General Principles of Bed making (occupied and unoccupied bed)

Making a client’s bed, with and without client present.

Necessary supplies for bed making include clean linens, a tight bottom sheet to prevent wrinkles that might cause skin irritation, and upper bed clothing that does not weigh on the client’s body or restrict movements, but still covers his or her shoulders. Adjustments in basic bed making may be necessary for comfort and to suit individual client conditions.

Schedules for changing beds vary among healthcare agencies. Usually you remake the bed after the client’s bath or morning care. Make exceptions if the linen becomes soiled or if changing the bed may prove harmful to the client. For example, a client may be bleeding, receiving a special treatment, or feeling too weak or exhausted to be disturbed. Change stained sheets immediately. In some cases, beds are not changed every day or are partially changed. Even if you do not change the bed, tuck in sheets and blankets, to get rid of wrinkles, and fluff the pillows.

Key Concept Every client needs a smooth, clean bed for comfort and to prevent complications. Wrinkles or crumbs can make the client uncomfortable and cause skin breakdown. It is very important to change linens that are soiled. One or more incontinence pads are added to the linens on the bed if the client is bleeding, incontinent, or vomiting.

Key Concept The client with an orthopedic disorder often requires a head-to-toe linen change, sometimes more than once a day This client must be moved very carefully particularly if he or she has an unstabilized fracture.

Proper body mechanics are an essential part of bed making. Put them into practice.

Below is an instructional video on how to make a bed with and without a bedridden client.