Unoccupied Bed

Definition It is a type of hospital bed that does not have a patient in it.

Illustrations of Unoccupied Bed

Things Needed A trolley with the following: * Two large cotton sheets * One water proof draw mackintosh (if necessary) * One draw sheet (if necessary) *One or two pillows *Pillow stips/covers *One blanket (optional)

*One bed cover or counterpane Procedures/ Steps: 1. The above articles should be collected and put over two chairs placed back to back at the bottom of the bed. It is helpful to palace the linen in order which it is required.

2. Place long mackintosh on mattress if necessary.

Note: At least two movers should handle the movement of the mattress. 3. Place bottom sheet evenly on the bed. 4. Tuck the sheets under the mattress using enveloped carners, starting from top. 5. Pull sheet tight so that there are no creases. 6. Place a draw mackintosh (if necessary) across the bed with the upper corner under the edge of the pillow. 7. Cover mackintosh with draw sheets. … and tuck it in 8. Place the pillows on the bed so that the open ends of the slip are away from the door. 9. Place top sheet on with the wrong side uppermost. 10. Fold over about twenty inches of the sheet at the top. 11.The sheet is loosely tucked in at the bottom to prevent restriction of feet. ` 12. Place the bed cover or counterpane loosely over the sheet. 13. Tuck in at the bottom end under the mattress using envelop carners. 14. Fold top sheet over the counterpane with all the sides tucked under the mattress 15. After bed making the nurse must make sure that all the locker (bedside) and the two chairs used have been replaced in their proper positions. 16. Remove trolleys.

Occupied Bed

Definition An occupied bed is an available bed where there is a patient physically in the bed or the bed is being retained for a patient (e.g. the patient is receiving treatment or is on leave).

Illustrations of an Occupied Bed

Things Needed

-Laundry container -Mattress pad, if used

- Bottom sheet ( flat or fitted ) - Plastic draw sheet, if used

- Cotton draw sheet, if used - Top sheet

- Blanket, if used -Bedspread, if used

-Pillow cases - Disposable gloves, if needed

Procedures/ Steps:

*Explain what you are going to do

1.Wash your hands

2. Obtain material listed above, and place them in order of use on chair near bed
3. Provide privacy (close door, pull curtain) 4. Place laundry container near bed
5. Raise bed to comfortable working height and lock wheels. Lower rail on side where you are working
6. Lower head of bed to level comfortable for client - as low as possible
7. Loosen top bedding at foot of bed
8. Remove top bedding ( bedspread, quilt ), but leave client covered with one blanket or top sheet .
9. Instruct client to hold top sheet while you remove other top linens
10. Fold any linens to be reused, such as blanket or quilt. Roll each remaining linen into a ball and discard in laundry container
11. Help client to roll to side of bed opposite to you and to grasp side rail for support
12. Roll each piece of bottom linen to center of bed and tuck along client's back Smooth mattress pad, if used
13. Place clean bottom sheet, folder lengthwise, in center of bed. Unfold one half and roll to center of bed o Fitted sheet - place ends around corners - top and bottom; tuck side of sheet under Mattress o Flat sheet - place bottom hem of sheet even with edge of mattress at foot of bed; tuck Top sheet under mattress at head of bed
Miter corner at head end of mattress
14. Tuck sheet under side of entire mattress. Work from head of bed to foot
15. Place plastic draw sheet, fold in half, in center third of bed. Unfold and roll to center of bed. Tuck along client's back
16. Place cotton draw sheet, fold in half, in center of bed, covering entire plastic draw sheet. Unfold and roll to center of bed. Tuck along clients back
17. Tuck ends of plastic draw sheet and cotton draw sheet under mattress
18.Help client to roll toward you, over linens to clean side of bed
19. Raise rail on side where you have been working
20. Go to other side of bed
21. Lower side rail
22. Remove used bottom linens, roll, and discard in laundry container
23. Pull through all bottom linens. Straighten and tuck under head of mattress. Miter corner of sheet at head of bed. Or fit top and bottom corners of fitted sheet over mattress corners
24. Help client to roll back to center of bed
25.Place clean top sheet entirely over the client and remove top linen. Discard in laundry container or fold for reuse
26. Place blanket and bedspread over sheet
27. Tuck top sheet, blanket, and bedspread under foot mattress. Give "toe room" for client's feet .Make a miter corner.
28. Raise side rails
29. Go to other side of bed. Lower side rails
30. Smooth and straighten top sheet, blanket, and bedspread. Tuck them under foot of mattress. Give "toe room" for client feet. Make a mitered corner
31. Make a cuff at top sheet over bedspread
32, Remove pillow from bed. Remove pillowcase and discard in laundry container 33. Place clean pillowcase on pillow, and replace pillow under client's head
34. Make sure client is safe and comfortable
35.Place bed in lowest position ( raise rails if needed )

36. Remove laundry container and bring to washing machine or other location as requested by the client 37. Wash your hands

38. Record what you did and how the client reacted