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Occupied Bed Making: Clinical Nursing Skills | @LevelUpRN​

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297 Views • 01/11/24
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Educational only: videos on MedicalVideos.com are for general information and are not medical advice. Always consult your own doctor about your health.

Ellis will be demonstrating how to complete an occupied bed change. It would be appropriate to wear gloves during this skill to avoid contact with bodily fluids.

Our Critical Nursing Skills video tutorial series is taught by Ellis Parker MSN, RN-BC, CNE, CHS and intended to help RN and PN nursing students study for your nursing school exams, including the ATI, HESI and NCLEX.

#NCLEX #ClinicalSkills #HESI #Kaplan #ATI #NursingSchool #NursingStudent⁠ #Nurse #RN #PN #Education #LVN #LPN #bedmaking #nurseeducator

00:00 What to expect
00:53 Initial patient position
1:50 Tucking soiled linens
2:20 Placing initial clean linen
3:30 Rolling patient
3:40 Removing soiled linen
4:05 Completing bottom layer
4:33 Changing pillow case
4:50 Top sheet and blanket
7:23 Mitered corner

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Key Steps — Making an occupied bed

A LevelUpRN clinical-skills video: changing the bed linen with the patient still in the bed. The checklist follows the demonstration.

  1. Explain the procedure and provide privacy. Gather all the clean linen before you start, so the patient is never left unattended mid-change.
  2. Perform hand hygiene and put on gloves; raise the bed to a comfortable working height and lower the side rail on your side.
  3. Loosen the top bedding and remove any layers being changed, keeping a sheet or bath blanket over the patient for warmth and dignity.
  4. Help the patient roll onto their side, facing away from you toward the far rail, and stay with them at the bed's centre.
  5. Loosen the soiled bottom sheet and any pad on your side, and roll them up tightly against the patient's back.
  6. Fit the clean bottom sheet to the cleared half of the bed — corners tucked — and fan-fold its remaining half in a roll against the patient's back, adding a draw sheet the same way if one is used.
  7. Raise your side rail, move to the other side, lower that rail, and help the patient roll gently over the linen roll onto the clean half.
  8. Pull the soiled linen out completely and drop it straight into the linen bag without shaking it; then pull the clean linen through, smooth and tuck it, finishing the corners.
  9. Replace the top sheet and pillowcase, arrange the top layers, and settle the patient in the centre of the bed.
  10. Finish with the bed at its lowest height, side rails as the care plan directs, and the call bell within the patient's reach; remove gloves, perform hand hygiene, and document.

Download the printable Key Steps checklist (PDF)

Steps summarise this demonstration for education. Always follow your institution's protocol. More Patient Care & Mobility skills →

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