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WRITTEN QUESTIONS
Ways in which evidence will be collected:
DEMONTRATION
[tick the column]
Name: _______________________________________
Direction: Using the scale shown below, please rate your present level of performance or
competencies by checking the appropriate column.
Performance Level
Competency Area 1 2 3
• Use personal protective equipment according to institutional policy.
• Adjust bed height as necessary.*
• Clear bed surroundings of medical and other equipments before bed is stripped.
• Provide privacy, safety and comfort to patient/client.
• Check bed linen for displaced personal items, aids and equipment and such
aid/equipment are placed in appropriate area/ container.
• Strip bed linen according to hospital/clinic/institution SOPs.
• Remove clinical waste and soiled linen according to hospital/clinic/institution
SOPs.
• Use clean linen in making bed.
• Ask if the patient is comfortable after bed linens are replaced.*
• Make patient comfortable after bed linens are replaced.*
• Handle reusable clean bed linen in accordance with institution procedures.
• Clean and disinfect mattresses and pillows in accordance with established
procedures.*
• Adjust bed height for occupancy and apply brakes according to bed type.*
• Keep beds and equipment accessible and ready for occupancy.
• Report damaged bed and equipment to appropriate personnel.*
• Document after care activities using appropriate forms/checklist.
• Discard soiled linen and clinical waste according to institutional SOPs.
• Clean cleaning equipment.
• Store cleaning equipment.
Candidate’s Signature:
QUESTIONNAIRE
I. Multiple Choice
Instruction: Encircle the letter of your answer.
3. It is a turning frame that serves the3 same purpose as the CircOlectric but is
operated manually.
a. Gatch bed
b. Electric bed
c. Stryker Frame
d. CircOelectric bed
a. Head Board
b. Foot Board
c. Side Rails
d. Mattress
5. Used to support the immobilized client’s foot in a normal right angle to the legs to
prevent plantar flexion contractures.
a. Foot Board
b. Head Board
c. Foot Rest
d. Over Bed Table
II. Identification
1. It protects the bottom sheet and mattress from urine, feces or other body secretions?
2. It covers the protective rubber sheet because some patients are sensitive to rubber?
3. What is the sheet that covers the mattress?
4. How do you fold the top sheet?
5. How do you fold the bottom sheet and cotton draw sheet
ANSWER KEY
I. MULTIPLE CHOICE
1. D. Head Part of the bed
2. D. CircOelectric bed
3. C. Stryker Frame
4. C. Side Rails
5. A. Foot Board
II. IDENTIFICATION
1. RUBBER SHEET
2. COTTON DRAW SHEET
3. BOTTOM SHEET
4. RIGHT SIDE OUTSIDE
5. Wrong side out side
Session Plan
Sector : Health, Social & Other Community Development Sector
Qualification Title : Health Care Servicing NCII
Unit of Competency : Prepare and Maintain Beds
Module : Preparing and Maintaining Beds
Learning Outcomes:
1.) Prepare Area for Bed Making
2.) Perform Bed Making
A. Introduction:
This unit covers the knowledge, skills and attitudes required in preparing, making beds and performing after care activities as well as providing
comfort and safety to patient, preventing cross-contamination and nosocomial infection to clients.
B. Learning Activities:
• Trainer delivers
individual
constructive
criticism and
provides rating
and advice
regarding the
trainee’s
performance.
• Safe Manual • Read • Self Check • Compare to Information Sheet
Handling Information (answer written answer key
Questionnaire and
Techniques sheet/ manual/ questions)
answer key
brochure Safe
Manual
Handling
Techniques
• Trainer delivers
individual
constructive
criticism and
provides rating
and advice
regarding the
trainee’s
performance.
• Correct bed • Read • Self Check • Compare to Information Sheet
making Information (answer written answer key
Textbook
procedures in sheet/ manual/ questions)
(Fundamental of
hospital Textbook
Nursing Procedures)
corners (Fundamental
of Nursing Questionnaire and
Procedures) answer key
about Correct
bed making
procedures in
hospital
corners
• Written Test: Questions on Personal Protective Equipments used in bed making, Principles of Bed making and Types of Beds.
Findings Recommendations
1. The floor is wet due to spilled - Mop the floor and keep it dry at all
water from bed bathing times.
2. The walls are not free from dust - Dust off the dust and remove the
and cob webs cob webs from the walls.
3. One of the electric fan is out of - Report the said defective electric
order fan for repair.
4. One of the side rail is not - Repair the said side rail
functioning well
5. One fluorescent bulb is out of - Buy a new fluorescent bulb and
order replace the defective one
WHEELCHAIR
1. The wheels are still functional - Maintain the good condition of the
and in good condition. wheels.
2. The brakes are not in good - Report the said defective brake
working condition. and send it for repair.
3. The grips and handles are still - Maintain the good condition of the
functional and in good working grips and handles.
condition.
4. The transfer belt is missing. - Report the missing transfer belt
and request for replacement.
5. The foot rest are in good - Maintain the good condition of the
working condition. foot rest.
Y N CRITERIA
WHEELCHAIR
6.
7.
8.
9.
10.
11.
12.
13.
14.
Inspected by :______________________________
Date_______________________________________
Waste Segregation and Disposal
Area/Section : _____________________________________________________________________
In-Charge : _____________________________________________________________________
In-Charge
:_____________________________________________
Technology
Workshop:___________________________________
Station:_________________________________________
_______
Tool/Equipment:_________________________________________
MONTH ____________________________
ACTIVITIES 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 30
PRACTICAL AREA
1. Check if the floor is dry
and clean. ! ! ! ! ! ! ! ! ! !
2. Check if the walls are free ! ! ! ! ! ! ! ! ! !
from dust cob webs.
3. Check if the ceiling is free ! ! ! ! ! ! ! ! ! !
from cob webs.
4. Check if the fluorescent ! ! ! ! ! ! ! ! ! !
bulbs are functional.
5. Check if the ceiling fans ! ! ! ! ! ! ! ! ! !
are functional.
WHEEL CHAIR
• Bottom sheets-
• Top sheets-
• Pillow case-
• Bedspread-
• Protective Rubber sheet or Plastic sheet-
• Draw sheet- Hospital Bed
• Side rails
• Soap and Water
• PPE
Gloves
Hospital Uniform / Lab Gown
Mask
Shoes
Procedure:
Precaution:
Quality Criteria:
Introduction:
The room, especially the bed is the patient’s home while he or she is in the hospital
or health care facility. A well- made bed offers both comfort and safety. It is an extremely
important contribution to the well-being of the patient. (Hegner)
Because people are usually confined to bed when ill, often for long periods, the bed
becomes an important element in the client’s life. A place that is clean, safe, and
comfortable contributes to the client’s ability to rest and sleep and to a sense of well being.
Basic furniture in a health care facility includes the bed, bedside table, overbed table, one or
more chairs and a storage for clothing. Most bed units also have a call light, light fixtures,
electric outlets, and hygienic equipment in the bedside table. Three types of equipment often
installed in an acute care facility are a suction outlet for several kinds of suction, an oxygen
outlet for most oxygen equipment and a sphygmomanometer to measure the client’s blood
pressure. Some long-term care agencies also permit clients to have personal furniture, such
as a television, a chair, and lamps at the bedside. In the home a client often has personal
and medical equipment. (Kozier and & Erbs)
Types of bed
• Gatch bed- a stationary bed about 26 inches high. Modern facilities are equipped
with beds that can be raised to the desired height for bedside nursing or lowered to
13 inches to accommodate the out of bed patient. The position of the head and knee
areas of the bed can be adjusted for comfort. This operation may be done manually
by turning the cranks.
• Electric bed- a bed similar to the gatch bed in that it can be raised or lowered and the
knee and head areas can be adjusted. It is operated electrically.
• Low bed- low beds are commonly used in health care facilities for patients who are at
risk of fall, for whom used of side rails is not desirable. The bed frame is 4 to 6
inches from the floor to the top of the frame deck. These beds reduce the risk of
injury if the patient falls from the bed. Some facilities place pads on the floor next to
the bed to further reduce the risk of injury. Nursing assistants must use good body
mechanics and mechanical lift when assisting patients into and out of these beds to
prevent back injuries.
• CircOlectric bed- a special bed frame placed within a circular frame. This bed is
operated electrically. The circular frame can be rotated. The patient is secured on the
inner frame before the bed is moved. The entire inner frame is rotated forward. This
allows for position change without any stress on the patient. After rotating, the patient
is on the abdomen.
• Stryker frame, spinal bed or wedge bed- a turning frame that serves the3 same
purpose as the CircOlectric but is operated manually. Once the patient is secured by
placement of the upper frame, a crank is used to turn the entire frame and the
patient. After turning, the patient is on the abdomen. The patient lies on the frame
until turned once more.
Parts of Bed
Side Rails- safety device used in preventing clients from falling out of bed.
• The use of side rails has been routine practice with the rationale that the side rails
serve as a safe and effective means of preventing clients from falling out of bed.
Footboards- Used to support the immobilized client’s foot in a normal right angle to the legs
to prevent plantar flexion contractures.
Mattresses- large pad on which to sleep. They are used in hospitals to relieve pressure on
the body’s bony prominences, such as the heels. They are particularly helpful for clients
confined to bed for a long time. Additional information
JOB SHEET
Job title: Bed Making
Objectives:
The Trainees should be able to:
• Use personal protective equipment according to institutional policy.
• Provide privacy, safety and comfort to patient/client.
• Strip bed linen according to hospital/clinic/institution SOPs.
• Remove clinical waste and soiled linen according to hospital/clinic/institution SOPs.
• Use clean linen in making bed.
• Ask patient comfortable after bed linens are replaced.
• Make patient comfortable after bed linens are replaced.
• Make bed and equipment readily accessible for use.
• Report damaged bed and equipment to appropriate personnel.
• Document after care activities using appropriate forms/checklist.
• Discard soiled linen and clinical according to institutional SOPs.
• Clean cleaning equipment.
• Store cleaning equipment.
Laboratory Work:
Equipment/ Materials Needed:
• Bottom sheets
• Top sheets
• Pillow case
• Protective Rubber sheet or Plastic sheet
• Draw sheet
• Hospital Bed
• Chair
• Laundry Cart
• Soiled Linen Bin
• Soap and Water
• PPE
Gloves
Hospital Uniform / Lab Gown
Mask
Shoes
• Cleaning Cloth
Procedure:
Purpose:
• To promote the client’s comfort
• To provide a clean neat environment for the client
• To provide a smooth, wrinkle free bed foundation, thus minimizing sources of skin
irritation.
• To handle soiled linens properly and prevent cross-contamination.
Assessment:
• Assess need for linen change- This determine when a linen change is necessary
• Assess patient’s condition- This determine of an unoccupied bed is necessary.
• Prior to performing the procedure, introduce self and verify the client’s identity.
Explain the procedure to the client what you are going to do, why it is necessary and
how he or she can cooperate.- to minimize anxiety and fear and promote cooperation
• Raise the bed to a comfortable working height and lock the wheels of bed.
• Wash hands and apply gloves
• Gather all linens and pillow needed and place it in order.
• Working from the foot of the bed place the clean bottom sheet and spread it going to
the head part of the bed.
• Tuck excess sheet under the mattress at the near side of the head of bed.
• Miter the bottom sheet at the top corner on that side.- a mitered corner is tighter and
less likely to come apart.
• Tuck sheet securely under the mattress.- makes patient’s corner neat and tight.
• Lay the protective rubber sheet on the center of bed.
• Lay the fabric/cotton draw sheet on the center of bed.
• Tuck both rubber and fabric draw sheet together from center going to side.
• Put pillowcase on the pillow:
o Pick-up side end of pillowcase.
o Continue to firmly grip the end of the pillowcase.
o Pick up the center of one end of pillow with the hand holding the gathered
pillowcase
o Pulls pillowcase over pillow with the other hand.
o Adjust pillow corners in pillowcase by placing hand between case and pillow.
• Place the pillow to the head part of the bed.
• Lay the top sheet and spread it going to the head part of the bed.
• Miter the top sheet at the bottom corner on that side.
• Move to the opposite side of the bed
• Starting at the head of the bed, pull the bottom sheet firmly so that there are no
wrinkles in it.
• Miter the top corner of the bottom sheet
• Tuck the excess sheet securely under the mattress.
• Pull the protective rubber sheet firmly and tuck it in at the side.
• Pull the fabric draw sheet firmly and tuck it in at the side.
• Pull the top sheet firmly and miter the bottom corner.
• Position the pillow on the top center of the bed
• Fold the top portion of the top sheet.
• Fanfold the top sheet.
• Wash your hand and remove the gloves.
Occupied bed:
Assessment:
• Assess for linen change
• Assess for patient condition
• Prior to performing the procedure, introduce self and verify the client’s identity.
Explain the procedure to the client what you are going to do, why it is necessary and
how he or she can cooperate.- to minimize anxiety and fear and promote cooperation
• Raise the bed to a comfortable working height and lock the wheels of the bed.
• Wash hands and apply gloves- to reduce transmission of microorganism, and
prevent spread of infection.
• Gather all linens and pillow needed and place it in order.
• Ask patient’s weak body part.
• Position patient to lateral side position thru log rolling.
• Secure patient’s privacy and safety
• Move to the opposite side of the bed
• Loosen the linens.
• Fanfold the top sheet first on the center of the bed
• Remove the pillowcase from the pillow and used it as a hamper
• Does the same with the draw sheet, protective rubber sheet and bottom sheet.
• Working from the foot of the bed place the clean bottom sheet and spread it going to
the head part of the bed.
• Tuck excess sheet under the mattress at the near side of the head of bed.
• Miter the bottom sheet at the top corner on that side.- a mitered corner is tighter and
less likely to come apart.
• Tuck sheet securely under the mattress.- makes patient’s corner neat and tight.
• Lay the protective rubber sheet on the center of bed.
• Lay the fabric/cotton draw sheet on the center of bed.
• Tuck both rubber and fabric draw sheet together from center going to side.
• Put pillowcase on the pillow:
o Pick-up side end of pillowcase.
o Continue to firmly grip the end of the pillowcase.
o Pick up the center of one end of pillow with the hand holding the gathered
pillowcase
o Pulls pillowcase over pillow with the other hand.
o Adjust pillow corners in pillowcase by placing hand between case and pillow.
• Place the pillow to the head part of the bed.
• Lay the top sheet and spread it going to the head part of the bed.
• Miter the top sheet at the bottom corner on that side.
• Create an opening by fan folding the top sheet going to the near edge of the bed.
• Position the patient to supine and transfer him/her to the other side of bed by side
lying position.
• Secure patient’s privacy and safety.
• Move to the opposite side of the bed
• Remove the soiled linens and place it on the portable hamper
• Starting at the head of the bed, pull the bottom sheet firmly so that there are no
wrinkles in it.
• Miter the top corner of the bottom sheet
• Tuck the excess sheet securely under the mattress.
• Pull the protective rubber sheet firmly and tuck it in at the side.
• Pull the fabric draw sheet firmly and tuck it in at the side.
• Pull the top sheet firmly and miter the bottom corner.
• Position patient to supine and move pillow to the top center of the bed.
• Miter the top sheet at the bottom corner.
• Disposed the hamper together with the protective rubber sheet in the bins.
• Wash hands and remove the gloves.
Evaluation:
1. Personal protective equipment is used according to institutional policy
2. Privacy, safety and comfort is provided to patient/client
3. Bed linen are stripped according to hospital/clinic/institution SOPs
4. Clinical waste and soiled linen are removed according to
hospital/clinic/institution SOPs
5. Clean linen are used in making bed
6. Patient are asked and made comfortable after bed linens are replaced
7. After care activities are documented using appropriate forms/checklist
8. Soiled linen and clinical waste are discarded according to institutional SOPs
9. Cleaning equipment is cleaned and stored.
CBT SHOP LAY OUT
Of
Health Care Servicing NC II