What is an Occupied Bed?
An occupied bed is making the bed where the patient physically available in the bed or the bed is being retained for patient. Soiled linen is infectious to patient. If patient is unable to move or leave the bed, you will need to change the bed sheets while the patient is occupied in bed. Occupied bed making is tough for the one person. This is best bed accomplished by two nurses. Before starting procedure, make sure all supplies are ready beforehand to streamline the process as much as possible.
Purpose of Occupied Bed Making:
The main purposes of occupied bed making have listed in the following:
- To provide a neat and clean bed.
- To refresh the patient who is confined to the bed.
- To change the linen with the least possible disturbance to the patient.
- To draw or fix the sheets under the patients very firmly so that it would not wrinkle.
- To remove crumbs from the bed.
- To make patient feel comfortable.
Equipment of Occupied Bed Making:
The below equipment’s are very important for occupied bed making:
- Bed or cot,
- Mattress with cover,
- Bed sheet -2,
- Pillowcase -1 or 2,
- 1 Protective sheet and cotton draw sheet,
- Paper bag,
Procedure of Occupied Bed Making:
All the procedures of occupied bed making have presented in the below:
- Two nurses must work together when the patent is seriously ill or difficult to manage.
- Wash hand before making occupied bed or occupied bed making.
- Gather all equipment’s at patient bed side and explain procedure to patient.
- Loosen the tucked linens at the foot part that covers all around the bed.
- Remove pillow unless contraindication.
- Place clean and dry top sheet over dirty top sheet and then remove the dirty linen one by one.
- Leave one cover over the patient and maintain privacy by bed side screening.
- Turn the patient on half of the bed on the other side of the bed and keep side rails up.
- Place a pillow between patient and side rails.
- Work on the unoccupied side of the bed and roll the draw sheet, mackintosh and bottom sheet if soiled.
- Rolls the soiled linens toward patient back and tucks the roll slightly under the patient.
- Covers dirty and moist areas of the soiled linen with a waterproof pad.
- Place clean bottom sheet and tuck head part miter corner.
- Place draw sheet over the mackintosh on near side of the mattress, with the center vertical fold at the center of the bed.
- Place the patient on the clean side of the bed.
- Work on the other side and remove dirty linens.
- Make the other side of the bed and spread clean linens.
- Tuck the head part of the bottom sheet, miter at the side.
- Place patient to the center of the patient.
- Place the pillow and make the patient comfortable.
- Spread the top sheet and fold head part up to the patient chest.
- Arrange blanket if necessary.
Remember During Occupied Bed Making in Hospital:
You must have to remember the below points during occupied bed making in hospital:
- Maintain privacy as situations requires.
- Carefully turn the patient to prevent over exertion and feeling insecurity.
- Carefully observe the patient skin to identify any sign of bedsore.
- If patient wear glasses, ask for removing to prevent broken and injury.
- Ensure enough space for the patient to roll without smacking nose on a side rail.
- Ensure patient’s arm on the bed is not in an awkward position when patient is rolled.
- Ensure bed in flat position and rise to appropriate working height.
- Remove patient’s personal items from bed and disconnects call devices.
- Carefully checks that no tubes (such as IVS pole, Foley catheters, oxygen tube, gastric tube, NG tube, drain) are entangled in the bed linens.
- Apply diaper when patient in side position.
- Do not place clean linen on another patient’s bed or furniture.
- Keep side rails up when patient turn.
- Keep bed sheet smooth and wrinkles free to prevent friction.
- Ask patient help if patient can participate.
- Place all dirty linens in laundry bag or hamper without contaminating uniform.
- Never put soiled linen on the floor or other surfaces.
- Return bed in low and safe position and keep side rails up.
- After occupied bed making, attaches call light within patient’s reach.
- Re-position bedside table and over bed table within patient reach.