HOW TO USE THIS MODULE
Sector: Health Care Services
Qualification Title: Health Care Services
Unit of Competency: Prepare and Maintain Beds
Module Title: Preparing and Maintaining Beds
ADVANCE CENTRAL COLLEGESns Jose, Antique
HOW TO USE THIS COMPETENCY-BASED LEARNING MATERIAL
Welcome to the Module Preparing and Maintaining Beds . This
module contains training materials and activities for you to
complete.
The unit of competency Prepare and Maintain Beds contains
knowledge, skills and attitudes required for a Health Care Services
NC II Qualification.
You are required to go through a series of learning activities
in order to complete each of the learning outcomes of the module.
In every learning outcome there is a series of activities for you
to follow. Follow these activities on your own and answer the
Self-check at the end of each learning outcome.
Instruction Sheets: Information Sheets This will provide
information you needed in performing certain activities. Job Sheets
This is designed to guide you on how to do a job that will
contribute to the attainment of the learning outcome.
Operation Sheets This will guide you in performing single task,
operation or a process in a job.
Work Sheets Work sheets are different forms that you need to
fill-up in certain activities that you perform.
Follow these activities on your own and answer the Self-Check at
the end of each learning activity.
If you have questions, dont hesitate to ask your facilitator for
assistance.
Recognition of Prior Learning (RPL)
You may already have some of the knowledge and skills covered in
this module because you have:
Been working for some time
Already have completed training in this area.
If you can demonstrate to your trainer that you are competent in
a particular skill or skills, talk to him/her about having them
formally recognized so you dont have to do the same training again.
If you have a qualification or Certificate of Competency from
previous trainings show it to your trainer. If the skills you
acquired are still current and relevant to this module, they may
become part of the evidence you can present for RPL. If you are not
sure about the currency of your skills, discuss it with your
trainer.
Remember to:
Work through all the information and complete the activities in
each section.
Read information sheets and complete the self-check. Suggested
references are included to supplement the materials provided in
this module.
Most probably your trainer will also be your supervisor or
manager. He/she is there to support you and show you the correct
way to do things.
You will be given plenty of opportunity to ask questions and
practice on the job. Make sure you practice your new skills during
regular work shift. This way you will improve both your speed and
memory and also your confidence.
Use the Self-checks, Operation Sheets or Job Sheets at the end
of each section to test your own progress.After completing this
module ask your trainer to assess your competency. Result of your
assessment will be recorded in your competency profile. All the
learning activities are designed for you to complete at your own
pace.
Inside this module you will find the activities for you to
complete followed by relevant information sheets for each learning
outcome. Each learning outcome may have more than one learning
activity.LIST OF COMPETENCIESNo.Unit of CompetencyModule
TitleCode
1. PREPARE AND MAINTAIN BEDSPreparing and Maintaining
BedsHCS323301
2. COLLECT AND MAINTAIN LINEN STOCKS AT END-USER
LOCATIONSCollecting and Maintaining linen tocks at end-user
locationsHCS323302
3. ASSIST IN PATIENT MOBILITYAssisting in patient
mobilityHCS323303
4. ASSIST IN TRANSPORTING PATIENTSAssisting in transporting
patientsHCS323304
5. ASSIST IN BIO-PSYCHOSOCIAL SUPPORT CARE OF PATIENTSAssisting
in bio-psychosocial support care of patientsHCS323305
6. HANDLE WASTE IN A HEALTH CAREHandling waste in a health
careHCS323306
Table of Contents
How to use this competency-based
learning
materials---------------------------------------------------------------
1List of
competencies-------------------------------------------------------------4Table
of
contents------------------------------------------------------------------5Module
content----------------------------------------------------------------------6Definition
of
TERMS----------------------------------------------------------------7Learning
outcome
#1--------------------------------------------------------------8
Learning
experiences------------------------------------------------------------9Information
Sheet 1.1-1 Prepare and Maintain
Beds--------------------------------------------------------------------------------------10
Self check
1.1-1-----------------------------------------------------------------------15
Answer key
1.1-1---------------------------------------------------------------------16
Task Sheet
1.1-1-----------------------------------------------------------------------17
Performance Criteria Checklist
1.1-1-----------------------------------19MODULE
CONTENTQUALIFICATIONHEALTH CARE SERVICES NC II
UNIT OF COMPETENCYMaintain and Prepare Bed
MODULE TITLEMaintaining and Preparing Bed
INTRODUCTION:
This module deals with the knowledge, skills, and attitudes
required in preparing and making beds and performing after-care
activities.
Nominal Duration: 160 Hours
LEARNING OUTCOMES:
1. Prepare area for bed making2. Make bed
3. Perform after-care activities
ASSESSMENT CRITERIA:1. Use of personal protective equipment
according to institutional policy2. Adjust bed height as
necessary
3. Clear the surroundings and other equipment before bed is
strip. 4. Provide patient privacy, comfort and safety at all
times
5 Place bed linen in appropriate area/container and check for
displaced personal items, aids and equipment6 Strip bed linen
necessarily.7. Remove and place clinical waste in appropriate
container.8. Clean bed according to establish procedures
necessarily.9. Place clean bed linen on bed in accordance with
institution procedures
10. Reuse existing bed linen as needed
11. Ask patient whether he/she is comfortable, or if he/she has
any prefer bed needs
12. Handle reusable clean bed linen in accordance with
institution procedures
13. Clean and disinfect mattresses and pillows, in accordance
with establish procedures
14. Adjust bed height for occupancy and brakes are apply
according to bed type
15. Keep beds and equipment/ aids are accessible and bed is
ready for occupancy16. Report damaged and/or faulty beds, equipment
mattresses, pillows and linen to appropriate personnel and document
accordingly.
17. Discard soiled linen and clinical wastes according to
established protocol
18. Clean and return cleaning implements to designated storage
areas or dispose appropriately
Definition of terms:1- Bed Making: The technique of preparing
different types of bed making to patients / clients comfortable in
his/ her suitable position for a particular condition.
2 Fanfold: Specifically folding the edge of the sheet used in
the bed 6-8 inches outward. 3 Mitered corner: a means of anchoring
sheet on mattresses. 4 Toe pleat: a fold made in the top bed
clothes to provide additional space for patients toes. 5 Foot drop:
plantar flexion of the foot with permanent contracture of the
gastronomies (calf) muscle and tendon. 6 Bed cradle: is a curved,
semi- circular made of metal that can be placed over a portion of
the patient's body.7 Hospital bed: It's usually about 26-28 inches
(65-70) cm above to floor. - The ideal hospital bed should be
selected for its impact on patients comfort, safety, medical
condition, and ability to change position. LEARNING OUTCOME
SUMMARY
LEARNING OUTCOME #1 PREPARE AREA FOR BED MAKING
CONTENTS:
1. Prepare area for bed making
ASSESSMENT CRITERIA:
1. Use of personal protective equipment according to
institutional policy
2. Adjust bed height as necessary
3. Clear the surroundings and other equipment before bed is
strip.
4. Provide patient privacy, comfort and safety at all times
5. Place bed linen in appropriate area/container and check for
displaced personal items, aids and equipment
CONDITION:
Trainees must be provided with the following:
Work place location- Health Care Services NC II Training
LaboratoryEquipment
Hospital bed Maternity delivery bed
Commode
Renal chair
Trolley
Bedside table Basic hand tools and supplies
Gloves Mask Cap Gown Personal aids Bed linens Linen hamper
Training materials
Learning packages
Training manual
EVALUATION METHOD:
Hands-on
Direct observation
Practical demonstration
Learning Experiences
Learning Outcome 1: PREPARE AREA FOR BED MAKINGLearning
ActivitiesSpecial Instructions
1. Read information sheet 1.1-1 Prepare area for bed making
If you have some problem on the content of the information sheet
dont hesitate to approach your facilitator.
If you feel that you are knowledgeable on the content of the
information sheet, you can now answer self check provided in the
module.
2. Answer self-check 1.1-1Refer your answers to the answer key
for self check. You are required to get all answers correct. If
not, read the information sheets again to answer all questions
correctly.
3.View power point presentation in Prepare area for bed
makingPerform oral questioning about Make bed and proceed to
observe trainer demonstration.
3. Observe Demonstration on Procedure in Make BedObserve your
trainer as he/she demonstrates how to Make Bed. After observing,
you can now proceed to Perform Task Sheet 1.2-1.
4. Perform Task Sheet 1.2-1 on Procedure in Make BedCompare your
work to the Performance Checklist. If you got 100% correct answer
in this task, you can now move to the next activity. If not review
the information sheet and go over the task again.
Congratulations on a Job well done!!! You have now successfully
completed the last competency for this qualification and is now
ready for the National Assessment. Good luck and use what you have
learned here well!!!
INFORMATION SHEET 1.1-1Prepare area for Bed MakingLearning
Objectives: After reading this information sheet, you will be able
to prepare area for bed making.Introduction: Patient rooms are
furnished and equipped to help meet the persons basic needs. There
is furniture and equipment for comfort, sleep, elimination,
nutrition, personal hygiene, and activity. There is also equipment
for communicating with members of the nursing team, relatives and
friends. The individuals right to privacy is considered when
equipping the room.
Patients in hospitals and residents of long-term care facilities
spend a great deal of time in their rooms. Rooms may be private,
occupied by one person; or semiprivate, furnished for two people.
In either case, rooms should be comfortable and safe. There should
be enough space for the individual to perform activities of daily
living.
Purpose:
1. To promote clients comfort.
2. To provide a clean environment for the clients. 3. To prevent
or avoid microorganisms to come in contact with the patient which
could cause tribulations. 4. To know the basic bed positions.5. To
help the patient describe the use of equipment found in a typical
patient unit.6. ExplainGuidelines:1. Wash hand thoroughly before
and after handling clients bed linen
- Helps to control nosocomial infection
2. Hold soiled linens away from the body.
- To avoid contact with nurses clothes and to avoid spreading
micro-organism.
3. Linen for one client is never placed on another client's
bed.
- To avoid transporting micro-organism from patient to
patient
4. Soiled linens is placed directly in a portable linen hamper
or tucked in to a pillow case at the end of the bed before it is
gathered up for disposal in the linen hamper or in linen chute.
Pillowcase is then tied and labeled with: name, room number,
communicable/ non communicable.
- To limited the patient secretion and avoid contamination with
other furniture.
5. Soiled linen is never shaken in air.
- To avoid spreading microorganism
6. When stripping and making a bed, conserve time and energy by
stripping and making up one side as completely as possible before
working on the other side
- To avoid time and energy waste.
7. Gather all needed linen before starting to strip the bed.
- To keep time, energy, and quality of work.
8. Move any furniture away from the bed
- To provide ample working space.
Common types of bed:
A- Occupied Bed: Is made when the patient is not able or not
permitted to get out of the bed.
B- Unoccupied Bed: Is made when there is no patient confined in
bed, while a patient in the shower or sitting up in a chair.
Types of unoccupied Bed:
1- Open bed: the top covers are folded back so the patient can
easily get back in to bed.
2- Closed bed: the top sheet, blankets and bedspreads are drawn
up to the head of the mattress and under the pillow; this is
prepared in a hospital room before a new client is admitted to the
room. 3- Post-operative bed: known as recovery bed or anesthetic
bed, and used for a patient with large cast or other circumstance
that would make it difficult for him to transfer easily into bed.
Kinds of Linens
A- Blanket: a large piece of cloth often soft, woolen and is
used for warmth as a bed cover.
B- Top sheet: used to cover the patient to provide warmth, made
of thick cotton, thermal material. C- Cotton draw sheet: a piece of
cloth that the rubber sheet and is used to absorb moisture. D-
Bottom sheet: used to cover the bed after mattress cover.E- Rubber
sheet: used to protect the bottom sheet from soothing due to
patient secretions and prevent the patients from getting bedsore.
It's usually placed over the center of the bottom sheet. Skills in
Bed Making:
Stripping the Bed: Removal of used linen and the airing of the
mattress. Procedure: Place chair at the foot of the bed.
Locked the bed.
Remove pillow case from pillow. Place pillow on chair. Loosen
all bed linens starting at center of head of bed, raising the
mattress with one hand and draw out bed clothes with other. Remove
sheet separately. Fold each linen with soiled part inside. Wrap
them all in a sheet and place on lower bar of the bed. Roll rubber
sheet and place on chair. Remove mattress cover. Unoccupied Bed:
Open bed
Equipments:A. Mattress cover
B. Bottom sheet
C. Rubber draw sheet
D. Cotton draw sheet
E. Top sheet
F. Pillow case (2)
G. Blanket
H. Bed spreadOpen Bed: Preparing the bed with new bed linens
ready for newly admitted patientsProcedure:
1. Refold each sheet according to its system of use.
2. Place clean linens on chair in order of use. See to it that
the bed is flat.
3. Cover the mattress.
4. Place bottom sheet with center fold in center in line with
rim of matters at foot part, spread across bed. Make mitered corner
of head part, tuck extra sheet at side from head to foot.How to
make a mitered corner:
Laying a triangular fold of sheet on the bed.
Tucking the end of the sheet under the mattress.
Pulling the triangular fold over the side of the mattress
5. Put rubber sheet 12-15 inches from the head of mattress.
Cover with draw sheet. Spread across bed. Tuck together extra
length.
6. Place top sheet in line with mattress at head part and spread
across bed. Tuck extra length of sheet at foot part, mitered
corner; allow hanging free at sides.
7. Go to opposite side and repeat same procedure.
8. Grasp one corner of top sheet, fanfold at foot part or
diagonally to one side.Definition of terms:
1. Bed Making: The technique of preparing different types of bed
making to patients / clients comfortable in his/ her suitable
position for a particular condition.
2. Fanfold: Specifically folding the edge of the sheet used in
the bed 6-8 inches outward.
3. Mitered corner: a means of anchoring sheet on mattresses.
4. Toe pleat: a fold made in the top bed clothes to provide
additional space for patients toes.
5. Foot drop: plantar flexion of the foot with permanent
contracture of the gastronomies (calf) muscle and tendon.
6. Bed cradle: is a curved, semi- circular made of metal that
can be placed over a portion of the patient's body.
7. Hospital bed: It's usually about 26-28 inches (65-70) cm
above to floor. - The ideal hospital bed should be selected for its
impact on patients comfort, safety, medical condition, and ability
to change position.Documentation
Although linen changes arent usually documented, record their
dates and times in your notes with incontinence, excessive wound
drainage, or diaphoresis.Self Check 1.2-1
TRUE OR FALSE: Write T if the statement is True and F if the
statement is false.
____1. Linens need to be changed whenever they become soiled,
wet, or damp.
____2. To remove the crumbs from the bed, the linens are
loosened and shook in the air.
____3. An open bed is made after a patient has been
discharged.
____4. A closed bed can become an open bed by fan folding the
top linens to the foot of the bed. ____5. Cotton draw sheet is used
to absorb moisture.
Answer Key
1. T
2. F
3. F
4. F
5. T
Task Sheet 1.2-1
Title: MAKE BED
Performance Objective:
Define the key terms listed in this module
Identify when linens should be changed
Make a unoccupied open bed
Handle linens following the rules of medical asepsis
Supplies, Tools & Equipment :
Mattress cover
Bottom sheet
Rubber draw sheet
Cotton draw sheet
Top sheet
Pillow case (2)
Blanket
Bed spread Hospital bed Over bed table
PPE
Linen hamper
Skills in Bed Making: -
Stripping the Bed: Removal of used linen and the airing of the
mattress. Procedure: Place chair at the foot of the bed.
Locked the bed.
Remove pillow case from pillow. Place pillow on chair. Loosen
all bed linens starting at center of head of bed, raising the
mattress with one hand and draw out bed clothes with other. Remove
sheet separately. Fold each linen with soiled part inside. Wrap
them all in a sheet and place on lower bar of the bed. Roll rubber
sheet and place on chair. Remove mattress cover. Step/Procedure
1. Refold each sheet according to its system of use.
2. Place clean linens on chair in order of use. See to it that
the bed is flat.
3. Cover the mattress.
4. Place bottom sheet with center fold in center in line with
rim of matters at foot part, spread across bed. Make mitered corner
of head part, tuck extra sheet at side from head to foot.How to
make a mitered corner:
Laying a triangular fold of sheet on the bed.
Tucking the end of the sheet under the mattress.
Pulling the triangular fold over the side of the mattress
5. Put rubber sheet 12-15 inches from the head of mattress.
Cover with draw sheet. Spread across bed. Tuck together extra
length.
6. Place top sheet in line with mattress at head part and spread
across bed. Tuck extra length of sheet at foot part, mitered
corner; allow hanging free at sides.
7. Go to opposite side and repeat same procedure.
8. Grasp one corner of top sheet, fanfold at foot part or
diagonally to one side.
Assessment Method:
Demonstration , Performance Criteria Checklist
PERFORMANCE CHECKLIST
Performance CriteriaDid you
YesNo
1. Refold each sheet according to its system of use.
/
2. Place clean linens on chair in order of use. See to it that
the bed is flat/
3. Cover the mattress.
/
4. Place bottom sheet with center fold in center in line with
rim of matters at foot part, spread across bed. Make mitered corner
of head part, tuck extra sheet at side from head to foot.
/
5. Put rubber sheet 12-15 inches from the head of mattress.
Cover with draw sheet. Spread across bed. Tuck together extra
length.
/
6. Place top sheet in line with mattress at head part and spread
across bed. Tuck extra length of sheet at foot part, mitered
corner; allow hanging free at sides.
/
7. Go to opposite side and repeat same procedure.
/
8. Grasp one corner of top sheet, fanfold at foot part or
diagonally to one side.
/
Passed:________Failed:_________
Instructor Signature:_____________________
Student Signature:_______________________
ACCHealth care Srvices
HEALTH CARE SREVICES NC II
Preparing and Maintaining BedsDate Developed:
June 2013
Document No.
Issued by: Page 23 of 19
Developed by:
Health Care Services Department
Revision # 00