Procedure-1  The postoperative bed

Assessing 

1.The patient: the diagnosis and conditions of the patient, the area of the operation, the anesthetic way of the patient.

2. Environment: the patients being in the presence or absence of eating or treating in the ward.

3. Equipment: the bed being in the presence of or absence of meeting safe demand; linens being in the presence of or absence of damage; emergency or treatment equipment for postoperative patient being in the presence of or absence of good working and meeting their demand.

Planning

1. Expected objectives:

(1) Finish the procedure in the given time correctly.

(2) Emergency or treatment equipment for postoperative patient being in good working and meeting their demand.

(3) The postoperative bed shall be smooth, tight, comfortable, safe and usefulness and met the postoperative patient demand.

2. Preparing:

(1) The nurse: the unit, cap, shoes and mask. 

(2) Assemble equipment: Linens: a soft mattress pad, a mattress pad, a bottom sheet, two rubber drawsheet and cotton drawsheet, a coating, a quilt, a pillow, a pillowcase; anesthetic plate: a stethoscope, a sphygmomanometer, a curved basin, tissues paper, paper bag, safety pins, a flashlight, paper and pens and sterile container containing a tongue blade, gauze squares, nasal catheters, suction catheters and a mouth gag or bite block; a hot water bag with hot water at temperature of less than 50??and cover if necessary.

(3) Assemble equipment shall be arranged according to used order and meet convenient principles.

(4) Environment: the patients being in the absence of eating or treating in the ward.

(5) Preparing emergency equipment according to the patient?ˉs condition.

Action

1. Put on your uniform, cap and shoes. Wash your hands and take off the watch.

2. Carry the nursing cart to the foot of the bed, check in the bed card; strip the bed; move the bedside table about 20cm away from the bed and place the bedside chair on the foot of the bed and keep it about 15cm away from the bed.

3. Brush the soft mattress pad with the wet brush from the head of the bed to the foot of the bed, then fold it and put it on the bedside chair. Move the hard mattress pad to the head of the bed and turn it over. Place the soft mattress pad on the bed with other side outward.

4. Apply the near bottom sheet in the same way as making the close bed.

5. Assess the patient condition, analyze the appropriateness of the plan and adjust the plan to individual patient need before applying the rubber drawsheet and cotton drawsheet.

(1) Place the rubber drawsheet on the bed, folded in half, with the center fold in the center of the bed. Fanfold the uppermost half of the drawsheet at the center of the bed. Place the top edge of the drawsheet 45-55cm away from the head of the bed.

(2) Repeat the step (1) for the cotton drawsheet, making sure that it completely covers the rubbersheet at both top and bottom edges. Tuck both drawsheets under the mattress together.

(4) Place the other rubber drawsheet on the b医.学全在线ed so that the top edge of the rubber drawsheet is even with the top edge of the bed. Then, repeat the step (2).

6. Move to the opposite side of the bed. Apply the opposite side of the bottom sheet in the same way as making the close bed working toward the foot of the bed. Then, tuck the drawsheets in the bottom sheet, working toward the head of the bed. Pull the sheets firmly and make sure no wrinkles are at the bed.

7. Apply the top bedcovers in the same way as making the closed bed in coating.

8. The top edge of the bedcovers is even with the top edge of the mattress. The side edges of the top bedcovers are tucked in and brought even with the side edges of the mattress respectively. The end edge of the top bedcovers is also tucked inside and made even with the end edge of the mattress. Fanfold the top bedcovers lengthwise at the side of the bed, which is away from the door of the room; place a hot water bag with cover containing hot water at temperature of less than 50?? on the opening end of the bedcovers if necessary.  

9. Put a clean pillowcase on the pillow, place the pillow upright at the head of the bed in the center with the open end of the pillowcase facing away from the door of the room and fixed in the head of the bed with the safety pin.

10. Replace the bedside table. Place the bedside chair at the foot of the bed away from the door.

11. Place anesthetic plate and other emergency equipment on the bedside table and the bedside.

Evaluating

1. The way of bedmaking should be correct, gentle, skillful and met the principles of saving forces.

2. Align the center of the bottom sheet with the centers of the mattress and the bedcovers. Linens should be clean, pleasant and no wrinkles. 

3. Assemble equipment can be met the demand for the patient.

4. Have finished the procedure in the given time correctly

Aims:

1. It is convenient to accept anwww.med126.com/sanji/d nurse the operative and anesthetic the patient.

2. Make the patient feel safe, comfortable and prevent the patient from getting the complications.

3. Protect linens from blood and vomits and be convenient to exchange.