DMC COLLEGE FOUNDATION, INC.

College of Nursing

PERFORMANCE CHECKLIST

Name:
Year and Section:

CLOSED BED U F S
N A A
S I T
Definition:
A R I
T S
I F
S A
F C
Purposes:
A T
C O
T R
O Y
R
Y

Procedure:

1. Gather linens in the order of use.

2. Perform hand hygiene.

3. Raise the bed to a comfortable working height.

4. Place a clean bottom linen on the bed. Start with the bottom edge even with
foot end of bed with center fold in the middle of the bed, then spread. Do the
same with the rubber sheet (the rubber sheet should cover the bed from the
clients shoulders to below the hips) and draw sheet, smoothen out the
wrinkles as much as possible, tuck in and miter the top edge of the bottom
linen (from top to bottom), and tuck in the rubber and draw sheet together
with the bottom sheet.

5. Place top linen on bed, using center fold as a guide, then unfold, making sure
the upper hem is at the level of the upper edge of the mattress. Next, place
blanket which is 6-8 inches below the upper hem of the top sheet. Then place
the spread sheet 1-2 inches above the upper hem of the blanket.

6. Make one side of the bed to conserve time, energy and movement and
contribute to the smoothness of the sheets then proceed to the other side of
the bed. Pull the folded sheet from the center of the bed, then straighten.

7. Fan-fold linens to the middle part of bed after it is made.

8. Make a toe pleat 2-4 inches wide. Tuck in the foot part of the last 3 sheets,
then miter.

9. Take the pillow and cover with pillow case, taking care to keep pillow and case
away from the uniform.
10. Place half of the pillow with case under the top sheet, making sure that the
opening of the pillow case is away from the door opening.

11. Place call light and other items attached to bed within patient’s reach.

__________________________________________
Clinical Instructor / PCI

____________________________________
Date and Grade
 DMC COLLEGE FOUNDATION, INC.
College of Nursing

PERFORMANCE CHECKLIST

Name:
Year and Section:

OPEN BED U F S
N A A
S I T
Definition:
A R I
T S
I F
S A
F C
Purposes:
A T
C O
T R
O Y
R
Y

Procedure:

1. Gather linens in the order of use.

2. Perform hand hygiene.

3. Raise the bed to a comfortable working height.

4. Place a clean bottom linen on the bed. Start with the bottom edge even with
foot end of bed with center fold in the middle of the bed, then spread. Do the
same with the rubber sheet (the rubber sheet should cover the bed from the
client’s shoulders to below the hips) and draw sheet. Smoothen out the
wrinkles as much as possible, tuck in and miter the top edge of the bottom
linen (from top to bottom), tuck in the rubber and draw sheet together with
the bottom sheet.

5. Place top linen on bed, using center fold as a guide, then unfold, making sure
the upper hem is at the level of the upper edge of the mattress. Nest, place
blanket which is 6-8 inches below the upper hem of the top sheet. Then place
the spread sheet 1-2 inches above the upper hem of the blanket.

6. Make one side of the bed, then proceed to the other side of the bed. Pull the
folded sheet from the center of the bed, then straighten.

7. Fan-fold linens to the middle part of bed after it is made.

8. Do a “triangular fold” of the top 3 linens on the upper corner facing the door.

_______________________________________
Clinical Instructor / PCI

____________________________________
Date and Grade
 DMC COLLEGE FOUNDATION, INC.
College of Nursing

PERFORMANCE CHECKLIST

Name:
Year and Section:

POST-OP BED U F S
N A A
S I T
Definition:
A R I
T S
I F
S A
F C
Purposes:
A T
C O
T R
O Y
R
Y

Procedure:

1. Gather linens in the order of use.

2. Perform hand hygiene.

3. Raise the bed to a comfortable working height.

4. Place a clean bottom linen on the bed. Start with the bottom edge even with
foot end of bed with center fold in the middle of the bed, then spread. Do the
same with the rubber sheet (the rubber sheet should cover the bed from the
clients shoulders to below the hips) and draw sheet. Smoothen out the
wrinkles as much as possible, tuck in and miter the top edge of the bottom
linen (from top to bottom), tuck in the rubber and draw sheet together with
the bottom sheet.

5. Place top linen on bed, using center fold as a guide, then unfold, making sure the
upper hem is at the level of the upper edge of the mattress. Next, place blanket
6-8 inches below the upper hem of the top sheet. Then place the spread sheet
1-2 inches above the upper hem of the blanket.

6. Make one side of the bed, then proceed to the other side of the bed. Pull the
folded sheet from the center of the bed, then straighten.

7. Fan-fold linens to the middle part of bed after it is made.

8. Make a toe pleats 2-4 inches wide. Tuck in the foot part of the last 3 sheets, then
miter.

9. Take the pillow and cover with clean pillow case, taking care to keep pillow and
case away from the uniform.

10. Fan-fold the first 3 top linens to far side on foot part of the bed.
11. Place 6-8 hot water bags (same number on each side).

12. Unfold the first 3 linens to the head part to cover the HWB and to warm bed
linens.

13. Leave the bed in high position.

14. Change the pillowcase and leave the pillow on a chair or at the foot of the bed
to be accessible for placement under the client’s head.

15. Arrange appropriate items (emesis basin, tissue, IV stands) at bedside.

16. Move all objects away from the other side of the bed area.

17. Fold back the first 3 top linens to far side on foot part of the bed, when you’re
about to transfer the patient from the recovery room on a stretcher to the bed
made.

18. Position patient flat on bed (as per doctor’s order), unfold the first 3 linens to
cover the patient. Leave the patient with both side rails up.

______________________________________
Clinical Instructor / PCI

____________________________________
Date and Grade
 DMC COLLEGE FOUNDATION, INC.
College of Nursing

PERFORMANCE CHECKLIST

Name:
Year and Section:

OCCUPIED BED U F S
N A A
Definition:
S I T
A R I
T S
I F
S A
Purposes:
F C
A T
C O
T R
O Y
R
Y

Procedure:

1. Explain to the patient what is to be done.

2. Perform hand hygiene.

3. Close the door or curtain.

4. Gather linens in the order of use.

5. Raise bed to convenient working level. Move client toward the near side of the
bed.

6. Strip off all top 3 linens. Position bath blanket and remove spread, top sheet,
and blanket in one movement. If the top linens are to be reused, fold and place
them in a chair. Linens should be folded and not fluffed in the air.

7. Place linens not to be reused in a laundry hamper or linen bag. Avoid contact
with your uniform.

8. Roll patient too far /opposite side of bed, making sure side rail (far side) is up.
Adjust the pillow under the head.

9. Loosen bottom, rubber, and draw sheet on near side of bed and fan-fold it
toward center of bed. Fan-fold other half of clean bottom linen, rubber, and
draw sheet and tuck under the patient’s back and buttocks. Do the same for the
rubber sheet and draw sheet.

10. Place a clean bottom linen on the bed. Start with the bottom edge even with
foot end of bed with center fold in the middle of the bed, then spread. Do the
same with the rubber sheet (the rubber sheet should cover the bed from the
clients shoulders to below the hips) and draw sheet, smoothen out the wrinkles
as much as possible, tuck in and miter the top edge of the bottom linen (from
top to bottom), tuck the rubber and draw sheet together with the bottom sheet.
11. Help patient roll over the folded linen. Raise the side rail and move to opposite
side of the bed. Lower the side rail on that side of bed.

12. Loosen soiled linens, remove from bed by folding toward the center or one end
of the bed (hold the linens away from your body) and place them in a laundry
hamper.

13. Pull the fan-folded linen under the patient’s body, then spread. Do the same with
the rubber sheet and draw sheet. Smoothen out the wrinkles as much as
possible. Tuck in and miter the top edge of the bottom linen (from top to
bottom), tuck in the rubber and draw sheet together with the bottom sheet.

14. Place the top sheet over the patient with the seam side up, the center crease
should be at the center of bed. Unfold the sheet from head to toe without
covering patient’s face.

15. Have the client grasp the top sheet while you pull the soiled sheet or bath
blanket from under the clean sheet.

16. Place blanket 6-8 inches below the upper hem of the top sheet, then place the
spread sheet 1-2 inches above the upper hem of the blanket.

17. Proceed to the other side of the bed. Pull the folded sheet from the center of
the bed, then straighten.

18. Tuck the upper hem of the spread sheet under the blanket then fold back the
top sheet over the spread sheet.

19. Make a toe pleat 2-4 inches wide. Tuck in the foot part of the last 3 sheets, then
miter.

20. Change pillowcase.

a. Grasp the close end of a clean pillowcase at the center point.
b. With the other hand, hold the open end of the case.
c. Invert the case over your hand and forearm (at the closed end) by
pulling the open end of case back toward the closed end. Maintain
your grasp at the closed end.

21. Reattach call light within the client’s reach and arrange unit. Place bed in low
position.

22. Assist patient to a comfortable position

23. Perform hand hygiene and document your care.

_________________________________________
Clinical Instructor / PCI

___________________________________
Date and Grade