Nursing Component Task
Nursing procedures & clinical learning

General Nursing (RGN)

CARDIAC BED

A cardiac bed is a specialized bed arranged in an upright position to provide comfort and relief for a patient experiencing breathing difficulty.

Purpose

  • Prevent unnecessary pressure on the heart and abdominal organs
  • Relieve dyspnoea
  • Promote comfort
  • Provide support in an upright position

Indications

  • Patients experiencing dyspnoea
  • Patients requiring an upright or semi-upright position
  • Patients with cardiac conditions requiring supportive positioning
  • Patients who obtain improved comfort when sitting upright

Equipment

  • A trolley with the following items:
  • Two large cotton sheets (Bed linen)
  • One waterproof draw mackintosh or bed mat if necessary
  • One draw sheet
  • Pillow slips
  • One top sheet
  • Counterpane if necessary

Procedure steps

  • Perform hand hygiene
  • Collect and arrange items on the trolley and send them to the bedside
  • Arrange items in order of use on a chair or heart table
  • Place the bottom sheet evenly on the bed
  • Pull the sheet tight so that there are no creases
  • Tuck the sheet evenly under the mattress at the top and bottom using envelope or mitered corners
  • Place bed mat or draw mackintosh at the middle portion of the bed
  • Cover mackintosh with draw sheet and tuck in at the sides
  • Place covered air rings between the mackintosh and draw sheet where indicated
  • Put clean pillowcases on the pillows
  • Place or elevate the back rest at the top end of the bed
  • Arrange pillows in an armchair-like fashion
  • Place top sheet on bed with the wrong side uppermost and fold the sheet over at the bottom
  • Place foot rest or sand bags in position
  • Tuck the sides of the top clothing loosely
  • Place the heart table with covered pillows in position
  • Place sputum mug and bell within reach of the patient
  • Place writing materials within reach of the patient
  • Clear chairs and trolley
  • Perform hand hygiene

Precautions

  • Assess the patient's breathing and tolerance of the position
  • Avoid positioning that worsens respiratory distress
  • Ensure the patient is adequately supported with pillows
  • Keep the bell and essential items within reach
  • Ensure the bed and back rest are stable
  • Avoid excessive pressure from pillows or support devices
  • Maintain patient privacy and comfort
  • Report worsening dyspnoea or deterioration promptly

Educational resource only. Follow current Nursing and Midwifery Council guidance, local institutional protocols, scope of practice, and clinical supervision.

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