Bed Making Nursing Procedure Types of Beds Purposes and Principles General Instructions for Patient

Bed Making

Bed Making Nursing Procedure Types of Beds Purposes and Principles General Instructions for Patient &   Staff Nurses Need to be Learn different types of Beds for specific needs and purposes of clients i.e unoccupied bed, Occupied bed,

Bed Making Nursing Procedure Types       

Unoccupied Bed,

Occupied Bed,

Cardiac Bed,

Fracture Bed,

Critical Care Bed,

Maternity Bed,

Electric Bed

Bed Making Nursing Procedure Types Purposes and Principles

  1. To Make Clients comfort,
  2. To observe clients,
  3. To provide clean and Hygienic environment for the client,
  4. To provide client with safe and comfortable Bed making to take Rest and promote sleep,
  5. To adopt the needs of clients,
  6. To be ready for any critical illness,
  7. To provide Nursing care to the Clients

Principle for Bed making Nursing Procedure

Prevent cross infection and multiplication of microorganism during Bed Making,

Procedure application of strict aseptic Technique,

Hand wash before and after procedure

Change linen frequently to ensure cleanliness,

Damp dusting recommended for cleaning with soap water, disinfectant solution,

Comfortable, Clean and Safe Bed Making will ensure rest and promote sleep and also prevent complications of prolonged bed ridden patient, i.e, Pressure sore, foot drop,

Make bed wrinkle free and smooth,

Maintain good body alignment and body mechanics to prevent fatigue,

Follow systemic ways of functioning saves energy and times,

Bed Making Nursing Procedure General Instructions,

Before Bed Making and after Bed Making procedure does the Hand wash it can prevent and Minimise cross infection,

Do not mix clean and soiled clothes,

Maintain good body mechanics,

Protect economy of time, Material and energy,

Make the bed firm smooth and unwrinkled

Practice economy of time, energy and material

Arrange the bed clothes in such a way that they allow freedom in the day time but come over the shoulders at night and the top linen loose over the feet.

The mattress must be turned aired and made free of lumps and creases.

Make adaptations according to weather climatic differences,

Individual needs customs and habits of our clients.

Always get extra help to make a bed for helpless patients and prevent them from falling.  i.e., the side rails may be used to prevent them falling,

Keep a reasonable distance from the face of the patient to prevent cross infection.

Check the cot, mattress and pillows daily for the presence of vermin’s and destroy them if found on the bed.

The nursing principles such as individually, comfort, safety and good workman ship should be kept in mind during the bed making.

Unoccupied Bed Making
Empty Hospital Beds

Unoccupied bed making is done the bed is empty (Patient not at bed), Unoccupied bed is the easiest Bed Making procedure,


–   To make a bed which comfortable and safe for the patient, neat, economical in time and effort.

Preliminary assessment

Check the doctor’s order for specific precautions regarding the movement and positioning of the patient.

Assess the patient ability for self care.

Check the furniture and linen available in the patient’s unit.

Assess the number of clean linen needed.

Assess the articles needed for comfort of the patient. E.g. blankets back rest et

Preparation of the articles

The usual articles and supplies  in the patient’s unit are:


Mattress and pillows

Chair or stool

Bedside table

Bed side  locker.



Articles needed for the complete hange of linen are:

Mattress covers.

Towel sheet.

Draw sheet.

Pillow case.

Detergent powder in a container.

Tray Containing:

–          Basin with water and a duster.

–          2 sheets

–          Draw sheet and mackintosh

–          Blanket if necessary

–          Counter pane and pillow, pillow case

–          Kidney tray, paper bag

Unoccupied Bed Making Procedure:

  1. Place stool or chair at the foot end of the bed, locker at 45 degree angle.
  2. Collect the cleaning equipment and clean linen. Place on the stool or chair in the order of use.
  3. Loosen the bed linen starting from head end and go round.
  4. Dust the mattress and the cot from head end to foot end. Then clean the bottom and legs of the cot.
  5. Place the sheet on the mattress keeping the center fold in the center of the bed. Unfold the sheet keeping the right side of the hem, upper most.
  6. Pull the sheet to the foot end of the bed. If long enough, tuck 30-37 cms under the top of the mattress and make a mitred corner. Tuck at the food end and along the sides of the mattress.
  7. if the sheet is short place the sheet at the foot end edge of the mattress and tuck on the side nearest to the nurse.
  8. Centre the mackintosh on the mattress with the upper edge about 16 inches from the top of the mattress. Centre the draw sheet over the mackintosh and tuck in at the sides of the mattress.
  9. Centre the top sheet on the foundation with the wrong side of hem upper most and place the top sheet hem at the edge of the mattress. Pull the sheet to the foot end of the bed and make the mitred corner at the lower edge of the mattress on the side nearest to the nurse.
  10. Centre the blanket on the top sheet. Place the upper edge of the blanket 8 inches below the top of the bed. Fold the top sheet over the blanket. Tuck in the lower edge of the blanket under the mattress. Make the mitred corner.
  11. Centre the counterpane on the bed. Place the upper edge of the counter pane even with the top edge of the mattress. Pull the counterpane at the foot of the bed. Tuck in and make the mitred corner. Leaving the sides of the counterpane hanging free.
  12. Go to the opposite side of the bed. Fan fold each piece of linen at the center of the bed in order. Repeat the steps from 5 to 9.
  13. Return to the opposite side of the bed. Cover the pillow with the pillow case. Adjust the pillow case to the size of the pillow. Place the pillow under the counter pane.
  14. Clean the locker and chair replace the locker and the chair in the respective place. Aline the cot with other cots in the ward. Wash, dry and replace equipment.

  1. For remarking the bed

(a)    Place stool or chair at foot end of the bed and the locker at 45o angle the bed.

(b)   Untuck the bed linen from all sides and place pillow on the stool or chair.

(c)    Fold the linen from the head end to the foot end.

(d)   Fold the counter pane, blanket and top sheet in quarter and place them in stool or chair one by one with the open ends away from the ward entrance.

(e)    Fold the draw sheet and dust the mackintosh fold and put them on stool (or) chair.

(f)    Fold the bottom sheet and put it on the stool.

(g)   Dust the mattress and cot.

(h)   Repeat the steps from 5 to 10.

For admission bed:

a) Fan fold the top linen at the foot end of the bed.

b) Use long bed mackintosh and two sheets.

For fracture bed:

Use fracture bed or wooden boards and firm mattress


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