(b) Raise and secure the side rails.
Place the call light within reach.
(d) Position the bedside stand and over-the-bed table so that the
patient is within easy reach of drinking water and personal items.
(e) Leave the bed in a low position.
(12) Report significant nursing observations to the charge nurse.
4-14. ACTIONS THE PRACTICAL NURSE CAN TAKE TO ALLEVIATE
DISCOMFORT AND PROMOTE RELAXATION
a. Obtain comfortable bedding. Allow some of patient's own possessions (such
as a pillow or afghan) when possible.
b. Change the bed position (head and knee).
c. Reduce the noise and light in the patient's room.
d. Check for mechanical reasons for discomfort:
Bed linens or Chux which are gathered and wrinkled under the patient.
Plastic mattress covers that wrinkle and cause pressure.
Top covers which may be pulled too tightly over the feet and legs.
The patient lying on tubes, drains, syringe caps, or other equipment.
Soiled dressings, urine, and feces causing the bed to be wet.
Nonfunctioning equipment, to include alarms sounding without cause.
4-15. POSITIONING THE ADULT TO PROMOTE SLEEP AND RELAXATION
If a patient is restless, having difficulty getting comfortable, or not sleeping well,
consider the following steps. As always, be sure you have a physician's order for the
patient to be turned when necessary.
a. Wash your hands.
b. Approach and identify the patient (by checking the ID band) and explain the
procedure (using simple terms and pointing out the benefits).