CALAMBA DOCTORS’ COLLEGE

Virborough Subdivision, Parian, Calamba City, Laguna

Performance Evaluation Checklist

Name: ________________________ Date:_______________

Year and Section: _______________

PERFORMING BED MAKING- OCCUPIED BED

INSTRUCTION: Rate the nursing skill performance of the student based as follows: 5 = Perfect (91-100) 4 = Very
Satisfactory (85-90) 3 = Satisfactory (80-84) 2 = Poor (79-75) 1 = Need Improvement (74 and below)

EQUIPMENT
 Two flat sheets or one fitted and one flat sheet
 Cloth draw sheet
 One blanket
 One bedspread
 Incontinent pads
 Pillowcase(s)
 Plastic Laundry Bag

ASSESSMENT 5 4 3 2 1 Comments
1. Assess skin condition and need for a special mattress
(e.g., an egg-crate mattress), footboard, or heel
protectors.
2. Assess client’s ability to reposition self.
3. Determine presence of incontinence or excessive
drainage from other sources indicating the need for
protective waterproof pads.
4. Note specific orders or precautions for moving and
positioning the client.
PROCEDURE
1. Explain to the client what you are going to do, why it is
necessary and how she/he will cooperate.
2. Perform hand hygiene and observe other appropriate
infection control procedures. Apply clean gloves if linen is
soiled with body fluids.
3. Provide for client’s privacy.

4. Remove the top bedding.

 Remove any equipment attached to the bed linen,
such as a signal light.
 Loosen all top sheet over the client (the top sheet can
remain over the client if it is being changed and if it
will provide sufficient warmth), or replace it with a
bath blanket as follows:
a. Spread the bath blanket over the top sheet
b. Ask the client to hold the top edge of the
blanket.
 c. Reaching under the blanket from the side,
grasp the top edge of the sheet and draw it
down to the foot of the bed, leaving the blanket
in place.
d. Remove the sheet from the bed and place
it in the soiled portable hamper.

5. Change the bottom sheet and draw sheet.

 Raise the side rail that the client will turn toward. If
there is no side rail, have another nurse support the
client at the edge of the bed
 Assist the client to turn on the side away from the
nurse and towards the raised side rails.
 Loosen the bottom linens on the side of the bed near
the nurse
 Fanfold the dirty linen towards the center of the bed
as close to and under the client as possible.
 Place the clean draw sheet on the bed with the center
fold at the center of the bed. Fanfold the uppermost
half vertically at the center of the bed and tuck the
near side edge under the side of the mattress.
 Assist the client to roll over toward you, over the fan
folded bed linens at the center of the bed, onto the
clean side of the bed.
 Move the pillows to the clean side for the client’s use.
Raise the side rails before leaving the side of the bed.
 Move to the other side of the bed and lower the side
rails.
 Remove the used linen and place it in the portable
hamper.
 Unfold the fan folded bottom sheet from the center of
the bed.
 Facing the side of the bed, use both hands to pull the
bottom sheet so that it is smooth and tuck the excess
under the side of the mattress.
 Unfold the draw sheet fan folded at the center of the
bed and pull it tightly with both hands. Pull the sheets
in three divisions: (1.) facing the side of the bed to pull
the middle division, (2.) face the top corner to pull the
bottom division (3.) face the top corner to pull the top
division.
 Tuck the excess draw sheet under the side of the
mattress.
6. Reposition the client in the center of the bed.
 Reposition the pillow at the center of the bed.
 Assist the client requires or prefers and assist the
client to that position

7. Apply or complete the top bedding.

 Spread the top sheet over the client and either ask the
client to hold the top edge of the sheet or tuck it
under the shoulders. The sheet should remain over
the client when the bath blanket or used sheet is
removed.
 Complete the top of the bed
8. Ensure continue safety of the client.
 Raise the side rails. Place the bed in lower position
 before leaving the bedside.
 Attach the call light to the bed linen within the clients
reach
 Put items used by the client within easy reach.
9. Bed making is not usually recorded.
EVALUATION
 Conduct appropriate follow up, such as determining
client’s comfort or safety, patency of all drainage
tubes, and client’s access to call light to summon help
when needed.
 Reassess all tubing, oxygen apparatus, IV pumps and
so forth.
TOTAL RATING

STUDENT SIGNATURE: __________________________

CLINICAL INSTRUCTORS SIGNATURE: ____________