What is a Postoperative Bed?
A postoperative bed or surgical bed is prepared for the patient who returns from the operating room or from another procedure that requires transfer into bed from stretcher and sometimes from a wheelchair. The bed should be in flat position. The bottom sheet may be covered with a cotton bath blanket that is tucked tightly beneath the mattress.
Definition of Postoperative Bed Making:
Postoperative bed or surgical bed is a special type of bed made for the patient who is coming from the operation theatre or from another procedure that requires anesthesia. The bed is made in such a way as to make it easy to transfer the unconscious or weak patient from a stretcher to the bed.
Purpose of Postoperative Bed Making:
The main purposes of postoperative bed making or surgical bed making are pointed below:
- To protect the patient from immediate comply anesthesia or choking.
- To lift or transfer the patient easily into bed from stretcher.
- To provide warmth and comfort for the patient.
- To observe and prevent patient complications.
- To save time, effort and materials.
- To arrange the bed and other furniture in order to facilitate the transfer of the patient from stretcher to bed.
- To combat postoperative complication and shock.
- To protect mattress and other linen from blood, vomits and other discharge.
Steps to Making a Surgical Bed:
Equipment’s needed for postoperative bed making or surgical bed making are below:
- Bed sheet-1,
- Draw sheet-1,
- Woolen blanket-2,
- Rubber sheet or Mackintosh sheet-1,
- Pillow case- 1 or 2,
- Bath towel-1,
- Hot water bags with cover-3,
- Bed block or shock block-2.
On the Bedside Table:
- Kidney basin,
- Padded tongue depressor,
- Sponge holder,
- Airway tube.
In the Room:
- Oxygen cylinder,
- Tubing’s, humidifier and nasal catheter,
- Suction apparatus,
- IV pole or stand,
- Sterile drainage bottles with tube.
Procedure of Postoperative Bed Making:
Postoperative bed making is to permits easy patient transfer from surgery and promotes cleanliness and comfort. To make such a bed takes the following steps:
- A simple bed is made as per normal procedure making.
- Strip on the bed and turn the mattress.
- The upper bedding is fan folded to one side accurate the stretcher.
- Top sheet do not tucked at the foot part. (In cold weather the hot water bottle is placed in middle off bed and covered with fan folded top bedding).
- The temperature of water in hot water bottle should not exceed 50°C.
- Fanfold together the top sheet and blanket towards the side away from the door.
- The small mackintosh sheet covered with towel is open side at top of the bed.
- Place the bath towel over the small mackintosh sheet.
- Instead of pillow, place a small protective sheet and a towel on the head end of bed.
- The basin for collection of vomits is placed at bed stand.
- The transfusion stand is kept ready at bed side.
- BP instrument, pulse meter can be kept ready at bed stand.
- Place the necessary articles on the bedside table and the irrigating stand, suction machine and oxygen set-up adjacent to the bed.
- Keep the tray on the locker or table nearby and shock blocks on floor near the foot end of the bed ready in case of necessity.
- Adjust the height of the bed to the level of the stretcher.
- After the patient is transferred to the bed, position the pillow for patient comfort.
- Ensure safety cover by pulling the top point of the sheet and blanket over the patient.
- Open the folds after covering the patient tuck in the linens at the foot of the bed and miter the corners.
- Bottom sheet useful to absorb moisture and stop dislocation of the bottom sheet.
- When the patient is transferred in bed, keep a kidney tray on the bed near the mouth and pin up the paper bag with the bottom sheet on the side.