When a patient is unable to leave their bed, you will need to be able to change the bedding so that they are not left in soiled linens or left with uncomfortable bedding. Occupied bed making is a CNA skill that you can be tested on as part of your CNA skills exam.
To learn all the necessary steps for this skill, please watch this occupied bed making CNA video for a complete demonstration.
Occupied Bed Making CNA Steps for Skills Exam
The process for making an occupied bed during the CNA skills exam is as follows:
- Perform the standard CNA beginning tasks. Knock before entering the patient’s room, greet the patient by name, introduce yourself, explain the task you are about to perform, close the privacy curtain, and wash your hands.
- Place a blanket over the patient and ask them to hold it in place. Slide the top bedding out from beneath the blanket and put it in the dirty linen.
- Position the patient to one side of the bed and begin removing the bottom fitted sheet and roll it up beneath the patient.
- Take a clean fitted sheet and place it on the corners where you just removed the soiled sheet. Roll the sheet up and tuck it beneath the soiled sheet.
- Assist with gently rolling the patient in moving to the other side of the bed on top of the clean sheet you just put down.
- Now, with the other side of the bed free, you can finish removing the soiled sheet and extend the rest of the clean sheet across the bed and secure and flatten the sheet.
- Put the soiled laundry in dirty linen.
- Place a new sheet on top of the privacy blanket, and then pull the blanket out from beneath the sheet and place it in the dirty linen
- Secure the top sheet under the foot of the mattress so that it is flat on both sides.
- Make hospital corners on each corner at the foot of the bed with the top sheet.
- Loosen the sheet slightly so the patient’s feet have some room to move.
- Ask the patient if they can let you remove the pillow from beneath their head, remove the pillowcase without touching your uniform.
- Place the used pillowcase into the dirty linen.
- Put a new pillowcase on the pillow, with the tag side going into the pillowcase.
- Place the pillow under the patient’s head with the opening facing away from the door.
- Perform your standard completion tasks – wash your hands, ensure the patient has a clean environment, ask if they are comfortable, give them their call light, and close their privacy curtain.
* Please be sure to consult the testing materials provided by the skills test provider in your state to ensure that these steps for CNAs to make an occupied bed are in compliance. The procedure in different states and from different test providers can vary slightly and greatly affect your score.
When a patient is unable to leave their bed, you will need to be able to change the bedding so that they are not left in soiled linens or left with uncomfortable bedding. Occupied bed making is a CNA skill that you can be tested on as part of your CNA skills exam.
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- Occupied Bed Making CNA Steps for Skills Exam
- When making the residents bed the nurse aide knows it is most important to?
- When lifting the nurse aide should have his feet separated in the standing position to?
- When dry hard stool fills the rectum and will not pass is called?
- When ambulating an unsteady client it is best for the nurse aide to use a?
To learn all the necessary steps for this skill, please watch this occupied bed making CNA video for a complete demonstration.
Occupied Bed Making CNA Steps for Skills Exam
The process for making an occupied bed during the CNA skills exam is as follows:
- Perform the standard CNA beginning tasks. Knock before entering the patient’s room, greet the patient by name, introduce yourself, explain the task you are about to perform, close the privacy curtain, and wash your hands.
- Place a blanket over the patient and ask them to hold it in place. Slide the top bedding out from beneath the blanket and put it in the dirty linen.
- Position the patient to one side of the bed and begin removing the bottom fitted sheet and roll it up beneath the patient.
- Take a clean fitted sheet and place it on the corners where you just removed the soiled sheet. Roll the sheet up and tuck it beneath the soiled sheet.
- Assist with gently rolling the patient in moving to the other side of the bed on top of the clean sheet you just put down.
- Now, with the other side of the bed free, you can finish removing the soiled sheet and extend the rest of the clean sheet across the bed and secure and flatten the sheet.
- Put the soiled laundry in dirty linen.
- Place a new sheet on top of the privacy blanket, and then pull the blanket out from beneath the sheet and place it in the dirty linen
- Secure the top sheet under the foot of the mattress so that it is flat on both sides.
- Make hospital corners on each corner at the foot of the bed with the top sheet.
- Loosen the sheet slightly so the patient’s feet have some room to move.
- Ask the patient if they can let you remove the pillow from beneath their head, remove the pillowcase without touching your uniform.
- Place the used pillowcase into the dirty linen.
- Put a new pillowcase on the pillow, with the tag side going into the pillowcase.
- Place the pillow under the patient’s head with the opening facing away from the door.
- Perform your standard completion tasks – wash your hands, ensure the patient has a clean environment, ask if they are comfortable, give them their call light, and close their privacy curtain.
* Please be sure to consult the testing materials provided by the skills test provider in your state to ensure that these steps for CNAs to make an occupied bed are in compliance. The procedure in different states and from different test providers can vary slightly and greatly affect your score.
- To change the linen with the least possible disturbance to the patient.
- To draw or fix the sheets under the patients very firmly so that it would not wrinkle.
- To remove crumbs from the bed.
- To make patient feel comfortable.
- Necessary linen.
- Tray for stripping and airing.
- Laundry bag or hamper
- Do the medical handwashing.
- Gather equipments at bed side and arrange according to use. Explain procedure to patient and screen.
- Loosen the linens starting at the foot part, then to the sides and around. Remove pillows unless contraindicated.
- Place clean top sheet over dirty top sheet wider hem, wrong side out at the head part of bed. Spread, then remove the dirty linen without exposing the patient.
- Turn patient towards one side of the bed.
- Work on the unoccupied side of the bed. Roll dirty linens toward the patient (except rubber sheet).
- Place bottom sheet following the principles, tuck head part miter corner tuck. Roll used rubber sheet towards you. Replace with a new one.
- Place draw sheep over rubber sheet. Tuck together.
- Turn patient towards made bed.
- Work on the other side. Remove dirty linens.
- Spread clean linens, tuck head part of the bottom sheet, miter at side, tuck all together. Do the same with rubber sheet and draw sheet.
- Turn patient to the center of the bed.
- Arrange top sheet, fold head part up to the patient’s chest.
- Make a toe pleat.
- Tuck foot part, miter corner.
- Time limit, check features of a good bed and proper body mechanics.
- Provision for privacy as situation requires.
- Carefully turning the patient. So as to prevent over exertion and feeling or insecurity.
- Provision of opportunity for patient to Participate.
- Placement of top bedding so that shoulder may be covered and the necessary adjustments made over toes.
- Careful observation of skin areas of the patient.
When making the residents bed the nurse aide knows it is most important to?
Question 48 Explanation: It is important for the resident to know what's going to happen and what to expect. When making the patient's bed, the nursing assistant knows it is most important to: straighten the sheets to reduce wrinkle formation.
When lifting the nurse aide should have his feet separated in the standing position to?
Back injuries to nursing home aides are common, so when doing any lifting be sure to use proper body mechanics. Never lift more than you can comfortably handle. Create a base of support by standing with your feet 8–12” (shoulder width) apart with one foot a half-step ahead of the other.
When dry hard stool fills the rectum and will not pass is called?
Key points about constipation Constipation is the most common GI (gastrointestinal) problem. You may be constipated when your stools are painful and happen less than 3 times a week. Your stool will be hard, dry, and in small pieces. Your stools get hard and dry when your colon absorbs too much water.