What is a Closed Bed in Nursing?
The term “closed bed” is used to designate the hospital bed which remains empty until the admission of another patient. It is termed “closed bed making“, because the top covers are so arranged the all linen beneath the spread is fully protected from dust and dirt.
Principles of Closed Bed Making in Hospital:
The main principles of closed bed making in hospital are listed in the below:
- To give a suitable bed ready for the admission of a new patient.
- To provide a clean and fresh environment.
- To provide a good appearance.
- To reduce source of infection.
Equipment’s Needed for Closed Bed Making in Hospital:
The below equipment’s have needed for closed bed making in hospital:
- Bed or cot,
- Mattress with cover,
- Bed sheet-2 ( one for top, another for bottom),
- Blanket-1 ( during winter),
- Pillow with cases-1 or 2,
- Mackintosh or long water proof sheet -1,
- Cotton draw sheet-1,
- Chair -1,
- Bucket-1 (for receiving dirty linen).
Procedure of Closed Bed Making in Hospital:
A well-organized, fresh and clean bed is very important for a patient who has spent most of the time in bed during his or her illness. The following procedures have to maintain during closed bed making in hospital:
- Wash hand properly before and after handling patient bed.
- Collect all the supplies and equipment at the patient’s bed side.
- Place the equipment on the chair( blanket, top sheet, draw sheet, mackintosh and bottom sheet)
- Locked the bed carefully.
- Lower the bed at comfortable position to prevent back strain.
- Wear gloves and remove all soiled linen and pillow cases and place in the laundry bag.
- Keep the pillow on the bed side chair.
- Dust the mattress and clean properly.
- Turn the mattress side to side or from head to foot.
- If mattress is slid downward, pulled well up to the head of the bed.
- Put bottom sheet with center fold in center of bed and open and spread the sheet over the mattress.
- Tuck well under the top of the mattress and along the side on which you are working.
- Place mackintosh about 18’’ inches below from the head of the bed.
- Place draw sheet over mackintosh and tuck in one side.
- Go to the opposite side to the bed and tuck in all the linen there.
- Place the top sheet with center fold in center. The top sheet should be given with the mattress.
- If blanket is being used, apply in the same manner. The edge should be about 6’’ inches from the head of the bed. Tuck blanket smoothly under the bottom of the mattress and miter corner.
- Place the pillow on the bed with the open end away from the door to prevent rubbing against patient’s neck and irritation.
- Lower the bed and locked the wheel to ensure patients safety.
- Keep furniture to its proper place and place the call button within the patient reach.
- Bring out soiled and dirty linen from the room and keep in laundry bucket for cleaning.
- Remove gloves and wash hands thoroughly to prevent spread of infection.