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Nursing Assistant

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Times New Roman Arial Wingdings Dad`s Tie Nursing Assistant Comfort due to bedmaking Bed linen as an irritant Aseptic technique with bed making Hospital beds ... – PowerPoint PPT presentation

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Title: 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
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