10 put clean pillowcases on the pillows as required

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10. Put clean pillowcases on the pillows as required. Grasp the closed end of the pillowcase at the center with one hand. Gather up the sides of the pillowcase and place them over the hand grasping the case. Then grasp the center of one short side of the pillow through the pillowcase. With the free hand, pull the pillowcase over the pillow. Adjust the pillowcase so that the pillow fits into the corners of the case and the seams are straight. RATIONALE: A smoothly fitting pillowcase is more comfortable than a wrinkled one. Place the pillows appropriately at the head of the bed. 11. Provide for client comfort and safety. Attach the signal cord so that the client can conveniently use it. Some cords have clamps that attach to the sheet or pillowcase. Others are attached by a safety pin. If the bed is currently being used by a client, either fold back the top covers at one side or fanfold them down to the center of the bed . RATIONALE: This makes it easier for the client to get into bed. Place the bedside table and the overbed table so that they are available to the client. Leave the bed in a high position if the client is returning by stretcher, or place in the low position if the client is returning to bed after being up.
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12. Document and report pertinent data. Bed-making is not normally recorded. Record any nursing assessments, such as the client’s physical status and pulse and respiratory rates before and after being out of bed, as indicated. VARIATION: SURGICAL BED While the client is in the operating room, the client’s bed is prepared for the post- operative phase. In some agencies, the client is brought back to the unit on a stretcher and transferred to the bed in the room. In other agencies, the client’s bed is brought to the surgery suite and the client is transferred there. In the latter situation, the bed needs to be made with clean linens as soon as the client goes to surgery so that it can be taken to the operating room when needed. Strip the bed. Place and leave the pillows on the bedside chair. RATIONALE: Pillows are left on a chair to facilitate transferring the client into the bed. Apply the bottom linens as for an unoccupied bed. Place a bath blanket on the foundation of the bed if this is agency practice. RATIONALE: A flannel bath blanket provides additional warmth. Place the top covers (sheet, blanket, and bedspread) on the bed as you would for an unoccupied bed. Do not tuck them in, miter the corners or make a toe pleat. Make a cuff at the top of the bed as you would for an unoccupied bed. Fold the top linens up from the bottom. On the side of the bed where the client will be transferred, fold up the two outer corners of the top linens so they meet in the middle of the bed forming a triangle.
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Pick up the apex of the triangle and fanfold the top linens lengthwise to the other side of the bed to facilitate the client’s transfer into the bed. Leave the bed in high position with the side rails down. RATIONALE: The high position facilitates the transfer of the client. Lock the wheels of the bed if the bed is not to be moved. RATIONALE: Locking the wheels keeps the bed from rolling when the client is transferred from the stretcher to the bed. Prepared by: Jennifer B. Garcia, RN Instructor
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  • Fall '19
  • bed, Pillow, Bed sheet, client’s bed

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