Nursing Assistant

1
Nursing Assistant

• Bedmaking

2
Comfort due to bedmaking

• Bed should be clean, neat, dry
• Body exerts pressure unevenly over bony
  prominences when against mattress for extended
  periods always use mattress pad
• Bed linen MUST be wrinkle-FREE!
• State of mind affected by bed condition- keep bed
  in good repair, clean, well-made, wrinkle-free,
  attractive with bedspread
• Keep call light in place, clipped to linen
• Keep resident reality-oriented by using personal
  pillows, afghans, familiar objects

3
Bed linen as an irritant

• Use sheets to separate blanket from skin,
  preventing fibers from irritating
• Keep bottom linens tucked in wrinkle free
• Cover plastic with cotton drawsheet
• Straighten tighten loose sheets, blankets,
  bedspreads as necessary
• Strong laundry soaps may cause skin irritation,
  watch for problems report

4
Aseptic technique with bed making

• Wash hands, germs spread by cross-contamination
• Hold carry linen away from uniform
• Dirty linen makes you dirty
• Clean linen gets dirty
• Shaking linens or fluffing in air spreads dust
  germs
• Keep linen off floor or bedside table as to not
  spread germs. Soiled linen should be placed in a
  linen hamper or rolled tightly tucked at foot
  of bed
• Cover dirty linen hampers

5
Hospital beds

• Manually operated hand cranks at foot of bed to
  raise or lower head, foot, or total bed. Keep
  cranks down when not in use
• Electric beds controls at side for resident
  NA use or at foot of bed for NA use

6
Hospital beds

• Side rails
• Uses
• Prevent resident from falling out of bed
• Provide security
• Give resident support to hold or grasp when
  moving or turning
• Regulations regarding use
• Considered restraints
• Must have consent to use
• Need for use must be noted in residents record
  care plan
• Resident must be checked frequently if side rails
  are ordered

7
Bed positions

• High position encourages staff to use good body
  mechanics
• Low position encourages ambulatory resident to
  get in out of bed safely
• Fowlers position used for resident comfort in
  eating breathing easily
• Semi-Fowlers position used for comfort, raise
  knees 15 degrees to keep from sliding down in bed
• Trendelenbergs position HOB lowered, FOB
  raised. Requires doctors order
• Reverse trendelenberg FOB lowered, HOB raised.
  Requires doctors order

8
Body Mechanics in bed making

• Know limitations. Dont lift, turn, or move
  resident alone if in doubt
• Get close to side of bed, dont make from the top
  or bottom of the bed
• Back straight, knees bent, feet apart
• Move feet to turn in direction wanted avoid
  twisting back
• Raise bed to comfortable height
• Make one side of bed before beginning other side

9
Unoccupied bed making

• Place linen on clean surface
• Stack linen in order to be used with first thing
  on top last thing on bottom
• Place bed in flat position
• If removing soiled linen, untuck linen roll
  towards center with soiled side inside
• Place soiled linen in hamper

10
Unoccupied bed making

• Remove pillowcase, place in hamper place pillow
  on clean surface
• Wash hands
• Mattress pad
• Bottom sheet, small hem at bottom, tuck in at top
• Miter corners
• Draw sheet
• Top sheet, large hem at top, tucked at bottom
• Blanket, bedspread, tuck all top linen together,
  mitering corners
• Pillow pillowcase