Stripping of Bed

Procedure Rationale

1. Don gloves Protects nurse and prevents transfer of micro-

2. Place chair at the foot of the bed.

3. Remove pillowcase from pillow. Place pillow on Soiled pillowcase should be inside out.
chair. Place soiled pillowcase on lower bar of the
bed.

4. Loosen all bed linens starting at the center of Makes it easier to remove linens from bed.
bed raising the mattress with one hand and
drawing out of bedclothes with other.

5. Remove sheets separately. Fold each linen Soiled part needs to be inside so micro-organism
with soiled part inside. Wrap them all in a sheet aren’t spread.
and place on lower bar of the bed.

6. Roll rubber sheet and place on lower bar of the

7. Remove mattress cover.

8. Place soiled linen with body fluids (blood, Dispose at soiled linens properly.
feces, urine and etc.) on a yellow plastic bag.

9. Dispose gloves and wash hands Wash hands for nurse’s safety

Closed Bed
Procedure Rationale

1. Refold each sheet according to its system of Put sheets in order of first use to last to be
use. organized.

2. Place clean linens on chair in order of use. See

3. Cover mattress.

4. Place bottom sheet with centerfold in center in Mitered corner should be done at head of the bed
line with rim of mattress at foot pat. Spread across and tuck sheet on the sides nicely.
bed, Make mitered corner on head part. Tuck extra
sheet from head to the foot.

5. Put rubber sheet 12-15 inches from the head Rubber sheets should be near genital area, not
of mattress, Cover with draw sheet. Spread across any higher or lower.
bed. Tuck together extra length of draw sheet,
rubber sheet and bottom sheet.
 Closed Bed
6. Place top sheet in line with mattress at head Excess length should be tucked so it is
part and spread across bed. Tuck extra length of preservable.
sheet at foot part. Miter corners. Allow hang free at
sides.

7. Go to opposite side and repeat same Sheets should be uniform on both sides.
procedure.

8. Put pillowcase on pillow. To put on, grasp Housekeeping should be done on pillow.
middle of slip’s bottom. Flip open and grasp middle
of slip’s bottom. Flip open and grasp short side of
pillow. Pull pillow, slip over body of pillow.

9. Spread top sheet over pillow.

10. Place dirty linens inside the soiled pillowcase. Place dirty linens in soiled pillowcase to prevent
spread of contamination.

Post-operative Bed
Procedure Rationale

1. Make foundation bed. Base for bed making

2. Place top sheet. Do not tuck. Easy access for patient.

3. Turn sheet back. Fanfold at sides.

4. Fanfold bedding across bed from side nearest

5. Spread bath towel at head of bed.

6. Place folded blanket across bar at foot od bed.

7. Equip bedside table with emesis basin, cells

Occupied Bed
Procedure Rationale

1. Explain procedure to patient. Minimize anxiety and promotes cooperation.

2. Bring materials to bedside. Place on chair, at Assembling equipments provides for smooth
foot side/ part of the bed. Arrange in order of use. procedure and assists in client’s comfort.

3. Respect and maintain patient privacy.

4. Don gloves. Wear gloves to prevent transmission of micro-

6. Loosen all the bedding. Disconnect the class Make linens easier to remove.
device; remove the patient’s personal items from
bed.

7. Check that no tubes (e.g. IV, nasogastric) are Make sure that tubes are managed for the safety
entangled in the bed linens. of the patient.

8. Slide the patient to the side of bed farthest Have patient hold onto an object to maintain their
from you, and place patient by covering patient balance and be sure to not expose any body
with top sheet. areas.

9. Place pillow under hear of patient. Place pillows so that patient is comfortable.

10. Roll or tightly fanfold the soiled linens towards Roll soiled linens so that new linens won’t be
the patients’ back. Tuck the roll slightly under the contaminated.
patient. Cover any moist areas with a waterproof
pad.

11. Place the clean bottom sheet, rubber sheet Make use of the “imaginary line” so that changing
and drawsheet on the near side of the mattress. linens won’t be as challenging or straining. There
Open and fold spread toward s the head part, with should be no wrinkles on bed; it has to be
the center vertical fold at the center of the bed. presentable and smooth/
Fanfold the half of the clean linen towards the
center and under the patient. Make mitered corner.
Tuck the lower edges of clean linen under the
mattress. Smooth out all wrinkles.

12. Roll the patient over the clean and dirty linen. Patient must be aware that there is a lump felt as
Explain to the patient that he will be rolling over a he moves to the other side the bed as this may
“lump”, and them gently pull the patient toward you cause pain to the patient.
so that the patient rolls onto the clean linen.

13. Raise sidereal on the clean side of the bed. Prevent the patient from falling.

14. Move the pillows to the clean side. Position Be sure that the pillow won’t be contaminated by
the patient comfortably on his side, near the the dirty linens. Make sure patient is comfortable.
siderail.

15. Go to the opposite side of bed, and lower the Lower sidereal to make it easier to access linens.
siderail. Loosen beddings. Pull the soiled linen one Place soiled linens on lower bar to prevent
by one. Place at the lower bar of the bed. contamination.

16. Pull clean linens through. Tuck bottom sheet

17. Tighten rubber sheet and draw sheet. Tuck Tuck everything and make sure it is neat and
together with bottom sheet. presentable.

18. Help patient roll on his back at the center of Patient should be comfortable.
the bed.
 Closed Bed
19. Place clean fanfolded sheet over patient. Be sure not to expose patient.
Cover shoulders. Draw fan folded sheet together
with used top sheet down to foot part.