Instructional Video for Making an Occupied Bed

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A NEWER VERSION OF THIS SKILL CAN BE FOUND HERE: • Make an Occupied Bed C...
THIS IS AN OLDER VERSION OF THIS SKILL. 4YourCNA.org offers training videos, skills books, supply kits, practice tests and more! View step-by-step instructions demonstrating the proper way to change an occupied bed. This skill utilizes accepted safety principles to safely position a bedbound patient in the bed without the use of siderails to change the patient's sheets. This skill is one of the 21 testable skills on the Florida State CNA exam and is also used in RN and LPN training. Additional resources can be found at 4YourCNA.org. Help keep these videos free...all donations are appreciated!

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10 сен 2024

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Комментарии : 63

@4yourcna 12 лет назад

We love questions! Questions let us know that people are thinking about the skills! We are very happy that you are viewing our videos and welcome all comments and questions! We wish you luck on your exam and in your new career!

@dazmonbaker306 3 года назад

Honestly I watched this video a week before my clinical and I it took me all 3 tried but if I would’ve knew about these videos before I would’ve passed. TYSM !!!!!

@4yourcna 12 лет назад

Good luck on your test and in your new career! Make sure you subscribe to our channel to be notified of new videos and our new FREE continuing education for CNAs that will be offered later this summer!

@4yourcna 11 лет назад

Good luck on your exam! We are happy that you are finding our videos helpful as you prepare for the exam! Best of luck!

@4yourcna 12 лет назад

Clean supplies should be placed on a clean barrier that has been placed on the overbed table. Clean supplies should not be placed on a chair (where patients and visitors sit) because the chair is not considered clean. This does matter for the test (and in real life!) to prevent contamination of the supplies. Contamination of the supplies before use will result in an infection control infraction. Thanks for such a great question!

@4yourcna 12 лет назад

We are very happy that you have found our videos helpful! Good luck in your new career!

@bougiekid 11 лет назад

I'm going over all these videos 2 or 3 times a day. I take my test next week and I know for sure my nerves will get to me.

@4yourcna 11 лет назад

Congratulations! We are very happy that you found our videos helpful!

@4yourcna 12 лет назад

For the exam, you only need to change the bottom and top sheets and the pillowcase. You will not use a draw sheet and protective pad. However, you need to know how to use these items because you will need them in many healthcare settings. Thanks for the question!

@4yourcna 12 лет назад

We are happy you are finding our videos helpful! Gloves are optional for this skill for the exam. You can wear them if you wish, but it is not required because there are no body fluids. You may raise the entire bed to make it more comfortable for you during this skill, but again, it is not required for the exam. If you do decide to elevate the bed to a comfortable height, you MUST remember to lower it at the end; failure to lower bed is an automatic failure because of safety! Good luck!

@4yourcna 11 лет назад

This should be a good resource for you to prepare for the state exam as they demonstrate basic nursing principles, which are generally widely accepted. Good luck!

@MirFisky 11 лет назад

I was taught to have the side rail rail raised on the opposite end of the bed or have someone there when turning patient over on their side. I am taking my test on Monday in Oregon...

@4yourcna 9 лет назад

Practicing skills at home? Use the proper supplies for maximum performance! Our student practice kit gives you all the necessary supplies to master the skills in any setting! 4yourcna.com/product/student-practice-kit/

@4yourcna 11 лет назад

Side rails are not graded on the exam because not all settings use side rails, since they are considered a restraint. You must know how to perform this skill safely without the use of siderails, as demonstrated in this video. Good luck!

@4yourcna 12 лет назад

The testing center may not have siderails on the beds because they are illegal in many settings. Siderails can be used as a restraint (a way of keeping a patient confined against their will) so you need to learn how to perform this skill safely without the use of siderails. Scooting the patient toward you and turning them away from you so they are lying in the center of the bed on their side is the proper way to position a patient in a bed without siderails. This should be done for the test.

@4yourcna 12 лет назад

For the exam, the patient can be called any name you choose (or the evaluator may assign a name for you to use, like Mrs Jones). You should perform your opening "Hi Mrs Jones, my name is Patti and I am your CNA today. I am going to change your sheets, is that ok?" then close the curtain (the curtain is dirty from staff, visitors, etc) and wash your hands then gather your clean supplies with clean hands. Hope that helps!

@4yourcna 12 лет назад

If the patient has an ID band on, you may use it for a secondary identification, but it should not be used for a primary identification. That should be done verbally by asking the patient their name or addressing them by name. Yes, the bed should be raised before washing your hands because the controls are not considered clean and you don't want to contaminate your hands after washing them by touching the bed controls. Good luck!

@jasonyupstine8314 10 лет назад

when you get into the "real world" you dont have time to do things in this manner. I work 11 to 7 in a nursing home and take care of 28 to 31 residents at night according to how filled we are. i WISH i could ask someone to simply "roll over" lmao.

@Kensuriu 10 лет назад

Ikr and also when they showed the bed pan... almost none of the residents can lift there knees up and the but too hahahahahahaha

@4yourcna 11 лет назад

Gloves are required when touching body fluids, non-intact skin and personal skin. Since this patient is continent and completely dressed, gloves are not necessary. If I was unsure what I would find under the patient, or if the patient was undressed in any way, I would wear gloves. They are not necessary for the exam. Hope this helps! Good luck!

@4yourcna 11 лет назад

You can remove the dirty pillow case anytime during this skill. This is not a point that is listed on the clinical skills checklist (what they are testing you on). Understand that changing an occupied bed is not a perfect situation, you will always have cross-contamination between clean and dirty. A clean pillowcase on a dirty bed or a dirty pillowcase on a clean bed. The nurse (evaluator) already knows this and the board of nursing understands how infection control works so its not tested.

@4yourcna 11 лет назад

Scoot the patient toward you before turning so that they remain safely on their side in the center of the bed. Side rails can only be used with a doctor's order. You will not always have another person to stand next to the bed when performing this skill. You should become accustomed to promoting safety when unable to use siderails or another person. Scooting a patient toward you first satisfies this requirement. Thanks and best of luck!

@4yourcna 12 лет назад

Florida does not require a draw sheet for the exam. The Florida clinical skills checklist states to change the top and bottom sheet and pillowcase while the patient remains in bed. I am unfamiliar with Kentucky standards, so I cannot offer you guidance on this point for your exam, but if a draw sheet is required, it will indicate so on the care plan. Just follow the directions you are given on your care plan and you will be fine. Good luck on the exam!

@4yourcna 12 лет назад

Gloves are optional for this skill for the Florida exam. You can wear them if you wish, but it is not required because you will not encounter body fluids during the exam. In real life, you may wish to wear them because you do not always know what is under the patient (body fluids) that you may be exposed to. But no, they are not required for the exam.

@star_panic 11 лет назад

thank you for the reply. These videos are helping me a lot.

@danettacollins33 12 лет назад

great. I will be taking the exam this month

@4yourcna 12 лет назад

You will not need to put a waterproof pad on the bed for this skill. The testing care plan tells you to change the bottom sheet, top sheet and pillowcase on the bed. Drawsheets and pads are not required for the skill. Good luck on the exam!

@KaliLinuxx 10 лет назад

no gloves?

@4yourcna 11 лет назад

We hope you passed the CNA exam and wish you luck in your new career!

@4yourcna 11 лет назад

We hope that you were successful in passing your exam!

@4yourcna 12 лет назад

Raising the entire bed to make this skill more comfortable for you is not REQUIRED for the exam. You can do so if you wish, however. This is not a graded point on the exam. If you do decide to raise the bed to a comfortable height, you MUST remember to lower it at the end of the skill. If you do not put the bed in its LOWEST position, it is an automatic failure because if the patient tries to get out of bed, the floor will be much farther away than expected, causing them to fall! Thanks!

@karloceasar72390 12 лет назад

thanks for the information. that helps a lot :)

@jmichelle83 12 лет назад

Thanks for answering my many questions. :-)

@autumnbby10 11 лет назад

me too! i take mine tomorrow!

@4yourcna 11 лет назад

That makes no sense. The same patient is on the clean sheets that was on the dirty sheets. If the patient can touch the clean sheet, why can't the pillowcase touch the clean sheet? This is NOT a point on the clinical skills checklist (you can view it on Prometric's website). This is not why you failed. You received a print out after the exam that lists all deficiencies on the exam (why you failed). They can only grade you on the points listed on the clinical skills checklist.

@frozenheart3867 5 лет назад

changing soiled linen without gloves? And the bed hieght is almost on her knee is that correct? No need to adjust the bed?

@reymar9474 10 лет назад

look at the top sheet? careful not to touched the linens in the floor but why is it your top sheet is touches on the floor???

@star_panic 11 лет назад

Say you make a mistake -such as lines touching uniform- and you realize it right away, do you start over or say you made a mistake and proceed?

@annettamoore2389 12 лет назад

Where are clean linens placed before bed making? In class we were taught to put them in the chair. If so would we use a chuck in the chair or does it even matter for the exam.

@4yourcna 11 лет назад

That step is not required for the exam. Only steps required for the exam are demonstrated in this video. You may find that step is helpful in a clinical setting, however. Good luck!

@4yourcna 11 лет назад

Just verbally say "Correction: I would not have..." You will not have to start over in most cases. However, if you are missing many steps or failing to do important steps, the evaluator may allow you to start over. Just take a deep breath and think about how this skill should be done if you were the patient. Good luck!

@sweetniko20 12 лет назад

Am in florida and was just wondering dont we need a waterprofpad how do i see what my state requires my test is the 20 on monday

@aojohn2 12 лет назад

I am from Kentucky and taking the test in Kentucky, and obviously regulations vary by state, but does Florida not require a draw sheet to run under the patient, on top of the bottom sheet?

@jmichelle83 12 лет назад

Do you need to put on a drawsheet and protective pad? We were told we had to do that.

@karloceasar72390 12 лет назад

so does that mean that im no longer going to look at the patients id band or something? and am are we going raise the level of the bed first before washing the hands? thanks for the help :)

@karloceasar72390 12 лет назад

in the exam do you know already the name of the resident? when is the best to time identify the patient and how do we do it? isnt it wash your hands before checking the id band? im kinda confused.. pls help me :) thank you! :)

@julieevans9700 8 лет назад

I am seeing the clean sheet coming in contact with the edge of the soiled sheet tucked under the patient. Haven't taken the class yet, but it seems to defeat the purpose. If that soiled sheet is wet, the clean sheet is now damp, also?

@4yourcna 8 лет назад

+Julie Evans The patient (the source of the contamination) is still in the bed, so this is not an issue with regards to infection control. For the exam, the care plan does not indicate that the sheet is soiled or wet, so there is no transfer of fluid for the exam. However, in a clinical setting, if the soiled sheet is wet, you could roll a chucks or towel over the soiled sheet as it is rolled toward the patient and tucked underneath to prevent the new sheet from getting wet. Since the soiled sheet is rolled toward the patient, and the clean sheet is rolled toward you, the undersides of each sheet are all that come into contact with each other, not the portions of the sheet that were in direct contact with the patient. The patient cannot be positioned on a bare mattress, so you cannot completely remove the soiled sheet from the bed and apply the clean one without the two touching. The point is, the patient cannot get up and must have the sheets changed - the goal is to make this happen as easily and safely as possible, with a minimum of wrinkles that would contribute to bedsore formation. Your instructor should be able to provide more information regarding this skill once you begin your training. Best of luck!

@julieevans9700 8 лет назад

Thank you! Your explanation is very helpful! I have a lot to learn.

@janisquinn6294 11 лет назад

I live in California..will these help me pass my skills test? Ive been watching them now about a week 2-3 times a day

@Bernadettefull 11 лет назад

I saw another video in which a towel, in case of wet bed is placed by patients bottom, and also gloves are worn to remove used linens. Then new gloves are worn anytime the new sheets are worked with. ??? Paranoid about flunking the test!

@Final_Fantasy_7 8 лет назад

I have 2 questions...does the patient have to scoot over to the other side of the bed by himself or are you supposed to use body mechanics to manually move him ? Like what if he can't move due to back pain or something.I'll be taking my exam in 2 days and I just want to miss any crucially important step...also I'm very curious how can wrinkled linen contribute to bed sores ? When they are soft and harmless...

@4yourcna 8 лет назад

Every patient will be different and have different levels of ability. For the exam, you can ask them to scoot, but you have to turn them. In a clinical setting, you will use the method detailed in the care plan on how to move the patient (draw sheet, slide sheet, segmented move, etc.). Sit on your hand for 2 minutes then look at it...see the lines? The color changes? This was only 2 minutes...can you imagine what your hand would look like in 2 hours? Gravity pulls the body down and anything the skin encounters will leave a mark as gravity continues to pull. The longer the pull, the deeper the mark. Eventually, the skill will give way and a sore will develop. This is a bedsore. Best of luck!

@Bernadettefull 11 лет назад

OH! Also, the vid I saw stressed the use of the safety rails.

@ED88502 9 лет назад

Is this technique the same for Jersey....I was taught one pair of gloves for this skill...Test on Wed and don't want to fail

@4yourcna 9 лет назад

Gloves may be worn for this skill if you wish. Gloves are required if the patient is incontinent, has an open wound, any drainage or non-intact skin. I am not familiar with your state's standards so I am not able to answer your question, other than to indicate current nursing standard. Changing gloves is not required as cross contamination is not an issue when the patient remains in bed. Good luck!