4.8/5 - (33 votes)

Bed Making Nursing Procedure is a skill. It is a method of setting up the proper bed based on the patient's condition and incorporates nursing science. The patient's comfort is promoted by skillful bedmaking. For various objectives, nurses must be able to set up hospital beds in various ways. The majority of the time, beds are made after a client receives specific attention and while they are empty. Nurses may need to make an occupied bed or prepare a bed for a patient undergoing surgery or receiving anesthesia.

Types of bed in Nursing:

CLOSED BED
OPEN BED
ADMISSION BED
OCCUPIED BED
OPERATION BED/POST ANESTHESIA BED/RECOVERY BED
CARDIAC BED
FRACTURE BED
AMPUTATION BED
BURN BED

Also Visit our Facebook Page: https://www.facebook.com/thenursingtimesofficial

1. Closed Bed

What is a Closed Bed in Nursing?

The hospital bed that is unoccupied until another patient is admitted is referred to as a "closed bed." Because the top covers are set such that all of the bedding beneath the spread is completely shielded from dust and grime, it is known as "closed bed making nursing procedure."

Principles of Closed Bed Making Nursing Procedure Hospital:

The following is a list of the key principles of closed bed making in hospitals:

An appropriate bed that is prepared for the entrance of a new patient.
To create a pristine and wholesome environment.
To present a pleasing aspect.
To lessen the infection's source.

Equipment’s Needed for Closed Bed Making Nursing Procedure Hospital:

The below equipment has needed for closed bed making in hospital:

Two large sheets.
Draw sheet.
Blankets.
Bed spread.
Pillow cases.
Rubber Mackintosh.
Linen Hamper.
Bedside Table.
Disposable Gloves.

Closed Bed Making Nursing Procedure Procedure:

For a patient who has spent the most of his or her sickness in bed, a well-organized, tidy bed is important. When preparing closed beds in a hospital, the following processes must be followed:

Before and after handling the patient's bed, properly wash your hands.
Gather every tool and supply at the patient's bedside.
Set the tools on the chair ( blanket, top sheet, draw sheet, mackintosh, and bottom sheet)
The bed was carefully locked.
To reduce back pain, lower the bed to a comfortable setting.
Put on gloves, take out all the dirty sheets and pillowcases, and put them all in the washing bag.
Keep the pillow in the chair by the bed.
Dust and thoroughly clean the mattress.
The mattress may be turned from head to foot or side to side.
Pull the mattress all the way up to the head of the bed if it is slipped downhill.
Place the bottom sheet in the middle of the bed, fold it in the center, then spread it out over the mattress.
Make sure to tuck everything in firmly under the mattress' top and along the side you are working on.
Macintosh should be positioned around 18 inches below the bed's head.
Overlay the Macintosh with the sketch sheet and tuck in one side.
All the linen should be tucked in on the other side of the bed.
The top page should be centered and have a center fold. Give the top sheet together with the mattress.
Apply the same rules if the blanket is being utilized. The border should be around 6 inches away from the bed's head. Smoothly tuck the blanket under the mattress' base and miter the corner.
To avoid rubbing against the patient's neck and discomfort, position the pillow on the bed with the open end facing away from the door.
To protect the patients, lower the bed and lock the wheel.
Spot the call button within the patient's reach and arrange furnishings so that it is in its correct place.
Soiled and filthy bedding should be removed from the space and kept in the wash pail for cleaning.
To stop the transmission of an illness, take off your gloves and thoroughly wash your hands.

Also Read: Nursing Care Plan for Dengue Fever

2. OPEN BED

What is a Open Bed in Nursing?

When a patient is going to occupy a hospital bed, the phrase "open bed making nursing procedure" is used to describe the situation. It is designed for clients who are either new or ambulatory.

Principles of Open Bed Making Bed Making Nursing Procedure in Hospital:

So as to avoid bed sores.
To save money, resources, and work.
To assist family members in learning how to care for the ill at home.
To provide a tidy look for the unit or ward.
To offer security and comfort.
To enable relaxation and sleep.
To develop a strong nurse-patient connection.

Equipment’s Needed for Open Bed Making Nursing Procedure Hospital:

Bottom Sheet.
36 inch Mackintosh.
36 inch Draw sheet.
Top Sheet.
Blanket.
Bed Spread.
Pillow case.
Duster.

Open Bed Making Nursing Procedure Procedure:

Wash your hands, then gather the needed linen.
Arrange the linen on the chair according to how it will be used.
Describe the process to the patient's family.
If required, screen the patient and remove the top bedding.
Raising the patient's head, take out the additional cushion.
Loosen the bottom bedding and take the top sheet out from under the blanket.
Wipe the mackintosh clean and roll it loosely back over the patient.
As far as you can, roll the bottom sheet under the patient's back.
Position the lengthwise fold of the clean sheet in the middle of the mattress.
Adjust the sheet and tuck the top into the corner to create a square. the side, then tuck in.
Macintosh should be returned to the patient's side.
Position a fresh draw sheet in the middle of the bed.
Pull the bottom sheet tight and tuck it in at the top to create a square corner.
Pull the mackintosh and draw sheet tight and tuck them in firmly.
Reverse the top sheet and counter pan over the blanket.
Flip the mattress over and fold and tuck the top bedding in like you did with the first side.
Replace the pillowcase and place it beneath the patient's shoulders.
Place filthy laundry in the dirty box.
Provide the sufferer with comfort.
Wash your hands.

3. ADMISSION BED

What is a Admission Bed in Nursing?

A specific bed called an admission bed is used to admit patients. Some of the particular needs include bed accoutrements and bath blankets. Making an entrance bed allows for patient washing in bed without causing excessive disruptions, which is one of its purposes.

Principles of Open Bed Making Nursing Procedure in Hospital:

To give the sufferer something to cherish.
To permit quick entrance.
To make it easier for the patient to take a bath while still in bed.
To administer prompt care.

Equipment’s Needed for Admission Bed Making Nursing Procedure in Hospital:

Additional requirements should be added to those for a simple vacant bed.

a cart containing the following things:

If necessary, a lengthy mackintosh sheet or mackintosh
One, two blankets, if need
Depending on the patient's health, bed accoutrements such as bed blocks or
Bed cradle, backrest, elevator, etc.

Admission Bed Making Nursing Procedure:

Make the bed as though it were an empty bed until the draw sheet or mackintosh is in place.
If required, cover with a lengthy waterproof sheet or a lengthy mackintosh.
Use one bath towel or sheet over the waterproof sheet, then fold it in half or tuck it completely around.
Cover the bed with the second bath towel.
If needed, add hot water bottles.
Don your best bed clothes.
Over the top sheets, spread counterpane loosely.
On the other side, tuck your bedclothes in.
To make speedy entrance possible, fold the bedsheets over on the side closest to the door while leaving the door open.

4. OCCUPIED BED

What is a Occupied Bed in Nursing?

An occupied bed is one that the patient is occupying physically or one that is being kept for the patient. The patient contracts an infection through dirty linen. You must replace the bed linens while the patient is still in bed if they are unable to move or leave the bed. Making beds while also occupied is challenging. The finest bed that two nurses have ever made is this one. To speed up the process as much as possible, make sure all items are prepared before beginning the method.

Principles of Occupied Bed Making Nursing Procedure in Hospital:

The following are the principal objectives of preparing occupied bed:

To offer a tidy, clean bed.
To relieve the bedridden patient's fatigue.
With as little disruption to the patient as possible, replace the linen.
Tightly pull or fasten the sheets below the patients so they don't wrinkle.
To clear the bed of any crumbs.
To ensure the patient's comfort.

Equipment’s Needed for Occupied Bed Making Nursing Procedure in Hospital:

Essential linen.
Airing and stripping tray
Laundry basket or bag

Occupied Bed Making Nursing Procedure:

Perform the medical handwashing.
Gather the necessary items by the bed and organize them by use. As you screen the patient, explain the procedure.
Start by loosening the linens at the foot, then work your way around and to the sides. Remove pillows unless doing so is forbidden.
Overlay a clean top sheet with a wider hem over a filthy top sheet at the head of the bed. Spread the unclean sheets, then take them away without seeing the patient.
Turn the patient to face the bed's opposite side.
Work on the side of the bed that is not in use. Bring soiled sheets to the patient (except rubber sheet).
Place the bottom sheet as directed, tucking the head and corner edges. Roll a used rubber sheet in your direction. Change with a fresh one.
Over a rubber sheet, place a drawn sheep. Together, tuck.
Patient should face the made-up bed.
Working on the opposite side Delete any filthy sheets.
Spread fresh linens, tuck the bottom sheet's head portion, make a mitre at the side, and tuck everything in. Apply the same technique to the rubber and draw sheets.
In the middle of the bed, turn the patient.
Fold the head portion of the top sheet up to the patient's chest.
Pleat your toes.
Foot portion tucked; mitered corner.
Set a time restriction, look for suitable bed characteristics, and use good body mechanics.

5. POST OPERATIVE BED/POST ANESTHESIA BED/ RECOVERY BED

What is Post Operative Bed in Nursing?

For the patient who is returning from the operating theatre or from another operation that necessitates transfer into bed from the stretcher and occasionally from a wheelchair, a postoperative bed or surgical bed is provided. The mattress need to be flat. A cotton bath towel that is tucked securely underneath the mattress can be used to cover the bottom sheet.

Principles of Post Operative Bed Making Nursing Procedure in Hospital:

The following are the primary goals of postoperative or surgical bed preparation:

To keep the patient from choking or receiving quick anesthetic.
To effortlessly lift or move the patient from the stretcher into bed.
To provide the patient warmth and comfort.
To keep an eye on and avoid patient problems.
To conserve resources, time, and work.
In order to make it easier to move the patient from the stretcher to the bed, arrange the bed and other furnishings.
Help counteract shock and problems following surgery.
To cover the mattress and other bedding from spills, such as blood and vomit.

Equipment’s Needed for Post Operative Bed Making Nursing Procedure in Hospital:

The bedsheet,
Draw sheet,
Wool blanket,
Mackintosh sheet or rubber sheet,
Pillowcase as per need,
Toilet paper,
Insulated hot water packs,
Blocks for beds or shocks

Post Operative Bed Making Nursing Procedure:

Making the bed after surgery facilitates a simple patient transfer after surgery and improves comfort and hygiene. The steps involved in making such a bed are as follows:
A simple bed is prepared according to normal procedure.
Turn the mattress while you're naked on the bed.
The top bedding is fan-folded to fit the stretcher precisely to one side.
The foot portion of the top sheet is not tucked in. (In cold weather, a hot water bottle is positioned in the center of the bed and covered with top sheets that have been fan-folded.)
A hot water bottle's water shouldn't be heated over 50°C.
Together, fanfold the top sheet and blanket towards the direction of the door.
The top of the bed is covered with a little Macintosh sheet with an open side.
Overlay the little mackintosh sheet with the bath towel.
Place a tiny protective sheet and a towel on the head end of the bed in place of a pillow.
The vomit collecting container is set on the nightstand.
At the patient's bedside, the transfusion stand is maintained available.
A pulse meter and blood pressure monitor can be put on the nightstand.
Set up the suction machine, oxygen setup, and irrigation stand next to the bed together with the other items.
Prepare shock blocks on the floor near the foot end of the bed and keep the tray on the table or locker close in case of emergency.
Set the bed's height so that it is at the stretcher's level.
Place the pillow for the patient's comfort once the patient has been transported to the bed.
Pulling the upper point of the sheet and blanket over the patient will ensure safety.
After covering the patient, tuck the linens under the bed and mitre the corners before opening the folds.
Bottom sheet is important for absorbing moisture and preventing bottom sheet displacement.
Keep a kidney tray by the patient's mouth when they are put in bed, and pin up the paper bag with the bottom sheet to the side.

Also Read: 7 Meningitis Nursing Care Plan

6. CARDIAC BED

What is a Cardiac Bed in Nursing?

The patient is assisted into a sitting posture on a cardiac bed that provides the most comfort with the least amount of strain. The main purpose of a cardiac bed is to provide relief for patients suffering from heart disease by keeping them in a sitting position on the bed while supported by cushions and a cardiac table. The cardiac bed is designed specifically for individuals with heart conditions.

Principles of Cardiac Bed Making Nursing Procedure in Hospital:

"Cardiac position" should be provided ( sitting upright )
Ensure the patient is as relaxed as possible while seated upright.
To reduce dyspnea brought on by a heart condition.
In order to avoid problems brought on by heart disease

Equipment’s Needed for Cardiac Bed Making Nursing Procedure in Hospital:

Bed linen.
Mackintosh.
Draw sheet.
Upper sheet.
Blanket.
Bed linens
Pillowcase
Duster.
Cardiac Table.
More pillows
Back support
Air cushion and foot rest.

Cardiac Bed Making Nursing Procedure:

The same as an open bed, prepare the bed.
To keep the patient comfortable and upright and to support the back, the backrest is positioned at the head of the bed, and cushions are positioned behind the patient as needed.
The air cushion should be adjusted for pressure reduction
To stop the patient from slipping, place the knee cushion under their knees.
To provide support, position the cushions on either side of the arms.
Place the cushion on the cardiac table in front of the patient so they may lean forward and rest on it. to make a nice and comfortable posture.
Maintain the patient's privacy. To give comfort and isolation
Check on the patient's comfort and clean up the cardiac unit before you depart. to keep the therapeutic setting intact

7. FRACTURE BED

What is a Fracture Bed in Nursing?

For patients who have fractures in their trunk and/or extremities, a fracture bed is prepared. Support is provided using a hard, sturdy board. A fracture treatment bed that is extra narrow and hard and commonly has an overhead structure for traction equipment.

Principles of Fracture Bed Making Nursing Procedure in Hospital:

To ensure the patient's comfort
To keep patient's Position.
To keep the fractured limb and back in place so that the discomfort is reduced.
To offer a solid uncompromising foundation for the patient.
To provide the patient with the most comfort.
To stop the fractured bone from moving, particularly in cases of spinal and skull fractures.

Equipment’s Needed for Fracture Bed Making Nursing Procedure in Hospital:

Bed linen.
Foot Board
Sand Bags
Cradles
Donkey Ropes or Ladder
Egg shell Mattress or Air Mattress
Mackintosh.
Cotton and under pads may be needed for patients comfort and convince
Draw sheet.
Upper sheet.
Blanket.
Bed linens
Pillowcase
Duster
Fracture Board
More pillows
Air cushion and foot rest.

Fracture Bed Making Nursing Procedure:

Perform the medical handwashing.
The same as an open bed, prepare the bed.
Gather the necessary items by the bed and organize them by use. As you screen the patient, explain the procedure.
Over the bed springs, insert the fracture board.
Over the fracture board, place a thin, hard mattress or pad.
Place cotton and under pads wherever needed for patients comfort and convince.
The air cushion should be adjusted for pressure reduction
Check on the patient's comfort and clean up the area before you depart

8. AMPUTATION BED

What is a Amputation Bed in Nursing?

After a lower limb has been amputated, the patient is placed in an amputation bed, stump bed, or divided bed by the nurse in order to keep the stump visible and raised. The patient whose leg has been amputated is placed on an amputation or stump bed. Purposes. to maintain the stump's proper position.

Amputation Bed: For those who have had to amputate their limbs due to any deformity, an amputation bed is ready. This kind of bed is more convenient for patients who have undergone surgery; it is also comfortable for such a patient or the bed is set up so that there is less pain at the surgical site where the patient is missing limbs.

Principles of Amputation Bed Making Nursing Procedure in Hospital:

To shield the patient from the load of garments, carry the patient's bed linens.
To maintain the stump in the proper position and to give a comfortable position.
To be able to immediately apply a tourniquet if necessary and keep an eye out for hemorrhaging in the sump.
To enable the medical professional to repeatedly perform any procedure—like bladder irrigation—without exposing the patient.
To enable medical professionals to frequently observe patients for care, i.e., without disturbing the patient, following amputation of the leg.

Equipment’s Needed for Amputation Bed Bed Making Nursing Procedure in Hospital:

Simple bed accessories, additional objects for the patient's comfort position.
Additional top linens. To prepare a divided bed.
Counterpane and blankets. To make the patient feel comfortable and to present a well-kept appearance.
Cradle in bed. To prevent the bedclothes' weight from rubbing against the area.
Dressing table and tourniquet to prevent bleeding in an emergency.
Waterproof/plastic-cover pillow. To protect the pillow and raise the stump.
Bagged sand. To maintain the stump's alignment.

Amputation Bed Making Nursing Procedure: Amputation above the Knee

Depending on where the amputation occurred, the bed is altered.
The bed is prepared to the standard of a basic bed.
The patient's chest, trunk, and good limb are covered with a flannelette sheet.
The mackintosh for dressing and the dressing towel in the area where the stump will be located.
To stop the stump from trembling
Place the second dressing towel on top of the sandbags over it at either side of the thigh, holding it securely.
Next, the cradle is put on top of the stump.
The division in the bed is now situated at the stump's level.

Amputation Bed Making Nursing Procedure: Amputation below the Knee

The need is equivalent to an above-knee amputation.
The flannelette sheet and bed cradle are not in place until the bed is made up to the level of a simple bed.
After that, the bed is made up simply.
However, the top sheets are being turned back over the cradle at the stump side.
This is hidden at the base of the other page.
a side, making the stump visible.

9. BURN BED

What is a Burn Bed in Nursing?

A burn recovery bed, also known as a burn bed, is a unique kind of bed created specifically for hospital patients who have sustained severe skin burns across sizable areas of their bodies.

Principles of Burn Bed Making Nursing Procedure in Hospital:

The main purpose of a burn bed is to equally distribute the patient's weight so that no single bed contact point is pressed harder than any other because, in most cases, concentrated pressure on any one location of the burn skin can cause the patient excruciating pain.

Equipment’s Needed for Burn Bed Making Nursing Procedure in Hospital:

An Burn Bed is a special kind of bed specifically designed specifically for patients suffering from burns in hospitals. This kind of bed is designed to spread the patient's weight in a uniform manner and reduces the discomfort and the risk of getting an infection. In contrast to the typical medical bed that is not flexible and may cause skin damage and the skin, the Burn Bed Burn Bed allows nurses to determine which parts within the human body are brought in touch with bed. It can speed up recovery for burn victims by weeks.
To build an Burn Bed, you need to have the equipment you need. Apart from a bed
You'll require the following items.

An extra bedding set,
A counter pane,
A bed cradle
An oxygen cylinder,
Blankets.
Tourniquet
A blanket
A pillow
And a drawing sheet and a draw.

Burn Bed Making Nursing Procedure:

Burn beds are important tools used in the treatment of burns. They provide comfort for the patient and allow them to better perspire, releasing waste products and preventing infection of the burnt area. They also aid in the healing process. Burn beds must be adjustable and versatile to provide the best possible treatment. They also need to be safe for the patient, so that they cannot fall out while in bed. A bed with adjustable head and foot supports can help the patient stay in a prone position without falling out.

The nurse should wash their hands thoroughly before starting the procedure.
The first step in a burn bed making procedure is to remove all soiled linen from the bed.
They should also avoid exposing the patient to unnecessary exposure, which could make the situation worse.
They should not use a woolen blanket directly to the body of a client, nor should they use a Macintosh without a protective sheet to cover it.
Place the soiled linen in a laundry bag and place the clean top sheet on top.
Spread the blanket over the top sheet, with the foot end tucked so that the patient has ample mobility. Also, place the foot board at the foot of the bed.
Then, place pillows and comfort devices on top of the top sheet.
In some cases, a bed pan or a urinal can be placed over the burned area.
The patient should remain comfortable, and the nurse should ensure that the patient is well rested.
During bed making, the nurse should wear a uniform that doesn't touch the bed, and the sheets should be folded from top to bottom instead of being pulled tightly.
Depending on the situation, the procedure may vary from case to case, but it is essential for the patient to be comfortable and safe.
Another important step is removing the previous dressing without damaging the healing burn wound. This step should be done gently using normal saline or water.

Keep the following in mind while Bed Making Bed Making Nursing Procedure in hospital:

When bed making at a hospital, you should keep in mind the following:

Respect patients privacy as necessary.
Turn the patient slowly to avoid straining them too much or making them feel uneasy.
Check the patient's skin closely for any indications of a bedsore.
To avoid harm and shattered spectacles if the patient wears them, request that they be taken off.
Make sure the patient has adequate room to roll without bumping against a side rail.
Make sure the patient's arm is not positioned awkwardly on the bed when being rolled.
Make sure the bed is flat and raise it to a comfortable working height.
Disconnect call devices and remove all personal objects from the patient's bed.
Make sure that none of the tubes (including the IVS pole, the Foley catheter, the oxygen tube, the stomach tube, the NG tube, and the drain) are tangled in the bed sheets.
When a patient is lying on their side, apply the diaper.
Never use another patient's bed or furnishings as a location to put clean linen.
When a patient turns, keep the side rails up.
To avoid rubbing, keep your bed sheet smooth and free of creases.
If the patient is able to assist, ask them to do so.
Without contaminating the uniform, place all filthy linens in a wash bag or basket.
Never place dirty laundry on the ground or any other surface.
Keep the side rails up and lower the bed to a level that is safe.
Attach a call light within the patient's reach after occupied bedmaking.
Place the over-the-bed table and bedside tables closer to the patient.