Rest and Sleep Bed Making

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Rest and SleepBed Making

• Skill and Rational

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Why is it so important?

• The bed is particularly important to people who
  are ill. It is essential the nurse keep the bed
  as clean and comfortable as possible.
• Physical Comfort
• Psychological comfort

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Rest and Sleep

• Healing and Optimal Health
• Promoting Sleep

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Nursing Process

• Assessment
• Usual pattern of rest/sleep
• bed routines
• Nursing diagnosis
• Sleep pattern disturbance
• Plan
• Sleep aids

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Nursing process

• Implementaion
• Regular habits
• Nutrition/exercise
• Quiet time prior to sleep
• Warm milk
• Sleep/wake cycle
• Back rub
• Comfortable bed

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Nursing Process

• Evaluation
• Good night sleep

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Promoting Rest and Sleep

• Rest period
• Nonessential tasks
• Night time/early am bathing
• Lab work
• Cluster activity
• Visitor control
• Interventions prn

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Comfort Measures for Promoting Sleep

• Administer hygiene measures for clients on
  bedrest
• Loose fitting nightwear
• Remove or change any irritants against the
  clients skin (moist dsg., drainage tubes)
• Position and support dependent body parts to
  protect pressure points and aid muscle relaxation

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Comfort Measures for Promoting Sleep

• Provide caps and socks for older clients and
  those prone to cold
• Void before bedtime
• Analgesics or sedatives 30 min. prior H.S.
• Bedtime massage/backrub
• Comfortable mattress and a clean dry bed!

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Noisy Nightshift

• Close doors to clientsrooms/work areas if
  possible
• Telephone/paging equipment
• Noisy footwear
• Equipment
• Bedside monitors
• TV/radio
• Conversations

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Clients Environment

• Chairs
• Straight back post surgery
• Lounge chair
• Lighting
• Overbed
• Night light
• Call light
• Overbed table
• Bedside table

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Special Mattresses

• Types
• Regular firm, plastic covered
• Mattresses used to prevent treat decubitus
  ulcers
• KCI beds
• Eggcrate
• Sheepskin

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Special mattresses are not a substitute for
nursing care

• Turn patients Q2h
• Skin care
• positioning

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Considerations

• Bed position
• Safety
• Body mechanics
• Gatchs
• Infection control
• Skin breakdown
• 
  
  

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The bed changing process

• Every health care agency wants the end product to
  be neat, clean, comfortable and durable.
• Economical
• Time
• Equipment
• Energy, patients and nurses

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Assembling Equipment

• 2 sheets
• Fitted/flat for bottom
• Flat for top
• Pillowcases
• Cotton/rubber drawsheet as needed
• Soaker
• Bedspread
• Blanket

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Linen Overload

• Just what you need
• Cost control
• Once linen brought into a clients room, if
  unused, must be discarded for laundering
• Excess linen causes clutter and obstacles in a
  cramped space

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Rubber drawsheet

• Save on linen
• Time
• Turning and positioning
• Placed under cotton drawsheet
• Drawsheet extends from above waist to midthigh.
• Absorbs secretions due to urinary/fecal
  incontinence

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Linen Change

• As per hospital protocol
• Cost
• Pillow cases/drawsheet OD
• Soiled or bath day
• Laundry shute/hamper
• If soiled with feces/blood
• Use of gloves

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Skill

• Under no circumstances do you place dirty linen
  on floor, footstool, another patients bed or on
  over the bed tables.
• Assessment
• What needs to be changed
• Clients condition

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When does the bed get changed?

• Usually after clients bath
• Client is sitting in chair
• Out of room for tests
• Check throughout day and straighten linen prn
• After meals, if eating in bed, check for food
  particles
• Change linen that is soiled or wet

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Effective Body Mechanics and Bed Making

1. Maintain good body alignment
2. Use the large muscles of the body
3. Work smoothly and rhythmically
4. Push or pull rather than lift
5. Use your own weight to counteract the weight of
   an object.

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Nursing Diagnosis

• Activity intolerance
• Impaired physical condition

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Types of Bed

• Occupied
• Unoccupied
• Surgical/post-op beds

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Occupied Bed

• Gloves if drainage
• Check chart/kardex for clients activity
• Talk to the client, explain procedure
• Privacy
• Assemble all equipment, incontinent pads prn
• Safety with side rails/call bell
• Wash hands before and after

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Planning

• Expected outcomes
• Best time to change linen
• Equipment needed

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Implementation

• Wash hands
• Gloves prn
• Equipment
• Adjust bed height-HOB down
• Lower side rail- remove call bell
• Loosen linen
• Keep soiled linen away from uniform

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Infection Control and Bed Making

1. Microorganisms are present on the skin and in the
   general environment.
2. Some microorganisms are opportunists that is,
   they can cause infections when conditions are
   favorable ( break in skin, mucous membranes)
3. Clients are often less resistant to infections
   because of the stress resulting from an existing
   disease process.

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Infection Control and Bed Making

• Microorganisms may be transferred from one person
  to another or from one place to another by air,
  by inanimate objects or by direct contact among
  people. Therefore
• Avoid holding soiled linen against uniform
• Never shake linen
• Always wash hands before going to another patient.

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Avoid shaking linen for infection control purposes

• Linen to be reused
• fold and place on chair
• Soak and rinse linen soiled with feces or blood
  before placing in hamper
• Make sure no tripads, personal articles or
  anything besides linen is placed in hamper

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Evaluation

• Inspect bed
• Clean
• Neat
• Wrinkle free

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Always be alert to client comfort and safety
during bedmaking.

• When finished evaluate
• Safety re bed position
• Call light
• Side rails
• Unit tidy
• Personal belongings are within reach

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Accessories

• Bed cradle/foot cradle
• Fracture board
• Foot board
• Toe pleat
• Therapeutic Frames allow movement for immobilized
  patients help prevent complications R/T
  immobility

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Remember

• To make bed, position is elevated
• When completed, bed is lowered
• If occupied, patient comfort safety
• Soiled linen away from uniform
• Gloves prn
• Bath before making bed if occupied