Paez, Marcella M.
BSN-1C Group 11
PERFORMANCE CHECKLIST IN BEDMAKING
Station 1: Closed Bed & Open Bed
I. Important Points to Consider in Bedmaking
A. Infection Control
1. Handles linen carefully.
2. Holds both soiled and clean linen away
from the procedure.
3. Washes hands before and after the
procedure.
B. Body Mechanics:
4. When she must bend, bends with her
knees and not back.
5. Faces her entire body in the direction in
which she is moving and avoid twisting.
6. Organizes her work and conserves steps.
II. Procedure for Bedmaking
A. Assessment
7. Knows the condition of her patient.
8. Checks for special needs of her patient.
B. Planning
9. Washes hands.
10. Obtains laundry hamper or bag.
11. Gathers linen to be used.
12. Obtains other needed items or
equipment.
C. Implementation
13. Raises bed to appropriate working height.
Be certain wheels are locked.
14. Turns mattress if necessary.
15. Moves mattress to head of bed.
Rationale
To avoid transfer of pathogens to other
patients and the environment.
To prevent contamination of the clean linen
by the uniform and contamination of the
uniform by soiled linen.
To prevent spreading of germs
To minimizes strain on back.
It lessens the susceptibility of the back injury.
Rhythmical movements at moderate speed
require less energy
We need to know the condition of the
patient to know whether there are factors
present that might affect the ability of the
patient to be out of bed during bedmaking
procedure.
We need to check any special needs of the
patient that might require extra linen or
special equipment.
To prevent spreading of germs.
Use to place removed and used linens.
To save time.
To save time and make procedure more
organized.
To help prevent fatigue and to keep the bed
from moving.
Allows easy removal of linens.
16. Places bottom sheet on bed.
17. Miters top corner of bottom sheet.
18. Tucks remainder of sheet under.
19. Places rubber sheet on bed.
20. Places cloth draw sheet over rubber
sheet. Tucks together.
21. Goes to the other side. Tucks bottom
sheet under head of bed, and miters corner.
22. Tucks rubber sheet and draws sheet
snugly.
23. Places top sheet on bed, using centerfold
as guide.
24. Makes toe pleat if facility policy indicates
so.
25. Places blanket on bed, using centerfold as
guide.
26. Tucks top sheet and blanket together.
27. Miters corner of top linen at foot of bed.
Allows upper portion to hang freely.
28. Moves to other side of the bed,
straighten and tucks top linen at foot of the
bed, and miters corner.
29. Applies pillow case, taking care pillow and For it look presentable and clean.
case away from uniform.
30. Folds top sheet back over top edge of
blanket.
31. Depending upon hospital policies, top
sheet may be drawn all the way over the
pillow.
Open Bed
32. To make an open bed, draws the blanket To expose the leg or foot of the patient and
and the top sheet simultaneously on a
diagonal position.
33. Makes a fanfold.
34. Replaces call light and leaves bed in
appropriate position.
To cover mattress.
To pleasing the bedsheet
To keep bed neat
To protect mattress from bed wetting
To prevent chilling and direct contact of
rubber sheet with the patients.
To ensure to evenly spread it on all sides
To protect the mattress
To align the top edge of the sheet with the
top edge of mattress
To prevent impingement of the top linen
upon the patient’s toes.
In warm weather, or at the patient’s request
a blanket may be omitted
To keep you warm and to protect your
blanket or duvet cover from getting dirty.
Always remember do not tuck in the upper
portion.
To keep the bed neat.
To spread and if there are more spread than
blanket at the top of the bed, fold the excess
spread back over the blanket to form an even
line.
to stop it slipping off the bottom of the
mattress.
at the same time to provide warmth and
adequate covering.
To convert closed bed to open bed
To promote client’s comfort. Keeping call
light and articles of care within reach
promotes client’s safety.
Paez, Marcella M.
BSN-1C Group 11
PERFORMANCE CHECKLIST IN BEDMAKING

Station 3: Occupied Bed

I. I. Important Points to Consider in

Bedmaking

A. Infection Control

1. Handles linen carefully. To avoid transfer of pathogens to other

patients and the environment

2. Holds both soiled and cleans linen away To prevent contamination of the clean linen
from her uniform. by the uniform and contamination of the
uniform by soiled linen.

3. Washes hands before and after the To prevent spreading of germs or

procedure. microorganisms

B. Body Mechanics:

4. When she must bend, bends her knees and To minimizes strain on back.
not her back.

5. Faces her entire body in the direction in Always provide patient comfortability.
which she is moving and avoids twisting.

6. Organizes her work and conserves steps. Rhythmical movements at moderate speed
require less energy.

II. Procedure for Bedmaking

A. Assessment

7. Checks activity order for patient. To confirm whether it is possible for the
patient to be out of bed during the bed
making procedure.

8. Assesses patient for possible incontinence To determine whether there are factors
or having excess discharge on bed. present that might affect the ability of the
patient to be out of bed during bed making
procedure.

9. Checks condition of linen on bed. To determine which items of linen you will
 need to complete the bedmaking procedure.

10. Checks for special needs of your patient. We need to check any special needs of the
patient that might require extra linen or
special equipment

B. Planning

11. Washes hands and dons clean gloves. To prevent spreading of germs.

12. Obtains laundry hamper or bag. To save time.

13. Gathers linen to be used. To save time.

14. Obtains other needed items or To save time and make procedure more
equipment. organized.

C. Implementation

15. Explains what procedure is to be done to Providing information fosters cooperation.

the patient, provides privacy.

16. Removes attached equipment and To help reduce risk and to provide wide
blanket from bed. Folds blanket, if to be re- access to bed.
used.

17. Raises bed to appropriate working height. To prevent fatigue.

Be certain wheels are locked.

18. Places bath blanket over top sheet, and Bath blanket provides warmth and keeps
pulls top sheet out from under it. body parts covered during linen removal.

19. Positions patient on side lying to facilitate Turning client into side provides space for
application of linen on the other side of the placement of clean linen.
bed.

20. Loosens bottom linen on nearer side and Prepares for removal of all bottom linen.
lifts side rails. Provides maximum work space for placing
clean linen.

21. Carefully removes pillow from patient's Pillow is comfortable measure for the
head. Removes pillow case and re-uses as patient.
laundry bag if hamper is unavailable.

22. Fanfolds each place towards center of To make it easier to reach.

bed and tucks under patient's back and
buttocks.
 23. Places and tucks bottom sheet on bed, Ensures secure flat sheet will not loosen
mitering sheet at top corner. easily.

24. Places rubber sheet and draws sheet in Used to protect the bottom sheet from
the same manner. soiling due to patient’s secretions and
prevent patient from getting bedsore.

25. Helps patient roll over folded linen and Turning client unto side provides space for
untucks clean linen. Adjusts pillow and lifts placement of clean linen. Side rail ensures
side rail. client’s safety toward falls from the bed
surface and help clients in moving.

26. Moves to other side of the bed and Expose opposite side of bed for placement of
lowers side rail. clean linen. Makes linen easier to remove.

27. Loosens bottom linen, removes all soiled Soiled linens can contaminate your uniform,
linen and places them in a laundry bag. which may come into contact with other
patients.

28. Straightens all linen, tucks and miters Smooth linen will not irritate the client’s skin.
accordingly.

29. Moves patient to center of bed. Maintains client’s comfort.

30. Places top sheet on bed and removes Sheet prevents exposure of body parts.
bath blanket from beneath it.

31. Adds blanket. Tucks at bottom part and Blanket should be placed to cover client
miters. completely and provide adequate warmth.

32. Applies clean pillow case and replaces it Pillow case keeps the pillow clean and neat.
under patient’s head.

33. Reattaches call light and any other To prepare for the next procedure.
equipment removed.

34. Places bed 1 a low position and adjusts It provides patient’s comfort.
side rails appropriately.

Paez, Marcella M.
BSN-1C Group 11
 PERFORMANCE CHECKLIST IN BEDMAKING
Station 2: Post Op or Surgical Bed
I. Important Points to Consider in Bedmaking
A. Infection Control:
1. Handles linen carefully.
2. Holds both soiled and cleans linen away
from your uniform.
3. Washes hands before and after the
procedure.
B. Body Mechanics:
4. When she must bend, bend her knees and
not her back.
5. Faces her entire body in the direction in
which she is moving and avoids twisting.
6. Organizes her work and conserves steps.
II. Procedure for Bedmaking
A. Assessment
7. Assesses potential for patient being
incontinent or having excess discharge on
bed.
8. Checks condition of linen on bed.
9. Checks for special needs of the patient.
B. Planning
10. Washes hands and dons clean gloves.
11. Obtains laundry hamper or bag.
12. Gathers linen to be used.
13. Obtains other needed items or
equipment.
C. Implementation
14. Raises bed to appropriate working height.
Be certain wheels are locked.
15. Removes cases from pillow.
16. Loosens top and bottom linen from
mattress.
To avoid transfer of pathogens to other
patients and the environment
To prevent contamination of the clean linen
by the uniform and contamination of the
uniform by soiled linen.
To prevent the spread of infection.
To minimizes strain on back.
It lessens the susceptibility of the back to
injury.
Rhythmical movements at moderate speed
require less energy
It lessens the susceptibility of the back to
injury.
To determine which items, need to be
replaced or added to complete during bed
making procedure
To determine whether there are factors
present that might affect the ability of the
patient to be out of bed during bed making
procedure.
To prevent spreading of microorganisms.
To save time.
To save time.
To save time and make procedure more
organized.
To prevent fatigue.
To maintain the airway.
Placing folded or rolled soiled linen close to
the client allows more space to place the

17. Removes items to be re-used, folds and
places across back of chair.
18. Removes remaining linen and place in
hamper.
19. Turns mattress if necessary.
20. Moves mattress to head of bed.
21. If gloves were worn, removes and washes
hands before touching clean items.
22. Places bottom sheet on bed.
23. Miters top corner of bottom sheet.
24. Tucks remainder of sheet under.
25. Places rubber sheet on bed.
26. Places cloth draw sheet over rubbed
sheet. Tucks near edge.
27. Goes to the other side. Tucks bottom
sheet under head of bed, and miters corner.
Tucks remainder of sheet.
28. Tucks under sheet and draws sheet
snugly.
29. Places top sheet on bed, using centerfold
as guide.
30. Folds top sheet away from foot and head
of bed to form a cuff.
31. Fan folds far linen to near side of the bed.
32. Places hot water bags in between
fanfolds.
33. Places pillow against headboard and puts
bed on raised position.
34. Puts IV stand, kidney basin, tissue and
other needed items on bedside.
clean bottom sheets.
Remove and fold to avoid the spreading of
bacteria.
To avoid spreading of bacteria.
If you can see a slight sag or feel that your
mattress isn't offering the comfort that you
expect, use your own judgement and rotate
your mattress when needed.
In order to inclined the position and to allow
easy removal of linen
To avoid the bacteria because the gloves is
used to remove the dirty linen and it is
possible to spread the bacteria in the clean
items.
To fix the position of the bedsheet
To align the top of the edge of the sheet with
the top edge of the mattress.
Tucking pieces together saves time and
provides neat, tight corners.
To protect mattress from bed wetting
To stops the bed linens from slipping out of
place
To keep bed clean
To protect the mattress
To be able to place the bed sheet properly
For the bed to be look clean
To keep it neat
Hot water bags (or hot bottles) prevent the
client from taking hypothermia.
Always put the bed in position where in the
patient will be comfortable.
To prepare it to hang I.V soon. To receive
secretion and to save time.