Skill Checklists for Taylor's Clinical Nursing Skills: A Nursing Process Approach

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Copyright © 2011 by Wolters Kluwer Health | Lippincott Williams & Wilkins. Skill Checklists for Taylor's Clinical Nursing Skills:

SKILL 7-9

Making an Occupied Bed (Continued)

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15. If using, place the drawsheet with its center fold in the cen-
    ter of the bed and positioned so it will be located under
    the patient’s midsection. Open the drawsheet and fan-fold
    to the center of the mattress. Tuck the drawsheet securely
    under the mattress. If a protective pad is used, place it over
    the drawsheet in the proper area and open to the center
    fold. Not all agencies use drawsheets routinely. The nurse
    may decide to use one.


16. Raise side rail. Assist patient to roll over the folded linen
    in the middle of the bed toward you. Reposition pillow
    and bath blanket or top sheet. Move to other side of the
    bed and lower side rail.


17. Loosen and remove all bottom linen. Discard soiled linen
    in laundry bag or hamper. Do not place on floor or furni-
    ture. Do not hold soiled linens against your uniform.


18. Ease clean linen from under the patient. Pull the bottom
    sheet taut and secure at the corners at the head and foot of
    the mattress. Pull the drawsheet tight and smooth. Tuck
    the drawsheet securely under the mattress.


19. Assist patient to turn back to the center of bed. Remove
    pillow and change pillowcase. Open each pillowcase in
    the same manner as you opened other linens. Gather the
    pillowcase over one hand toward the closed end. Grasp the
    pillow with the hand inside the pillowcase. Keep a firm
    hold on the top of the pillow and pull the cover onto the
    pillow. Place the pillow under the patient’s head.


20. Apply top linen, sheet and blanket, if desired, so that it is
    centered. Fold the top linens over at the patient’s shoulders
    to make a cuff. Have patient hold on to top linen and
    remove the bath blanket from underneath.


21. Secure top linens under foot of mattress and miter corners.
    (Refer to Skill Variation in Skill 7-8.) Loosen top linens
    over patient’s feet by grasping them in the area of the feet
    and pulling gently toward foot of bed.


22. Return patient to a position of comfort. Remove your
    gloves. Raise side rail and lower bed. Reattach call bell.


23. Dispose of soiled linens according to agency policy.


24. Remove any other PPE, if used. Perform hand hygiene.

ExcellentSatisfactoryNeeds Practice