TM requirements

EVIDENCE PLAN

Qualification: Health Care Servicing NC II

Unit of Competency: Prepare and Maintain Beds

Module Title: Preparing and Maintaining Beds

Ways in which evidence will be collected: [tick the column]

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The evidence must show that the candidate… Uses personal protective equipment according to institutional policy. √ √ Adjusts bed height as necessary.* √ √ Clears bed surroundings of medical and other equipments before bed is stripped. √ √ Provides privacy, safety and comfort to patient/client. √ √ Checks bed linen for displaced personal items, aids and equipment and such

aid/equipment are placed in appropriate area/ container. √ √

Strips bed linen according to hospital/clinic/institution SOPs. √ √ Removes clinical waste and soiled linen according to hospital/clinic/institution

SOPs. √ √

Uses clean linen in making bed. √ √ Asks if the patient is comfortable after bed linens are replaced.* √ √ Makes patient comfortable after bed linens are replaced.* √ √ Handles reusable clean bed linen in accordance with institution procedures. √ √ Clean and disinfect mattresses and pillows in accordance with established

procedures.* √ √

Adjusts bed height for occupancy and apply brakes according to bed type.* √ √ Keeps beds and equipment accessible and ready for occupancy. √ √ Reports damaged bed and equipment to appropriate personnel.* √ √ Documents after care activities using appropriate forms/checklist. √ √ Discards soiled linen and clinical waste according to institutional SOPs. √ √ Cleans cleaning equipment. √ √ Stores cleaning equipment. √ √

Prepared by: Date:

Checked by: Date:

PRE-TRAINING ASSESSMENT INSTRUMENT

Module Title: PREPARING AND MAINTAINING BEDS

Name: _______________________________________

Institution: South Point College of Arts and Technology.

Direction: Using the scale shown below, please rate your present level of performance or competencies by checking the appropriate column.

1 – Not yet competent 2- Somewhat competent 3- Competent (Cannot do) (Can Do w/ Supervision) (Can Do w/o Supervision)

Performance LevelCompetency Area 1 2 3

Use personal protective equipment according to institutional policy. Adjust bed height as necessary.* Clear bed surroundings of medical and other equipments before bed is stripped. Provide privacy, safety and comfort to patient/client. Check bed linen for displaced personal items, aids and equipment and such

aid/equipment are placed in appropriate area/ container. Strip bed linen according to hospital/clinic/institution SOPs. Remove clinical waste and soiled linen according to hospital/clinic/institution

SOPs. Use clean linen in making bed. Ask if the patient is comfortable after bed linens are replaced.* Make patient comfortable after bed linens are replaced.* Handle reusable clean bed linen in accordance with institution procedures. Clean and disinfect mattresses and pillows in accordance with established

procedures.* Adjust bed height for occupancy and apply brakes according to bed type.* Keep beds and equipment accessible and ready for occupancy. Report damaged bed and equipment to appropriate personnel.* Document after care activities using appropriate forms/checklist. Discard soiled linen and clinical waste according to institutional SOPs. Clean cleaning equipment. Store cleaning equipment.

What other competencies/areas do you want to learn?________________________________________________________________________

Apply for Recognition of Prior Learning? Yes No

Candidate’s Signature:

QUESTIONNAIRE

I. Multiple ChoiceInstruction: Encircle the letter of your answer.

1. Which part of the bed where the head of patient is position?a. Foot Boardb. Head Gearc. Head Boardd. Head Part of the bed

2. It is a special bed frame placed within a circular frame.a. Gatch bedb. Electric bedc. Low bedd. CircOelectric bed

3. It is a turning frame that serves the3 same purpose as the CircOlectric but is operated manually.

a. Gatch bedb. Electric bedc. Stryker Frame d. CircOelectric bed

4. It is safety device used in preventing clients from falling out of bed.a. Head Boardb. Foot Boardc. Side Rails d. Mattress

5. Used to support the immobilized client’s foot in a normal right angle to the legs to prevent plantar flexion contractures.

a. Foot Boardb. Head Boardc. Foot Restd. Over Bed Table

II. Identification

1. It protects the bottom sheet and mattress from urine, feces or other body secretions? 2. It covers the protective rubber sheet because some patients are sensitive to rubber? 3. What is the sheet that covers the mattress? 4. How do you fold the top sheet? 5. How do you fold the bottom sheet and cotton draw sheet

ANSWER KEY

I. MULTIPLE CHOICE

1. D. Head Part of the bed

2. D. CircOelectric bed

3. C. Stryker Frame

4. C. Side Rails

5. A. Foot Board

II. IDENTIFICATION

1. RUBBER SHEET

2. COTTON DRAW SHEET

3. BOTTOM SHEET

4. RIGHT SIDE OUTSIDE

5. Wrong side out side

Session Plan

Sector : Health, Social & Other Community Development SectorQualification Title : Health Care Servicing NCIIUnit of Competency : Prepare and Maintain BedsModule : Preparing and Maintaining Beds

Learning Outcomes:1.) Prepare Area for Bed Making2.) Perform Bed Making

A. Introduction:

This unit covers the knowledge, skills and attitudes required in preparing, making beds and performing after care activities as well as providing comfort and safety to patient, preventing cross-contamination and nosocomial infection to clients.

B. Learning Activities:

LO 1: Prepare Area for Bed Making

Learning Content Presentation Practice Feedback Resources Time

Personal Protective Equipment used in Bed Making.

Read Information sheet/ manual/ brochure about Personal Protective Equipment used in bed making.

Self check(answer written questions)

Compare to answer key

Information sheets

Questionnaire and answer key

PPEs

Equipment used in providing privacy, safety, and comfort to client.

Read Information sheet/ manual/ brochure about equipment used in providing privacy, safety, and comfort to client.

Self check(answer written questions)


Information sheets


PPEs Draping, Side

rails, Pillow, gowns and Linens

LO 2: Perform Bed Making

Learning Content Presentation Practice Feedback Resources Time

OSH policies and procedures

Read Information sheet/ manual/ brochure about OSH policies and procedures

Self Check (answer written questions)


Information Sheet


Infection Control Policies and Procedures

Read Information sheet/ manual/ brochure about infection Control Policies and Procedures

Follow steps on Infection Control Procedures


Performs steps on Infection Control Procedures


Observation on demonstration of steps on Infection

Information Sheet


PPEs Demonstration

Checklist

(Hand washing, Gloving and wearing of gown )

(Hand washing, Gloving and wearing of gown)

Control Procedures (Hand washing, Gloving and wearing of gown )

Trainer delivers individual constructive criticism and provides rating and advice regarding the trainee’s performance.

Safe Manual Handling Techniques

Read Information sheet/ manual/ brochure Safe Manual Handling Techniques

View films on safe manual handling techniques.

Follow steps on Safe Manual Handling Techniques



Perform steps on Safe Manual Handling Techniques



Observe on demonstration of Safe Manual Handling

Information Sheet


Film on safe manual handling techniques.

LCD Projector

Speaker

Laptop / VCD Player

Demonstration checklist

Techniques


Correct bed making procedures in hospital corners

Read Information sheet/ manual/ Textbook (Fundamental of Nursing Procedures) about Correct bed making procedures in hospital corners

View films on Correct bed making procedures in hospital





Information Sheet

Textbook (Fundamental of Nursing Procedures)


Film on Correct bed making procedures in hospital corners both unoccupied bed making and occupied

corners both unoccupied bed making and occupied bed making

Follow the steps on correct bed making procedures in hospital corners both unoccupied bed making and occupied bed making and allots time for practice and consultations.

Return demonstration on Correct bed making procedures in hospital corners both unoccupied bed making and occupied bed making


bed making

LCD Projector

Speaker

Laptop / VCD Player

CBLM on correct bed making procedures in hospital corners both unoccupied bed making and occupied bed making .

PPEs

Bed

Mattress

Linens (5)

Pillow

Pillow case

Hamper

Demonstration Checklist

C. Assessment Plan

Written Test: Questions on Personal Protective Equipments used in bed making, Principles of Bed making and Types of Beds.

Performance Test: Return Demonstration on:

Prepare Area for Bed Making Making Unoccupied Beds according to established Institution Procedure Making Occupied Beds according to established Institution procedure

D. Teacher’s Self Reflection of the Session:

Prepared by: JUNARD M. LU HAP, RN

Inspection Summary Report

Area/Section:Practical Work Area In-Charge: Trainer

Findings Recommendations1. The floor is wet due to spilled

water from bed bathing- Mop the floor and keep it dry at

all times.2. The walls are not free from dust

and cob webs - Dust off the dust and remove the

cob webs from the walls.3. One of the electric fan is out of

order- Report the said defective electric

fan for repair. 4. One of the side rail is not

functioning well- Repair the said side rail

5. One fluorescent bulb is out of order

- Buy a new fluorescent bulb and replace the defective one

WHEELCHAIR1. The wheels are still functional

and in good condition.- Maintain the good condition of

the wheels.2. The brakes are not in good

working condition. - Report the said defective brake

and send it for repair.3. The grips and handles are still

functional and in good working condition.

- Maintain the good condition of the grips and handles.

4. The transfer belt is missing. - Report the missing transfer belt and request for replacement.

5. The foot rest are in good working condition.

- Maintain the good condition of the foot rest.

Inspected by: Junard M. Lu Hap, RN Date: ___________________________

Inspection Checklist

Area/Section: Practical Work Area . In-Charge : Trainer .

Y N CRITERIA

1. Is the floor dry and clean?

2. Are the walls free from dust and cob webs?

3. Is the ceiling free from cob webs?

4. Are the fluorescent bulbs functional?

5. Are the ceiling fans functional?

WHEELCHAIR

1. Are the wheels functional?

2. Are the brakes functional?

3. Are the grips or handles functional?

4. Is there available transfer belt?

5. Is the foot rest functional?

6.

7.

8.

9.

10.

11.

12.

13.

14.

Inspected by :______________________________

Date_______________________________________

Waste Segregation and Disposal

Area/Section : _____________________________________________________________________In-Charge : _____________________________________________________________________

GENERATED / ACCUMULATED WASTESWASTE SEGREGATION METHOD

RECYCLE COMPOST DISPOSEIV BOTTLES LEFT OVER FOOD DIAPER WITH URINE BROKEN THERMOMETER USED PLASTIC CUPS CRAMPLED PAPER BANANA PEELINGS USED SYRINGES X-RAY FILMS COTTON BALLS SOAKED WITH BLOOD

Maintenance Schedule

In-Charge :_____________________________________________

Technology Workshop:___________________________________

Station:________________________________________________

Tool/Equipment:_________________________________________

ACTIVITIESMONTH ____________________________

1 2 3 4 5 6 7 8 910

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PRACTICAL AREA

1. Check if the floor is dry and clean. ! ! ! ! ! ! ! ! ! !

2. Check if the walls are free from dust cob webs.

! !

! !

! !

! !

! !

3. Check if the ceiling is free from cob webs.

! !

! !

! !

! !

! !

4. Check if the fluorescent bulbs are functional.

! !

! !

! !

! !

! !

5. Check if the ceiling fans are functional.

! !

! !

! !

! !

! !

WHEEL CHAIR

1. Check the wheels. ! ! ! ! ! ! ! ! ! !

2. Check the brakes! ! ! ! ! ! ! ! ! !

3. Check the grips or handles! ! ! ! ! ! ! ! ! !

4. Check the transfer belt.! ! ! ! ! ! ! ! ! !

5. Check the foot rest. ! ! ! ! ! ! ! ! ! !

Legend: ! = Weekends

X = Not Checked O= Checked

Operation sheet

Operation title : Log Rolling the Patient Purpose : Logrolling is a technique used to turn a patient whose body must

at all times be kept in a straight alignment (like a log).Condition or situation forthe operation : In order to perform occupied bed making after a client receives

certain care/procedure leaving the bed soiled or soaked with bodily secretions.

Equipments :

Bottom sheets- Top sheets- Pillow case- Bedspread- Protective Rubber sheet or Plastic sheet- Draw sheet- Hospital Bed Side rails Soap and Water PPE

Gloves Hospital Uniform / Lab Gown Mask Shoes

Procedure:

1. Wash your hands and approach and identify the

patient (by checking the identification band) and

explain the procedure (using simple terms and

pointing out the benefits).

2. Provide privacy. Position the bed should be in the flat

position at a comfortable working height. Lower the

side rail on the side of the body at which you are

working.

3. Position yourself with your feet apart and your knees flexed close to the side of the

bed.

4. Fold the patient's arms across his chest. Place your arms under the patient so that a

major portion of the patient's weight is centered between your arms. The arm of one

nurse should support the patient's head and neck.

5. On the count of three, move the patient to the side of the bed, rocking backward on

your heels and keeping the patient's body in correct alignment.

6. Raise the side rail on that side of the bed and move to the other side of the bed.

7. Place a pillow under the patient's head and another between his legs.

8. Position the patient's near arm toward you. Grasp the far side of the patient's body

with your hands evenly distributed from the shoulder to the thigh.

9. On the count of three, roll the patient to a lateral position, rocking backward onto

your heels.

10. Place pillows in front of and behind the patient's trunk to support his alignment in the

lateral position.

11. Provide for the patient's comfort and safety which is position the call bell and place

personal items within reach. Also be sure the side rails are up and secure.

12. Report and record as appropriate.

Precaution:

Observe proper hand washing and handling of soiled linens Always initiate patient’s safety by locking the wheels of the bed, lowering the bed to

comfortable working height and raising the side rails up.

Keen observation and practice of proper body mechanics.

Observe proper waste management according to hospital policy.

Quality Criteria:

PPEs are used according to institutional policy. Patient’s privacy, comfort and safety are provided at all times.

Maintain high standards of infection control.

INFORMATION SHEET

Basics on Prepare and Maintain Beds: “The Types and Parts of Bed”

Introduction:

The room, especially the bed is the patient’s home while he or she is in the hospital or health care facility. A well- made bed offers both comfort and safety. It is an extremely important contribution to the well-being of the patient. (Hegner)

Because people are usually confined to bed when ill, often for long periods, the bed becomes an important element in the client’s life. A place that is clean, safe, and comfortable contributes to the client’s ability to rest and sleep and to a sense of well being. Basic furniture in a health care facility includes the bed, bedside table, overbed table, one or more chairs and a storage for clothing. Most bed units also have a call light, light fixtures, electric outlets, and hygienic equipment in the bedside table. Three types of equipment often installed in an acute care facility are a suction outlet for several kinds of suction, an oxygen outlet for most oxygen equipment and a sphygmomanometer to measure the client’s blood pressure. Some long-term care agencies also permit clients to have personal furniture, such as a television, a chair, and lamps at the bedside. In the home a client often has personal and medical equipment. (Kozier and & Erbs)

Types of bed Gatch bed- a stationary bed about 26 inches high. Modern facilities are equipped

with beds that can be raised to the desired height for bedside nursing or lowered to 13 inches to accommodate the out of bed patient. The position of the head and knee areas of the bed can be adjusted for comfort. This operation may be done manually by turning the cranks.

Electric bed- a bed similar to the gatch bed in that it can be raised or lowered and the knee and head areas can be adjusted. It is operated electrically.

Low bed- low beds are commonly used in health care facilities for patients who are at risk of fall, for whom used of side rails is not desirable. The bed frame is 4 to 6 inches from the floor to the top of the frame deck. These beds reduce the risk of injury if the patient falls from the bed. Some facilities place pads on the floor next to the bed to further reduce the risk of injury. Nursing assistants must use good body mechanics and mechanical lift when assisting patients into and out of these beds to prevent back injuries.

CircOlectric bed- a special bed frame placed within a circular frame. This bed is operated electrically. The circular frame can be rotated. The patient is secured on the inner frame before the bed is moved. The entire inner frame is rotated forward. This allows for position change without any stress on the patient. After rotating, the patient is on the abdomen.

Stryker frame, spinal bed or wedge bed- a turning frame that serves the3 same purpose as the CircOlectric but is operated manually. Once the patient is secured by placement of the upper frame, a crank is used to turn the entire frame and the patient. After turning, the patient is on the abdomen. The patient lies on the frame until turned once more.

Parts of Bed

Head part of the bed- it is where the head of patient is position. Foot part of the bed- it is where the foot of patient is position.

Side Rails- safety device used in preventing clients from falling out of bed. The use of side rails has been routine practice with the rationale that the side rails

serve as a safe and effective means of preventing clients from falling out of bed.

Footboards- Used to support the immobilized client’s foot in a normal right angle to the legs to prevent plantar flexion contractures.

Mattresses- large pad on which to sleep. They are used in hospitals to relieve pressure on the body’s bony prominences, such as the heels. They are particularly helpful for clients confined to bed for a long time. Additional information

JOB SHEETJob title: Bed Making

Unit: Prepare and Maintain Beds

Reading: Fundamentals of Nursing Procedures

Objectives:The Trainees should be able to:

Use personal protective equipment according to institutional policy. Provide privacy, safety and comfort to patient/client. Strip bed linen according to hospital/clinic/institution SOPs. Remove clinical waste and soiled linen according to hospital/clinic/institution SOPs. Use clean linen in making bed. Ask patient comfortable after bed linens are replaced. Make patient comfortable after bed linens are replaced. Make bed and equipment readily accessible for use. Report damaged bed and equipment to appropriate personnel. Document after care activities using appropriate forms/checklist. Discard soiled linen and clinical according to institutional SOPs. Clean cleaning equipment. Store cleaning equipment.

Laboratory Work:Equipment/ Materials Needed:

Bottom sheets Top sheets Pillow case Protective Rubber sheet or Plastic sheet Draw sheet Hospital Bed Chair Laundry Cart Soiled Linen Bin Soap and Water PPE

Gloves Hospital Uniform / Lab Gown

Mask Shoes

Cleaning Cloth

Procedure:Purpose:

To promote the client’s comfort To provide a clean neat environment for the client To provide a smooth, wrinkle free bed foundation, thus minimizing sources of skin

irritation. To handle soiled linens properly and prevent cross-contamination.

Assessment: Assess need for linen change- This determine when a linen change is necessary Assess patient’s condition- This determine of an unoccupied bed is necessary. Prior to performing the procedure, introduce self and verify the client’s identity.

Explain the procedure to the client what you are going to do, why it is necessary and how he or she can cooperate.- to minimize anxiety and fear and promote cooperation

Raise the bed to a comfortable working height and lock the wheels of bed. Wash hands and apply gloves Gather all linens and pillow needed and place it in order. Working from the foot of the bed place the clean bottom sheet and spread it going to

the head part of the bed. Tuck excess sheet under the mattress at the near side of the head of bed. Miter the bottom sheet at the top corner on that side.- a mitered corner is tighter and

less likely to come apart. Tuck sheet securely under the mattress.- makes patient’s corner neat and tight. Lay the protective rubber sheet on the center of bed. Lay the fabric/cotton draw sheet on the center of bed. Tuck both rubber and fabric draw sheet together from center going to side. Put pillowcase on the pillow:

o Pick-up side end of pillowcase.o Continue to firmly grip the end of the pillowcase.o Pick up the center of one end of pillow with the hand holding the gathered

pillowcaseo Pulls pillowcase over pillow with the other hand.o Adjust pillow corners in pillowcase by placing hand between case and pillow.

Place the pillow to the head part of the bed. Lay the top sheet and spread it going to the head part of the bed. Miter the top sheet at the bottom corner on that side. Move to the opposite side of the bed Starting at the head of the bed, pull the bottom sheet firmly so that there are no

wrinkles in it. Miter the top corner of the bottom sheet Tuck the excess sheet securely under the mattress. Pull the protective rubber sheet firmly and tuck it in at the side. Pull the fabric draw sheet firmly and tuck it in at the side. Pull the top sheet firmly and miter the bottom corner. Position the pillow on the top center of the bed Fold the top portion of the top sheet. Fanfold the top sheet. Wash your hand and remove the gloves.

Occupied bed:

Assessment: Assess for linen change Assess for patient condition Prior to performing the procedure, introduce self and verify the client’s identity.

Explain the procedure to the client what you are going to do, why it is necessary and how he or she can cooperate.- to minimize anxiety and fear and promote cooperation

Raise the bed to a comfortable working height and lock the wheels of the bed. Wash hands and apply gloves- to reduce transmission of microorganism, and

prevent spread of infection. Gather all linens and pillow needed and place it in order. Ask patient’s weak body part. Position patient to lateral side position thru log rolling. Secure patient’s privacy and safety Move to the opposite side of the bed Loosen the linens. Fanfold the top sheet first on the center of the bed Remove the pillowcase from the pillow and used it as a hamper Does the same with the draw sheet, protective rubber sheet and bottom sheet. Working from the foot of the bed place the clean bottom sheet and spread it going to

the head part of the bed. Tuck excess sheet under the mattress at the near side of the head of bed. Miter the bottom sheet at the top corner on that side.- a mitered corner is tighter and

less likely to come apart. Tuck sheet securely under the mattress.- makes patient’s corner neat and tight. Lay the protective rubber sheet on the center of bed. Lay the fabric/cotton draw sheet on the center of bed. Tuck both rubber and fabric draw sheet together from center going to side. Put pillowcase on the pillow:

o Pick-up side end of pillowcase.o Continue to firmly grip the end of the pillowcase.o Pick up the center of one end of pillow with the hand holding the gathered

pillowcaseo Pulls pillowcase over pillow with the other hand.o Adjust pillow corners in pillowcase by placing hand between case and pillow.

Place the pillow to the head part of the bed. Lay the top sheet and spread it going to the head part of the bed. Miter the top sheet at the bottom corner on that side. Create an opening by fan folding the top sheet going to the near edge of the bed. Position the patient to supine and transfer him/her to the other side of bed by side

lying position. Secure patient’s privacy and safety. Move to the opposite side of the bed Remove the soiled linens and place it on the portable hamper Starting at the head of the bed, pull the bottom sheet firmly so that there are no

wrinkles in it. Miter the top corner of the bottom sheet Tuck the excess sheet securely under the mattress. Pull the protective rubber sheet firmly and tuck it in at the side. Pull the fabric draw sheet firmly and tuck it in at the side. Pull the top sheet firmly and miter the bottom corner. Position patient to supine and move pillow to the top center of the bed. Miter the top sheet at the bottom corner. Disposed the hamper together with the protective rubber sheet in the bins. Wash hands and remove the gloves.

Evaluation:

1. Personal protective equipment is used according to institutional policy2. Privacy, safety and comfort is provided to patient/client3. Bed linen are stripped according to hospital/clinic/institution SOPs4. Clinical waste and soiled linen are removed according to hospital/clinic/institution

SOPs5. Clean linen are used in making bed 6. Patient are asked and made comfortable after bed linens are replaced7. After care activities are documented using appropriate forms/checklist8. Soiled linen and clinical waste are discarded according to institutional SOPs9. Cleaning equipment is cleaned and stored.

CBT SHOP LAY OUTOf

Health Care Servicing NC II

TM requirements

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