What are the steps for changing bed sheets for bedridden patients?

In daily life, everyone cannot avoid taking care of bedridden patients. Each patient's condition is different. Some patients can get out of bed for a short time, but some patients' conditions are very serious and they cannot get out of bed at all. At this time, changing the bed sheets for the patients will become a very tricky problem. If you have no experience, you have no idea how to change the bed sheets. You can learn the following methods.

Method for changing bed sheets for bedridden patients:

(1) Keep the bed clean and make the patient feel comfortable.

(2) Prevent the occurrence of complications such as pressure ulcers.

(3) Keep the environment clean and beautiful.

(1) Preparation of supplies: large sheet, quilt cover, pillowcase, medium sheet, bed brush, bed cover, dirty clothes bag, and clean clothes when needed.

(2) Environmental preparation: No patients are receiving treatment or eating in the same ward, and the indoor temperature is adjusted according to the season.

(3) Patient preparation: Patient understanding and cooperation.

(4) Nurse preparation: Dress neatly, wear a mask, wash hands, take off watch, and prepare all necessary supplies.

(1) Operation steps:

① Before changing the sheet: the nurse brings supplies to the bedside → explains and illustrates the cooperation method → ​​closes doors and windows as appropriate → moves the bedside table 20 cm away from the bed → moves the chair to the bedside, and the nursing cart to the center of the end of the bed → lays flat the bed frame, loosens the quilt tail → helps the patient turn over, lie on his side, and face away from the nurse → loosens the sheets on the near side → rolls the middle sheet under the patient → sweeps the rubber sheet clean and puts it on the patient → rolls the large sheet under the patient, and sweeps the mattress clean.

②Change sheets and quilt covers: unfold the clean large sheet along the center line → tuck the far 1/2 under the patient → spread the large sheet on the near side → lay the rubber sheet flat → spread the clean middle sheet → tuck the middle sheet and rubber sheet under the cushion → the patient turns over and lies on his side → loosen the sheets and place the dirty middle sheet at the end of the bed → sweep the rubber sheet clean and put it on the patient → take out the dirty sheet and place it under the cart → sweep the mattress, place the bed brush cover under the cart, and place the bed brush on the cart → spread the large sheet, rubber sheet and middle sheet on the opposite side → the patient lies flat → spread the clean quilt cover on the quilt and open the tail end → fold the cotton batting into three longitudinally → take it out and pull it into an "S" shape, place it in the clean quilt cover → unfold and flatten the cotton batting → remove the dirty quilt cover → fold it into a quilt tube and fold the tail end inward → change the pillowcase and smooth it out.

③After changing the bed sheet: put the bedside table and chair back in place → tidy up the bed unit, make the patient lie comfortably → open the window for ventilation and wash hands.

① The dirty middle sheet and large sheet should be rolled inwards and inserted under the patient with the dirty side facing inwards, and the clean large sheet and middle sheet should be rolled inwards with the clean side facing inwards.

② For patients who cannot turn over and lie on their side, the supine bed changing method should be adopted, changing the sheets from the head to the foot of the bed. When changing the sheets while lying flat, first take out the pillow and unpack it. After spreading the large sheet, change the pillowcase first and then the quilt cover.

(2) Notes:

① Move quickly, gently and steadily, and do not turn or expose the patient too much to avoid fatigue and cold.

② Pay attention to observe the patient's condition and any abnormal changes in the patient's skin. Patients with drainage tubes should prevent the tubes from twisting, being compressed or falling off.

③ The principles of human mechanics should be applied in order changes to save physical strength and time and improve work efficiency.

④The patient’s clothes, bed sheets, and quilt covers should be changed 1 to 2 times a week and replaced promptly if contaminated. To prevent cross infection, use one bed and one towel for wet sweeping and disinfect after use. It is prohibited to pile up changed clothes in wards or corridors.