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HLTCSD203C Prepare and Maintain Beds

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F O R E W O R D

This publication is one of a number of Learning Guides produced by The Australian

Medical Association (WA) Inc as a resource for the health sector. It is utilised within AMA

Training Services and Health Training Australia as a training resource and within the

workplace as a support guide.

The development of this workbook was undertaken by a number of trainers and

developers within AMA and HTA, who have both industry knowledge and specific

expertise in the course content.

Although every effort has been made to present reliable and accurate information, the

AMA will assume no responsibility for outcomes and actions resulting from the application

of the information presented in this workbook. Users are encouraged to confirm

application in conjunction with protocols within their specific work environment.

This book is copyright. Apart from any fair dealing for the purposes of private study,

research, criticism or review, as permitted under the Copyright Act, no part may be

reproduced by any process without written permission. Please forward all enquiries to:

The Manager

Health Training Australia

PO Box 133

NEDLANDS WA 6909

Telephone: (08) 9273 3044

Facsimile: (08) 9273 3045

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CONTENTS INFORMATION FOR LEARNERS ......................................................................................4

Training ............................................................................................................................4 On and Off-the-Job Training.............................................................................................5 Assessment ......................................................................................................................5 Learning Guide Aid...........................................................................................................6 Tips for Learners ..............................................................................................................7

LEARNING OUTCOMES ....................................................................................................8

INTRODUCTION .................................................................................................................9

OCCUPATIONAL HEALTH AND SAFETY PROCEDURES ............................................10 Manual Handling.............................................................................................................10 Infection Control Procedures ..........................................................................................12

LINEN AND INFECTION CONTROL ................................................................................14 Sharps Injuries When Handling Linen ............................................................................15 Cleaning a Bed and its Equipment .................................................................................15 Cleaning Procedures ......................................................................................................16

TYPES OF EQUIPMENT AND BEDS ...............................................................................18 Mattresses......................................................................................................................19 Other Equipment ............................................................................................................20 Reporting Faults .............................................................................................................21

TYPES OF BED LINEN.....................................................................................................22 Linen Shortages .............................................................................................................22 Stripping a Bed ...............................................................................................................22 Bed Making Procedures for a New Patient/Client...........................................................23

Creating Hospital Corners ...........................................................................................24

CONFIDENTIALITY AND PRIVACY.................................................................................27 The Principle of Confidentiality and Privacy ...................................................................27 Conserving Privacy and Dignity During Bed Making ......................................................28

BIBLIOGRAPHY ...............................................................................................................29

GUIDE TO ASSESSMENT................................................................................................31 Assessment Plan for Participant.....................................................................................32 Summary of Evidence Sources ......................................................................................33 Assessment Plan............................................................................................................33

WRITTEN ACTIVITIES......................................................................................................34

PRE-ASSESSMENT CHECKLIST ....................................................................................36

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HLTCSD203C © Health Training Australia (Inc) ISBN: 978-1-921559-90-7

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INFORMATION FOR LEARNERS

This learning guide will assist you in developing skills and knowledge to work effectively in

the health industry and to apply these skills to your workplace and daily tasks.

This unit can be assessed independently. However, co-assessment may be considered

with HLTHSE204C Follow safe manual handling practices.

Where beds are made/maintained and the occupant is still in the bed this unit should be

assessed in conjunction with HLTCSD305C Assist with client movement.

Training

Competence means that you have the required knowledge and skills to do your job. These

are described in ‘competency standards’. Your training will be based on these to make

sure it is relevant to the needs of your job and yourself.

Your Participant Assessment Record and the Pre-Assessment Checklist in the Guide to

Assessment (included at the back of this Learning Guide) state the standards of

competence.

The purpose of the training is to develop your workplace competence, so you will be

expected to practise your skills whenever you can. This can be done through work

experience, practical sessions in a training organisation or through your full time or part-

time job. It is important that you have both theoretical and practical knowledge and skills.

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On and Off-the-Job Training Your training may consist of on-the-job coaching with your workplace supervisor and/or

trainer on a one-to-one or small group basis. It may also involve formal training sessions

conducted off-the-job in addition to working through your learning guide.

Make sure you ask lots of questions, complete the activities, and do additional research to

ensure you know everything listed in the Pre-Assessment Checklist.

If you do not understand any part of the unit please contact your Trainer.

Assessment Once you have completed your training and practised your skills, you will be ready to have

your skills and knowledge assessed. The purpose of this is not to see if you can pass a

test, but to determine if you can perform work tasks competently.

Refer to the Guide to Assessment for detailed information on this unit’s Assessment Plan.

Complete the Pre-Assessment Checklist in the Guide to Assessment. This sets out the

skills and knowledge you will need to demonstrate during your assessment to be deemed

competent in this unit.

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Learning Guide Aid

You will see the following icons throughout your Learning Guide. They will help you with

your learning by telling you what type of information that is being presented in the Learning

Guide. The icons are listed below with explanations on the use of each one.

REMEMBER - used for specific points to note or helpful tips to remember.

THINK / IDEA – when asking you to think about your response to a statement or situation. What do you do in your workplace?

INFORMATION – when providing additional information or giving links to further information – e.g. website, reference book, workplace policies and procedures.

IMPORTANT – for any information that is considered important and critical to demonstrating competence in the unit, or in relation to an occupational health and safety issue.

ACTIVITY – may form part of the evidence of competency for this unit.

The activities are designed to make the theory practical to your individual situations and

you are encouraged to complete them all.

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Tips for Learners

Read through the information in the Learning Guide carefully. Make sure you understand

the material. If you come across anything you do not understand:

Discuss your training with your trainer and make sure you understand what is required

and how the training will be organised.

Ask for feedback on your progress as you work through the activities.

Ask for help when you need it. Talk to more experienced colleagues or your trainer and

ask for their guidance.

Listen, take notes, ask questions and practise your new skills as often as possible.

This way you will improve your speed, memory, and also your confidence.

During your training, you should seek other sources of information as well, e.g.

reference books, the Internet. Some of these are suggested in the guide.

Try to relate the information presented in this Learning Guide to your own experiences

and to what you already know.

Work through the activities. They are there for a reason and even if you already have

the knowledge or skills relating to a particular activity, doing them will help to reinforce

what you already know. If you do not understand an activity, think carefully about the

way the question or instructions are phrased.

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LEARNING OUTCOMES

This Learning Guide will provide you with information that will assist in your learning and

development of effective skills and work standards for preparing beds the health care

environment.

Completing this work book aims to provide you with a greater understanding of the

principles and techniques associated with:

Preparing a bed area for bed making.

The legislation, policies and procedures for maintaining beds.

The steps necessary to make a bed in a health care facility.

How you should leave a bed ready for occupancy or continued occupancy.

In order to be competent in this unit you will be able to:

Adhere to all infection control policies and procedures when maintaining beds.

Apply Occupational Health and Safety legislation in all aspects of the task.

Handle clinical waste and soiled linen appropriately.

Have the ability to communicate with the patient/client and preserve their privacy and

dignity.

Conserve linen when appropriate.

Make a bed according to your organisation’s policy and procedure leaving it ready for

occupancy or continued occupancy.

Follow organisational policy and procedure for dealing with damaged or faulty beds,

equipment or linen.

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INTRODUCTION

This unit is provided as a collective unit for Health Support Workers who have a multi-

functional role within a heath care facility but can also be adapted for workers who have a

more specific support role in relation to providing quality health care services.

It covers the skills and knowledge which you need to apply when cleaning and making a

range of beds to ensure that a patient/client can safely occupy the bed.

In reading through the Learning Guide you may well come across information and tasks

that are not your everyday responsibility. However, by completing this unit you will gain a

better understanding of your role and responsibilities in a health care setting and thereby

improve your existing skills and knowledge in your current work role.

In this unit examples are given from Western Australian Legislation. Each State and Territory has adapted Legislation according to their needs and requirements. To look at Legislation that governs your State or Territory go to: Australian Government website www.australia.gov.au/Legislation

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OCCUPATIONAL HEALTH AND SAFETY PROCEDURES

As a Health Support Worker working in a health care facility you must ensure that you

work within Occupational Safety and Health Act (WA) 1984 and your organisations policy

and procedure.

In the preparation and maintenance of beds and should be aware of the need to follow

safe manual handling practices and techniques. You will also need to adopt organisational

and infection control procedures including the use of personal protective equipment (PPE)

while completing the task.

Manual Handling

Preparing and maintaining beds can result in you adopting sustained and constrained

postures. Therefore you should adopt a variety of comfortable working positions, without

any one posture being awkward, prolonged or repetitive. Your organisation should provide

beds which allow you to perform your tasks easily. The beds should have lockable castors

on all legs operated by a single control with indication of locked position. There should be

sufficient access for the operation of brake control. They should also have considered

lightweight adjustable cot sides which allow sufficient clearance when lowered for patient

handling equipment and clear access to the mattress for bed making.

After you have completed the bed making, the bed should be returned to an acceptable

height for the patient/ client. In long term stay wards the height that the patient’s bed is

returned to, may be marked on the wall

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The use of appropriate equipment for preparing and maintaining beds will greatly help you

perform the task. Cleaning equipment should be placed on a trolley so that it can be easily

moved within the bed space. A linen skip should be placed close to the bed whilst stripping

soiled linen to minimise your handling of it. You should separate each linen item before it is

placed into the skip to avoid injuries to those involved it’s processing.

Manual handling points to remember when preparing and maintaining beds:

Clear the bed and surrounding area of medical and other equipment to allow access to

carry out the task. Return them to the correct location.

Always adjust the height of the bed to ensure that you are working from a comfortable

height. The height should be between your mid-thigh and hip. After you have finished

the task lower the bed to a suitable height for the patient/client.

If you work in teams ideally work with someone of a similar height. If you are unable to

do this choose a height that suits you both.

Ensure the mattress is flat when you are cleaning the surface.

When cleaning the under side of the mattress, clean it in two halves by folding it

towards the middle from the top and bottom of the bed.

Raise the bed to its highest level when cleaning underneath.

Unless you are moving the bed the brakes should always be applied.

Always have all your equipment e.g. cleaning trolley, linen skip close to hand when you

are preparing and maintaining a bed.

Linen skips should only be two-thirds filled to ensure easy of closing and to reduce the

weight. However, if the linen is wet then the volume in the bag will need to be reduced.

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Infection Control Procedures

The Health Support Worker must follow all policies and procedures within their

organisation regarding infection control. These procedures are also monitored by the

Infection Control Unit or a designated Infection Control professional. The procedures will

include standard or additional precautions and you should be aware of which precautions

you should be using before you start.

In today’s economic climate, concerns about water consumption and energy usage have

led to changes in policy. Some health care facilities require that only soiled linen be

changed if the same patient/client will be using the bed. Obviously soiled or contaminated

linen must be replaced.

In most cases you will need to follow standard precautions when cleaning the bed. These

are work practices which are required for the basic level of infection control and need to be

used for the general care of all patients/clients.

They include: Good hygiene and cleaning practices.

The use of PPE where necessary.

Appropriate handling and disposal of sharps and other contaminated or infectious

waste.

Use of aseptic techniques.

There will be occasions when you will be directed to use additional precautions. These are

necessary if a patient is suspected of, or known to be, infected with highly transmissible

organisms. These precautions are designed to interrupt further transmission of infection

and are used in addition to standard precautions.

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HLTCSD203C

PREPARE AND MAINTAIN BEDS

GUIDE TO ASSESSMENT

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GUIDE TO ASSESSMENT


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Assessment Plan for Participant

Unit of Competency: HLTCSD203C - Prepare and maintain beds Unit Description: This unit of competency describes the skills and knowledge required to apply bed making and cleaning practices to a range of ‘beds’ to ensure that clients can safely occupy a clean bed Work will be within a prescribed range of functions involving known routines and procedures with some accountability for the quality of outcomes. The workplace context may be: Specific community. Community or regional service. Department of a large institution or organisation. Specialised service or organisation.

Plan: Assessment

Training, mentoring and support in relation to each unit of competency will be provided to participants on a regular basis in person, on the phone or via email.

More intensive training will be provided to participants if required, as identified by the trainer/assessor (this may include off-the-job training).

Participants on the job performance is discussed with the coach/supervisor (through the use of the Participant Assessment Record) forming the Third Party Report.

Verbal and written instructions will be given to all participants prior to assessment. Ask your trainer/assessor for additional support if there are particular cultural and language needs.

Alternative assessment methods are available – these are outlined in the Participant Assessment Record

The assessment report is discussed with participant providing feedback on the outcomes of assessment and guidance on future options. Participant receives a copy of the final assessment report.

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GUIDE TO ASSESSMENT

HLTCSD203C © Health Training Australia (INC) ISBN: 978-1-921559-90-7

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Summary of Evidence Sources

ASSESSMENT ON-THE-JOB OFF-THE-JOB Elements /

Performance Criteria

Demonstration / Simulation

Oral Questions

Direct Observation

Third Party Report

Written Assessment

Case Studies /Projects

Workplace documents

Diary / Journal

Other

1.1 1.2 1.3 1.4

2.1 2.2 2.3 2.4 2.5 2.6 2.7 2.8 2.9

3.1 3.2 3.3 3.4

Assessment Plan

Verbal and written instructions will be given to all participants prior to assessment. Ask your trainer for additional support if there are particular cultural, language, literacy or numeracy needs.

Assessment Type

Assessment Task

Brief description of Task Resources required

1 Written Assessment

Knowledge-based assessment.

Directed activities/written questions in the Learning Guide and Guide to Assessment.

Learning Guide.

2 Observation Bed stripping and making.

Direct observation of skills/performance in workplace or simulated environment relating to preparation and maintenance of beds.

Workplace

Organisation policies/procedures.

Assessment Tool.

3 Questioning Oral questions. These questions will accompany observation of workplace tasks relating to preparation and maintenance of beds.

Organisation policies/procedures.

Assessment Tool.

4 Third Party Report

Workplace performance.

Assessor determines work performance of participant through consultation with supervisor.

Participants Record Book.

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WRITTEN ACTIVITIES

Prepare and maintain beds

1. What needs would you have to meet for a patient/client when stripping and making a bed?

2. What should you look for when stripping and making a bed?

3. What containers are used in your organisation for soiled linen?

4. What infection control procedures should you follow when stripping and making as bed?

5. When can you re-use linen? Why is it good to do so?

6. What do you do with damaged pillows, mattresses, linen or faulty beds?

7. List two manual handling safety features on hospital beds why it is important to use them

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HLTCSD203B Learning Guide & Assessment - anrl.com.au · PRE-ASSESSMENT CHECKLIST ... Preparing a bed ... range of beds to ensure that a patient/client can safely occupy the bed. In