Goal: To promote comfort and maintain proper body alignment.Skill 39-1: Turning a Patient in Bed1. Explain procedure to patient.2. Perform hand hygiene.3. Raise bed to your waist level. Adjust to flat position or as low as the patient can tolerate. Lower side rail nearest you and raise opposite side.4. Position patient closer to the far side of the bed in the supine position.5. Place patient’s arms across chest and cross patient’s far leg over the near one.6. Stand opposite the patient’s center with your feet spread and one foot ahead of the other. Tighten your gluteal and abdominal muscles and flex your knees.7. Position your hands on the patient’s far shoulder and hip and roll patient toward you.8. Make patient comfortable and position in proper alignment.9. Readjust bed height and position and raise side rail if appropriate. Ensure that call light is within patient’s reach.10. Perform hand hygiene.Here is some additional helpful info: Goal: To provide a comfortable bed environment when bed is occupied.Skill 37-6: Making an Occupied BedExplain procedure to patient. Checkpatient’s chart for limitations on patient’s physical activity.2. Perform hand hygiene.3. Assemble equipment and arrange on bedside chair in the order items will be used.4. Close door or curtain.5. Adjust patient’s bed to the high position. Lower side rail nearest you, leaving opposite side rail up. Place bed in the flat position unless contraindicated.6. Check bed linens for patient’s personal items and disconnect call bell or any tubes from bed linens.7. Place a bath blanket, if available, over patient. Have patient hold onto bath blanket while you reach under it and remove top linens. Leave top sheet in place if a bath blanket is not used. Fold linen that is to be reused over the back of a chair. Discard soiled linen in laundry bag or hamper.8. If possible and if another person is available to assist, grasp mattress securely and shift it up to the head of the bed.9. Assist patient to turn toward the opposite side of the bed and reposition pillow under patient’s head.10. Loosen all bottom linens from the head and sides of the bed.11. Fan-fold soiled linens as close to patient as possible.12. Use clean linen and make the near side of bed following Actions 9, 10, and 11 of Skill 37-5. Fan-fold clean linen as close to patient as possible.13. Raise side rail. Assist patient to roll over the folded linen in the middle of the bed toward you. Move to other side of bed and lower side rail.14. Loosen and remove all bottom linen. Place in a linen bag or hamper. Hold soiled linen away from your uniform.Ease the clean linen from under the patient. Pulltaut and secure bottom sheet under the head ofthe mattress. Miter corners. Pull side of the sheet taut and tuck under side of the mattress. Repeat this with drawsheet.16. Assist patient to return to the center of the bed. Remove pillow and change pillowcases before replacing with open end facing the window.17. Apply top linen so that it is centered and top hems are even with the head of the mattress. Have patient hold onto the top linen so bath blanket can be removed.18. Secure top linens under foot of mattress and miter corners. Loosen top linens over patient’s feet by grasping them in the area of the feet and pulling gently toward the foot of the bed.19. Raise side rail. Lower bed height and adjust head of the bed to a comfortable position. Reattach call bell and drainage tubes.20. Dispose of soiled linens according to agency policy. Perform hand hygiene.
Skill Checklists to Accompany Ta 
01-07-2007, 08:55
What are the principles observed in turning patient? 
Tema te ngjashme 
