread the top sheet over mitering will secure the linen in placed.
the patient so that the
center crease is in the
center of the bed and the
top edge is at the patient’s
shoulders
b. Ask the patient to hold the
top edge of the sheet or
luck it under his/her
shoulders.
c. Reaching under the fresh
sheet, grasp the bottom
edge of the bath blanket or
used sheet and remove it
by pulling it to the foot of
the bed.
d. Fold the bath blanket and
put it in the bedside table if
it is to be reused, be placed
the used sheet with the
soiled linen.
e. Tuck the bottom part of the
top sheet.

20. Return the bed to the low position, To complete the procedure and provide
raise the siderails, and attach the comfort to the patient.
call light within patient’s reach.
Position the bedside table and
overbed table within patient’s
reach.
21. Dispose soiled linens. To deter spread of microorganisms
22. Wash hands. To follow standard precautions in
preventing cross infection.
EVALUATION
23. Maintain patient safety during the
procedure.
24. Remove soiled linens without
cross-contaminating other items in
the room.
25. Work efficiently and safety.
26. Ensure that there are no wrinkles
in the bottom sheet and draw
sheet.
27. Evaluate the patient’s responses to
activity (e.g. pulse, respirations
and blood pressure).
DOCUMENTATION
28. Report and document in the nurses
notes if something abnormal
occurred e.g. presence of a 20 cm
circular area of serosanguineous
drainage.

NOTE:
Folding of linens should follow the following techniques:
 Bottom sheet right side in, lay on bed right side out
 Draw sheet right side in, lay on bed right side out
 Top sheet right side out, lay on bed right side in

RETURN DEMONSTRATION EVALUATION TOOL FOR:

UNOCCUPIED BED

Name: _____________________________________ Grade: _____________

Time started:____________ Time ended:________Date of RD:________________________

RATING COMMENTS
AREA FOR EVALUATION
5 4 3 2 1 0
SKILLS (35%)
ASSESSMENT
1. Check to see whether the linen
(including the mattress pad, blanket,
and bedspread) needs to be changed.
2. Determine what linens are needed.
PLANNING
3. Gather all linens and other items
needed.
4. Use effective body mechanics and
efficient movement in completing the
procedure.
5. Obtain a laundry bag or hamper.
IMPEMENTATION
A. OPEN BED
6. Be certain the wheels are locked.
7. All garbage should be wrapped in a
newspaper and place in a waste
container.
8. Removes rugs for drapes for
cleaning. Report all evidences of torn
mattresses, bed springs, broken
furniture, tear in sheets, etc. for
repair.
9. Dampens cloth with 1 % Lysol
solution to cleanse mattress and bed
springs.
10. Cleans all furniture well
11. Lines dresser and table drawers with
clean paper.
12. Arranges furniture in order. Replace
all necessary equipment in order.
13. Checks shades for blinds screen,
cover for cleanliness.
14. Places linens on a clean, dry surface
in reverse order of usage at the bed
side.
15. Positions the bed flat, raise to
appropriate working height, and
lower siderails.
16. Airs the mattress.
17. Working from the foot of the bed.
Places the clean bottom sheet folded
into four layers on the bed and
spreads it fully.
18. Tucks excess sheet under the
mattress at the near side of the head
of the bed.
19. Miters the upper portion of the
bottom sheet at the corner near side
of the nurse.
20. Lays the rolled plastic sheets/ rubber
sheets on the center line of the bed
and spread toward both sides of the
bed. Tucks in or the near side.
21. Lay the cotton draw sheet on the bed
with the vertical center folded into
four layers on the bed.
22. Places the top sheet folded into four
layers on the bed, so that the vertical
centerfold is at the centerline of the
bed and the top edge should be even
with the top edge of the mattress and
spread it fully.
23. Makes a horizontal toe pleat in the
sheet.
24. Tucks excess top sheet under the
mattress. Miters the corners of the
top sheet at the side near you.
25. Moves to the opposite side of the
bed. Starting at the head of the bed,
unfold the bottom sheet.
26. Pulls the sheet firmly, miter the side
corner at the head of the bed.
27. Tucks the side of the bottom sheet
working toward the foot of the bed,
pull the sheet firmly so that there are
no wrinkle in it.
28. Straightens by unfolding the rubber
sheet, draw sheet and the top sheet,
and finish tucking in.
29. Fanfolds the top portion of the top
sheet about 18 inches from the head
part of the bed.
30. Changes pillowcases
31. Places the pillow at the head of the
bed in the center, with the open end
of the pillowcase facing away from
the door of the room.
32. Washes your hands.
B. CLOSED BED
33. Put up all sides of the top sheet
above the bed in an “envelop” style.
34. Cover the top sheet with the bed
spread to include the pillow.
35. Going to the foot part of the bed,
tuck the excess bottom edge and
miter the corners.
C. SURGICAL BED
36. Add blanket over the top sheet.
37. Fanfold the top covers to the far side
or bottom of the bed so that the
bottom sheet is exposed.
38. Leave the side rails down and the
bed in the highest position from the
floor.
39. Place under pads at the head of the
bed and at the level where there is
likely to be wound drainage.
40. Drop the pillow upright at the bottom
of the bed.
41. Place an intravenous pole at the head
of the bed, suction machine, kidney
basin, small towel or tissue and
oxygen tank.
42. Put hot water bag under the blanket.
D. STRIPPING
43. Starting on one side of the bed,
loosen all the linens
44. Remove the pillowcase
45. Using both hands, grasp the top edge
of the top sheet, one hand at the
center, the other at the mattress edge.
Fold it in half by bringing the top
edge over with the bottom edge. If it
is soiled, roll the linen and place it in
the linen hamper. If the linen is
clean, fold it and place in the chair.
Do the same with the cotton draw
sheet, rubber sheet and bottom sheet.
46. Move the mattress up to the head of
the bed by grasping the mattress edge
and using good body mechanics, turn
the mattress upside down to air the
other side of the mattress.
47. Wipe the chair and out-bed table.
48. Wash your hands.
EVALUATION
49. Make the bed with clean linens.
50. Ensure that there are no wrinkles.
51. Work efficiently and safely.
52. Furniture and equipment are properly
arranged.
53. Uses good body mechanics
KNOWLEDGE (15%)
1. Gives rationale of the procedure.
2. Explains the elements and mechanics
of the procedure.
3. Knows the elements of nursing
process as applied
4. States Principles applied in the
procedure.
ATTITUDE: (10%)
1. Is well groomed.
2. Wears prescribed, neat, and clean
uniform.
3. Arrives on time for the RD.
4. Speaks to CI and client tactfully.
5. Minimizes use of energy, time, and
effort
6. Utilizes supplies efficiently.
7. Considers client’s safety, privacy, and
comfort.
8. Is well organized.
9. Keeps working area clean at all times.
10. Gives high value for aesthetics.

Comments: _______________________________________________________________

Clinical Instructor’s signature: ____________________________________

RETURN DEMONSTRATION EVALUATION TOOL FOR:

OCCUPIED BED

Name: _____________________________________ Grade: _____________

Time started:____________ Time ended:________Date of RD:________________________

RATING COMMENTS
AREA FOR EVALUATION
5 4 3 2 1 0
SKILLS (35%)
ASSESSMENT
1. Check to see whether the linen
(including the mattress pad,
blanket, and bedspread) needs to be
changed.
2. Determine what linens are needed.
3. Determine the patient’s ability to
assist with the procedure and
whether additional help is needed.
4. Assess for drainage or incontinence
to determine whether personal
protective equipment, such as
procedure gloves and gown, is
needed.
PLANNING
5. Gathers all linens and other items
needed.
6. Uses effective body mechanics and
efficient movement in completing
the procedure.
7. Obtains a laundry bag or hamper.

IMPEMENTATION
8. Identifies the patient and explain
the procedure.
9. Places linens on a clean, dry
surface in reverse order of usage at
the bed side.
10. Positions the bed flat if possible,
and raise it to appropriate working
height. Lower the side rails nearest
you.
11. Loosens all the bedding. Remove
the patient’s personal items from
the bed.
12. Checks that no tubes (e.g. IV,
NGT) are entangled in the bed
linens.
13. Removes the blanket but leave the
top sheet over the patient or replace
it with a bath blanket
14. Slidse the patient to the side of bed
farthest from you, and place her in
a side-lying position, facing the
side rail. Places pillow under the
patient’s head.
15. Rolls or tightly fanfold the soiled
linens toward the patient’s back.
Tuck the roll slightly under the
patient.
16. Places the clean bottom sheet, on
the near side of the mattress, with
center vertical fold at the center of
the bed.
17. Unfolds the bottom sheet
lengthwise. Fanfold the half of the
clean linen that is to be used on the
far side, folding it as close to the
patient as possible and tucking it
under the dirty linen.
18. Tucks the top edge of the sheet
under the mattress and miter top
corner of the bottom sheet at the
head part.
19. Tucks the side edges of the bottom
sheet under the mattress moving
from the head to foot. Smooth out
all wrinkles.
20. Places the clean rubber sheet and
draw sheet.
21. Rolsl the patient over the clean and
dirty linen.
22. Raises the siderail on the clean side
of the bed.
23. Moves the pillows to the clean side.
Position the patient comfortably on
her side, near the siderail.

24. Goes to the other side of bed, and


lower the siderail. Pulls the soiled
linen from under the clean linen,
and place it in laundry bag or
hamper.
25. Pulls clean linens through, and
tucks them in. Pull taut, starting
with the middle section.
26. Assists the patient to a supine
position close to center of the
mattress.
27. Places the top sheet over the patient
and remove the bath blanket:
28. Returns the bed to the low position,
raises the siderails. Positions the
bedside table and overbed table
within patient’s reach.
29. Disposes soiled linens.
30. Washes hands.
EVALUATION
31. Maintain patient safety during the
procedure.
32. Remove soiled linens without
cross-contaminating other items in
the room.
33. Work efficiently and safety.
34. Ensure that there are no wrinkles in
the bottom sheet and draw sheet.
35. Evaluate the patient’s responses to
activity (e.g. pulse, respirations and
blood pressure).

DOCUMENTATION
36. Report and document in the nurses
notes if something abnormal
occurred e.g. presence of a 20 cm
circular area of serosanguineous
drainage.

KNOWLEDGE (15%)
1. Gives rationale of the procedure.
2. Explains the elements and
mechanics of the procedure.
3. Knows the elements of nursing
process as applied
4. States Principles applied in the
procedure.

ATTITUDE: (10%)
1. Is well groomed.
2. Wears prescribed, neat, and clean
uniform.
3. Arrives on time for the RD.
4. Speaks to CI and client tactfully.
5. Minimizes use of energy, time, and
effort
6. Utilizes supplies efficiently.
7. Considers client’s safety, privacy, and
comfort.
8. Is well organized.
9. Keeps working area clean at all times.
10. Gives high value for aesthetics.

Comments: _______________________________________________________________

Clinical Instructor’s signature: ____________________________________

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