RLE: Bed Making Flashcards
also referred to as bed rails, are used on both hospital beds and stretchers.
Side rails
The frame of a hospital bed is divided into ??? sections. This permits the head and the foot to be elevated separately.
three
Most hospital beds have “???” and “???” positions that can be adjusted either mechanically or electrically by a button or lever.
The ??? position permits the nurse to reach the client without undue stretching or stooping.
The ??? position allows the client to step easily to the floor
high & low;
high ;
low
For decades, the use of ??? has been routine practice with the rationale that the these serve as a safe and effective means of preventing clients from falling out of bed.
side rails
bed position: Mattress is completely horizontal
flat
bed position
Client sleeping in a variety of bed positions, such as back-lying, side-lying, and prone (face down)
To maintain spinal alignment for clients with spinal injuries
To assist clients to move and turn in bed
Bed-making by nurse
flat bed position
bed position
Semi-sitting position in which head of bed is raised to an angle between 45° and 60°, typically at 45°. Knees may be flexed or horizontal.
fowler’s bed position
bed position
Convenient for eating, reading, visiting, watching TV
Relief from lying positions
To promote lung expansion for client with respiratory problem
To assist a client to a sitting position on the edge of the bed
fowler’s bed position
Head of bed is raised between 15° and 45°, typically at 30°.
semi-fowler’s bed position
Relief from lying position
To promote lung expansion
semi-fowler’s bed position
Head of bed is lowered and the foot raised in a straight incline
trendelenburg’s bed position
To promote venous circulation in certain clients
To provide postural drainage of basal lung lobes
Trendelenburg’s
Head of bed raised and the foot lowered.
Straight tilt in direction opposite to Trendelenburg’s position.
Reverse Trendelenburg’s
To promote stomach emptying and prevent esophageal reflux in client with hiatal hernia
reverse Trendelenburg’s
Generally the top covers of an ??? are folded back (thus the term) to make it easier for a client to get in.
open bed
Open and closed beds are made
the same way, except that the top sheet, blanket, and bedspread of a
??? are drawn up to the top of the
bed and under the pillows.
closed bed
The ??? is not usually changed unless it is soiled
linen
A, Tuck in the bedcover (sheet, blanket, and/or spread) firmly under the mattress at the bottom of the bed. B, Lift the bedcover so that it forms a triangle with the side edge of the bed and the edge of the bedcover is parallel to the end of the bed. C, Tuck the part of the cover that hangs below the mattress under the mattress while holding the triangle up or against the bed. D, Bring the tip of the triangle down toward the floor while holding the fold of the cover against the side of the mattress. E, Remove the hand and tuck the remainder of the cover under the mattress, if appropriate. The sides of the top sheet, blanket, and bedspread may be left hanging freely rather than tucked in, if desired
Mitering the corner of the bed
Bed-making is usually delegated to ???
UAP
Place the fresh linen on the client’s chair or overbed table; do
not use another client’s bed. Rationale:
This prevents cross
contamination (the movement of microorganisms from one
client to another) via soiled linen.
Assess and assist the client out of bed using assistive devices
(e.g., cane, walker, safety belt) as appropriate.
Rationale:
ensures client safety.
Loosen all bedding systematically, starting at the head of the
bed on the far side and moving around the bed up to the
head of the bed on the near side.
Rationale:
Moving around
the bed systematically prevents stretching and reaching and
possible muscle strain.
Fold reusable linens, such as the bedspread and top sheet
on the bed, into fourths. First, fold the linen in half by bring
ing the top edge even with the bottom edge, and then grasp
it at the center of the middle fold and bottom edges.
❶ Rationale:
Folding linens saves time and energy when reapplying the linens on the bed and keeps them clean.
Roll all soiled linen inside the bottom sheet, hold it away from
your uniform, and place it directly in the linen hamper, not on
the floor.
❷ Rationale: These actions are essential to prevent the transmission of microorganisms to the nurse and others.
