Nursing Assistant by yurtgc548


									Nursing Assistant

Comfort due to bedmaking
   Bed should be clean, neat, & dry
   Body exerts pressure unevenly over bony
    prominences when against mattress for
    extended periods – always use mattress pad
   Bed linen MUST be wrinkle-FREE!
   State of mind affected by bed condition- keep
    bed in good repair, clean, well-made, wrinkle-
    free, & attractive with bedspread
   Keep call light in place, clipped to linen
   Keep resident reality-oriented by using
    personal pillows, afghans, familiar objects
Bed linen as an irritant

   Use sheets to separate blanket from skin,
    preventing fibers from irritating
   Keep bottom linens tucked in & wrinkle free
   Cover plastic with cotton drawsheet
   Straighten & tighten loose sheets, blankets, &
    bedspreads as necessary
   Strong laundry soaps may cause skin
    irritation, watch for problems & report
Aseptic technique with bed
 Wash hands, germs spread by cross-
 Hold & carry linen away from uniform
    – Dirty linen makes you dirty
    – Clean linen gets dirty
 Shaking linens or fluffing in air spreads dust &
 Keep linen off floor or bedside table as to not
  spread germs. Soiled linen should be placed
  in a linen hamper or rolled tightly & tucked at
  foot of bed
 Cover dirty linen hampers
Hospital beds

 Manually operated – hand cranks at foot
  of bed to raise or lower head, foot, or
  total bed. Keep cranks down when not
  in use
 Electric beds – controls at side for
  resident & NA use or at foot of bed for
  NA use
Hospital beds
   Side rails
    – Uses
       • Prevent resident from falling out of bed
       • Provide security
       • Give resident support to hold or grasp when moving or
    – Regulations regarding use
       • Considered restraints
       • Must have consent to use
       • Need for use must be noted in resident’s record & care
       • Resident must be checked frequently if side rails are
Bed positions
   High position – encourages staff to use good
    body mechanics
   Low position – encourages ambulatory
    resident to get in & out of bed safely
   Fowler’s position – used for resident comfort
    in eating & breathing easily
   Semi-Fowler’s position – used for comfort,
    raise knees 15 degrees to keep from sliding
    down in bed
   Trendelenberg’s position – HOB lowered,
    FOB raised. Requires doctor’s order
   Reverse trendelenberg – FOB lowered, HOB
    raised. Requires doctor’s order
Body Mechanics in bed making
   Know limitations. Don’t lift, turn, or move
    resident alone if in doubt
   Get close to side of bed, don’t make from the
    top or bottom of the bed
   Back straight, knees bent, feet apart
   Move feet to turn in direction wanted & avoid
    twisting back
   Raise bed to comfortable height
   Make one side of bed before beginning other
Unoccupied bed making

 Place linen on clean surface
 Stack linen in order to be used with first
  thing on top & last thing on bottom
 Place bed in flat position
 If removing soiled linen, untuck linen &
  roll towards center with soiled side
 Place soiled linen in hamper
Unoccupied bed making
   Remove pillowcase, place in hamper & place
    pillow on clean surface
   Wash hands
   Mattress pad
   Bottom sheet, small hem at bottom, tuck in at
   Miter corners
   Draw sheet
   Top sheet, large hem at top, tucked at bottom
   Blanket, bedspread, tuck all top linen
    together, mitering corners
   Pillow & pillowcase

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