BED MAKING

-This is the provision of change of linens to promote client comfort

-providing a clean dry, smooth bed to enhance the client’s feeling of well-being.
- performed based on the client’s needs and preference.
PURPOSES
1. To promote comfort of the client.
2. To provide clean, neat environment.
3. To provide a smooth, wrinkle-free bed foundation and remove sources of skin irritation
PRINCIPLES
 Medical Asepsis (Standard Precautions)
 Proper Body Mechanics
 Conservation of time and energy
 Comfort and Safety
 Privacy
TYPES OF BEDMAKING
1. Occupied
- bed which is made with the client in it.
2. Unoccupied
2 types
a. Closed bed- bed which is covered to the top.
- Preserves bed when client is out of room for extended period or
new client is expected
 Place a pillow on bed with open end facing the wall or place pillow on the bed side
table

b. Open bed- bed which the top sheet is fan folded, ready for a newly admitted client.
(makes it easier for the client to get in)
- Prepares bed for client when return is expected momentarily. (e.g. client is
just out of the unit for some diagnostic procedure)
 Pull top of sheet to head of bed
 Fanfold both back neatly to bottom third of bed.

3. Surgical bed
- modified version of an open bed
- Facilitates moving the client from strecher to bed without prolonged exposure or
draft
- bed ready to admit a client recovering from anesthesia.
INDICATION
1. When the linens are already soiled.
2. After providing bed bath.
3. To prepare the bed for the client who will be admitted/ occupy the bed..

EQUIPMENT
1. Linen bag hamper
2. Mattress pads (needs to be changed only when soiled)
3. Bottom sheet
4. Draw sheet
5. Rubber sheet
6. Top sheet
7. Blanket
 8. Bedspread
9. Pillowcases
10. Bedside chair or table
11. disposable gloves(optional)

ASSESSMENT
 Assess for the need to change the linens in use
 Determine the type of linen change to be done
 Assess the client's ability to participate in the procedure.
 Note for the muscle strength, tone and range of motion
 Check for specific doctor's order/ precautions concerning movement and positioning.
 Note for the muscle strength, tone and range of motion
 Check for specific doctor's order/ precautions concerning movement and positioning.

PLANNING
• A change of linen will be done to the client to promote hygiene and comfort at the least
amount of time possible.

Desired Outcomes (sample)

• Client verbalizes comfort when assisted to bed
• Client experiences minimum discomfort during turning

SPECIAL CONSIDERATIONS
• A bed should be made after the client's bath is completed. You may need assistance to
turn the client if you are making an occupied bed.
• If client has low activity tolerance and is fatigued, plan a rest period after the bath, then
get assistance with the bed to change to decrese client energy expenditure during the
process.
CLINICAL GUIDELINES
• Wash hands thoroughly after handling a client's bed linen.
• Linen for one client is never (even momentarily) placed on another client's bed.
• To avoid unnecessary trips to linen supply area, gather all needed linen before starting to
strip a bed.
• Soiled linen is placed directly in a portable linen hamper or tucked into a pillow case at
the end of the bed before it is gathered up for disposal in the linen hamper
• Hold soiled linen away from uniform
• Soiled linen is never shaken in the air because shaking can disseminate secretions and
excretions and the microorganisms they contain.
• When stripping and making a bed, conserve time and energy by stripping and making up
one side as completely as possible before working on the other side.

IMPORTANT REMINDER TO ALL: regardless whether the top sheet has design, print or none,
the standard fold will be right side in, wrong side out.