When a bed is empty, you should change bed sheets.Changing the sheets while the bed is occupied will be necessary if a person is not supposed to or cannot get out of bed.It can be difficult for a person to occupy a bed, so make sure your supplies are ready before the process starts.Before you change the bed linens, you should give a prescribed PRN pain killer to patients.After a bed bath, an occupied bed is usually changed.
Step 1: The patient should be told what you are doing.
Before entering the room, knock on the door.If you don’t think the patient can hear you, explain what you’re doing and make sure you give them privacy.The patient’s privacy curtain should be closed as well as the blinds.Say hello to the patient using their name.Say hello to your patient name.I am the person who will be changing your sheets today.I will wash my hands and prepare the supplies.If the patient is sitting upright, you should lay them down flat.
Step 2: The linens need to be checked.
You might not have to replace all the bedding every day.You may need to change the sheets and pillowcases on a regular basis.If they are dry and unsoiled, the mattress pad, bedspread and blanket can remain.The bedding should be changed if it is dirty or wet from urine, stool, blood, emesis or perspiration.
Step 3: The bedding should be checked for items.
Before changing the linens, make sure there are no hearing aids, dentures, jewelry, glasses, tissues, or other items in the bed.You will be able to remove the sheets without shaking them.Don’t put tubes in the bed sheets.
Step 4: The bed needs to be adjusted.
The bed should be flat if possible.If you want to replace the bedding, make sure you don’t have to bend over the bed.The person will have something to grasp onto if the side rails are put up.If the bed doesn’t have side rails, you will need two people to make it and hold the patient on it.Make sure that the wheels on the bed are locked.
Step 5: There is an area for clean supplies.
Put on gloves to wash your hands.A rolling table is a good place to have a clean surface.The overbed table can be used as a work area.Touch the supplies with clean hands.The clean area is where you need to put the clean items.There is a flat sheet, fitted sheet and a pillow case.A draw sheet and a clean privacy blanket are included.
Step 6: Remove items that are dirty.
Transferring dirty linens to a hamper should be done away from your clothing.Micro-organisms can be introduced into the air if you shake the linens.If the linens touch the floor, put them in a dirty hamper and get new sheets.Don’t allow your linens to touch your face or uniform.If a hamper isn’t immediately available, place sheets in a plastic bag or laundry basket.They should never be placed on the floor or nightstand.
Step 7: The fitted sheet should be changed.
Roll the patient on their side.Roll the fitted sheet towards the patient.The patient’s hips will lie on the pad.Roll a clean linen towards you.The patient needs to be rolled onto the linen.Tuck the corners and sides of the fitted sheet under the mattress.The clean linen should be pulled tightly on the bed.
Step 8: If you are working with a partner, use a draw sheet.
The patient can be moved from side to side during the process.You can stretch the sheet across the middle of the bed by folding it in half.Place the draw sheet on top of the bottom sheet, from the patient’s shoulders to buttocks, with at least six inches of sheet left on each side.You can move a large onto their side or higher up on the mattress if you pull the sheet on with a helpers.If you need a demonstration, ask an OT.
Step 9: The top bedding should be removed.
There is a privacy blanket over the patient.The top of the bed needs to be loosened.Take the bedspread away by folding it over the foot of the bed.Go back and forth with the blanket.Put the bedrail down on the side you are working on.Don’t leave the bed when the side rail is down.If the blanket and bedspread are dirty, replace them with clean ones.You should put them over the chair while you change the sheets.
Step 10: The pillowcase needs to be removed.
As you remove the pillow, support the person’s head and neck.The patient needs to rest his head on the bed.Put the pillowcase away from you.The laundry hamper has a pillowcase in it.Go to a clean pair of gloves.Say, “I’m going to use my hands to support your head and neck as I remove the pillow, so that I can put on a fresh pillowcase for you.”
Step 11: There is a fresh pillowcase.
You can grasp the center of the pillow with your covered hand if you put the clean pillowcase over your hand and arm.The pillowcase should be rolled onto the pillow.Lift the patient’s head and neck and put a pillow under their head.
Step 12: The patient should be covered.
Put a blanket over the patient.The lower corners of the sheet need to be secured.The occupant should be moved into a comfortable resting position.
Step 13: The top blankets should be replaced.
If the bedspread and blanket were dirty, replace them with new ones.The original ones can be put back on.Remove your gloves and wash your hands.Try telling the patient that the bed is new and clean.Take the dirty items to the laundry area.If they can’t be laundered immediately, keep them in a plastic bag.