Discuss limitations on patient’s physical activity

Discuss limitations on patient’s physical activity
1. Check chart for limitations on patient’s physical activity.
2. Assemble equipment and arrange on bedside chair in the
order the items will be used.
3. Perform hand hygiene. Put on PPE, as indicated.
4. Identify the patient. Explain what you are going to do.
5. Close curtains around bed and close door to room if
possible.
6. Adjust the bed to a comfortable working height, usually
elbow height of the caregiver (VISN 8, 2006).
7. Lower side rail nearest you, leaving the opposite side rail
up. Place bed in flat position unless contraindicated.
8. Put on gloves. Check bed linens for patient’s personal
items. Disconnect the call bell or any tubes/drains from
bed linens.
Discuss limitations on patient’s physical activity
9. Place a bath blanket over patient. Have patient hold on to
bath blanket while you reach under it and remove top
linens. Leave top sheet in place if a bath blanket is not
used. Fold linen that is to be reused over the back of a
chair. Discard soiled linen in laundry bag or hamper. Do
not place on floor or furniture. Do not hold soiled linens
against your uniform.
10. If possible and another person is available to assist, grasp
mattress securely and shift it up to head of bed.
11. Assist patient to turn toward opposite side of the bed, and
reposition pillow under patient’s head.
12. Loosen all bottom linens from head, foot, and side of bed.
13. Fan-fold soiled linens as close to patient as possible.
Discuss limitations on patient’s physical activity
14. Use clean linen and make the near side of the bed. Place
the bottom sheet with its center fold in the center of the
bed. Open the sheet and fan-fold to the center, positioning
it under the old linens. Pull the bottom sheet over the cor-
ners at the head and foot of the mattress.