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Wednesday, November 5, 2008

Making an Occupied Bed for ARC Testing

Equipment: Fitted bottom sheet, flat top sheet, blanket, bath blanket, pillow case, barrier

Procedure:

1.) Knock on door and listen for residents response.

2.) Address resident by name and introduce self.

3.) Wash hands.

4.) Explain procedure speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible.

5.) Place clean linen on clean surface within easy reach (e.g., bedside stand, over-bed table, or chair)

6.) Provide for residents privacy during procedure with curtain, screen, or door.

7.) Adjust bed to safe working height; lock wheels.

8.) Lower head of bed before moving resident.

9.) Loosen top linen from the end of the bed on working side.

10.) Unfold bath blanket over the top sheet and remove top sheet.

11.) Raise side rail, go to other side.

12.) Loosen bottom soiled linen on working side and move bottom soiled linen toward center of bed.

13.) Place and tuck in clean bottom linen or fitted bottom sheet on working side (if flat sheet is used, tuck in at top and working side), then raise side rail.

14.) Go to other side of bed, lower side rail, then assist resident to turn onto clean bottom sheet.

15.) Remove soiled bottom linen.

16.) Pull and tuck in clean bottom linen, finishing with bottom sheet free of wrinkles.

17.) Cover resident with clean top sheet and blanket.  Remove bath blanket.

18.) Change pillowcase.

19.) Loosen linen over toes to avoid pressure.

20.) Center and anchor clean linen over resident.

21.) Avoid contact between your clothing and soiled linen throughout procedure.

22.) Dispose of soiled linen in soiled linen container.

23.) Place signaling device within residents reach.

24.) Wash hands.

25.) Leave bed in the lowest position.  Remove privacy measure.

26.) Report any changes in resident to nurse.  Document procedure according to facility guidelines.

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