Nanda Nursing Classes

Introduction

Bed-making is a fundamental nursing skill that involves the preparation and maintenance of a patient’s bed. Open bed making is a specific technique used to create a clean and comfortable environment for patients. This procedure is essential in promoting patient well-being and preventing complications associated with immobility.

Open bed Definition

Open bed-making is the process of creating an inviting and well-organized bed for a patient. It involves removing and replacing bed linens while maintaining cleanliness and comfort.

Open bed Purposes

Comfort: To provide a comfortable and conducive environment for the patient.

Prevention of Complications: To prevent complications such as pressure ulcers, skin breakdown, and infections.

Promotion of Hygiene: To maintain cleanliness and hygiene in the patient’s immediate surroundings.

Enhancement of Patient Dignity: To uphold the dignity and respect of the patient during care activities.

Scientific Principles

Open bed making is based on principles of infection control, patient comfort, and prevention of complications related to immobility. It integrates the knowledge of proper body mechanics to ensure the safety of both the patient and the healthcare provider.

Open bed Articles

Articles Used for Making Open Beds are:

Fitted Bottom Sheet: Covers the mattress to provide a smooth and comfortable surface.

Top Sheet: Placed on top of the fitted sheet to add an extra layer of comfort.

Blanket: Provides warmth and comfort to the patient.

Pillowcases: Covers for pillows, ensuring a clean and comfortable support for the patient’s head.

Draw Sheet: An additional protective layer placed under the patient’s hips to facilitate easier movement and prevent moisture-related complications.

Open Bed Preparation

Gather Supplies: Ensure all necessary bed linens are available.

Hand Hygiene: Wash hands thoroughly before beginning the procedure.

Explain Procedure: Communicate with the patient, explaining the process and ensuring their cooperation.

Open Bed Procedure

Step-by-Step Procedure with Rationale:

Steps	Procedure	Rational
Step 1	Perform Hand Hygiene	Prevents the transfer of microorganisms.
Step 2	Explain the Procedure to the Patient	Promotes patient cooperation and participation in their care.
Step 3	Remove Soiled Linens	Eliminates potential sources of infection and promotes cleanliness
Step 4	Inspect Mattress for Contamination	Identifies any issues that may require additional attention.
Step 5	Place Draw Sheet	Adds an extra layer of protection, reducing the risk of moisture-related complications.
Step 6	Add Fitted Sheet	Provides a smooth surface for the patient, enhancing comfort.
Step 7	Place Top Sheet	Adds an additional layer of warmth and comfort
Step 8	Arrange Blanket	Offers warmth and promotes patient
Step 9	Add Pillowcases	Ensures a clean and comfortable surface for the patient’s head.
Step 10	Tuck in Linens Securely	Prevents wrinkles and ensures a neat appearance, promoting patient comfort.
Step 11	Adjust Bed Height	Facilitates ease of patient movement and caregiver access.

Nursing Considerations

Patient Positioning: Ensure the patient is comfortable and safe during the procedure.

Infection Control: Follow proper infection control practices to prevent the spread of microorganisms.

Communication: Maintain clear and respectful communication with the patient throughout the procedure.

Conclusion

Open bed-making is a crucial nursing skill that contributes to the overall well-being and comfort of the patient. By following proper procedures and considering patient preferences, healthcare providers can create a clean and inviting environment that promotes healing and prevents complications.

Exam Review Questions

• What is the purpose of open bed-making in nursing care?
• Describe the scientific principles underlying the open bed-making procedure.
• List the articles used for making an open bed and explain their roles.
• Why is hand hygiene important before and after bedmaking?
• How does open bedmaking contribute to the prevention of complications associated with immobility?

FAQs:

Q: Can a patient assist in the open bed-making process?

A: Yes, if the patient is capable and willing, their participation can be encouraged.

Q: How often should bed linens be changed?

A: Frequency may vary based on the patient’s condition, but generally, linens should be changed regularly to maintain cleanliness.

Q: What is the purpose of a draw sheet in open bed making?

A: The draw sheet adds an extra layer of protection, facilitating easier movement and preventing moisture-related complications.

This comprehensive guide aims to provide a thorough understanding of the open bed-making procedure in nursing, covering its importance, steps, and considerations for effective patient care.