Sister

Patients in the hospital change underwear and bed linen is made in a planned manner 1 time in 7-10 days and on an emergency basis as it gets dirty. The nurse must be proficient in changing linen to ensure compliance with the patient's personal hygiene requirements.

Equipment

• A set of clean underwear and bed linen.
• Gloves.
• Bag for collecting dirty linen.
• Disinfectant container.

Sequencing

Change of bed linen in the longitudinal way

• We are preparing a bag for collecting dirty laundry.
• We wash our hands, put on gloves.
• We prepare a clean sheet by rolling it to the middle in the longitudinal direction.
• Remove pillows from under the patient's head.
• Carefully turn the patient on their side closer to the edge of the bed.
• We roll up the dirty sheet to the middle of the bed in the longitudinal direction.
• We spread a clean sheet on the vacated part of the bed with a roller towards the patient.
• Carefully turn the patient on the other side, laying on a clean sheet.

• We remove the dirty sheet in a bag for collecting dirty linen.
• We spread a clean sheet on the bed and fill its edges under the mattress.

• We put the patient in the starting position.
• We change pillowcases and duvet covers.
• We put the pillows on the bed, raising the patient's head.
• Cover the patient with a blanket.
• We remove the bag with dirty linen in the dirty linen room.
• Remove gloves, immerse them in a container with disinfectant, wash your hands.

Change of bed linen in a transverse way

• Preparing a bag for dirty laundry.
• We wash our hands, put on gloves.
• We prepare a clean sheet by rolling it to the middle in the transverse direction.
• We raise the head and upper body of the patient, remove the pillows from under his head.
• We roll up the dirty sheet from the side of the headboard in the transverse direction to the middle of the bed.

• We spread a clean sheet on the vacated part of the bed with a roller towards the patient.
• We change pillowcases, put pillows under the patient's head.
• Raise the lower part of the patient's torso and legs, supporting him in the lumbar region.
• We remove the dirty sheet in the prepared bag.
• We spread a clean sheet, tucking its edges under the mattress.
• Place the patient in a comfortable position.
• We change the duvet cover, cover the patient with a blanket.
• We remove the bag with the dirty bag in a special room.
• Remove gloves, immerse them in a container with disinfectant, wash your hands.

Change of underwear

• Preparing a bag for dirty laundry.
• We wash our hands, put on gloves.
• We lift the upper part of the patient's torso and roll up the dirty shirt from the sacrum to the back of the head, lay the patient down.

• Raise the patient's arms to the head and move the shirt over the patient's neck, head and arms. If one hand is damaged, remove dirty linen from a healthy hand, then from a sick one.
• We remove the dirty shirt in the prepared bag.
• We put a clean shirt on the patient's hands and, lifting them to the head, we transfer the shirt over the patient's head. In case of damage to one hand: we put on clean linen first on the sore hand, then on the healthy one.

• We lift the lower part of the patient's torso and straighten the shirt from the back of the head to the sacrum.

• We put the patient in a comfortable position, cover with a blanket.
• Remove gloves, immerse them in a container with disinfectant, wash your hands.

It is obvious that the change of underwear and bed linen will be carried out faster and more efficiently if 2 health workers are involved in the manipulation.

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