FUNDAMENTALS OF NURSING

NCM 103

CHANGING OCCUPIED BED

NAME ______________________________ DATE___________ SECTION ________

CLINICAL INSTRUCTOR ___________________________

Excellent Satisfactory Needs Practice Comments

1. Explain the procedure to the client, why
is it necessary and how he/she can
cooperate
2. Perform hand hygiene. Put on
disposable gloves, if linen is soiled with
body fluids
3. Provide for client privacy
4. Remove the top bedding
 Loosen all the top linen at the
foot of the bed, and remove
the spread and the blanket
 Leave the top sheet over the
client (the top sheet can
remain over the client if it is
being changed and is it will
provide sufficient warmth), or
replace it with a bath blanket
as follows
 Spread the bath blanket over
the top sheet
a. ask the client to hold the top edge of the blanket
b. reaching under the blanket from the side, grasp
the top edge of the sheet and draw it down to the
foot of the bed, leaving the blanket in place
5. Change the bottom sheet
 Assist the client to turn on the side
facing away from the side where
the clean linen is.
 Raise the side rail nearest the
client.
 Loosen the foundation of the linen
on the side of the bed near the
linen supply
 Fanfold the drawsheet and the
bottom sheet at the center of the
bed
 Place the new bottom sheet on the
bed, and vertically fanfold the half
to be used on the far side of the
bed as close to the client as
possible. Tuck the sheet under the
near half of the bed and miter the
corner if a contour sheet is not
being used
 Place the clean drawsheet on the
bed with the center fold at the
 center of the bed. Fanfold the upper
most half vertically at the center of
the bed and tuck the near side
edge under the side of mattress
 Assist the client to roll over toward
you onto the clean side of the bed.
The client rolls over the fanfolded
linen at the center of the bed
 Move the pillows to the clean side
for the client’s use. Raise the side
rail before leaving the side of the
bed
 Move to the other side of the bed
an lower the side rail
 Remove the use linen and place it
in the portable hamper
 Unfold the fanfolded bottom sheet
from the center of the bed
 Facing the side of the bed, use both
hands to pull the bottom sheet so
that it is smooth and tuck the
excess under the side of the
mattress
 Unfold the draw sheet fanfolded at
the center of the bed and pull it
tightly with both hands. Pull the
sheet in 3 sections (a) face the side
of the bed to pull the middle section
(b) face the far top corner to pull the
bottom section and (c) face the far
bottom corner to pull the top section
 Tuck the excess drawsheet under
the side of the mattress
6. Reposition the client in the center of the
bed
 Reposition the pillows at the center
of the bed
 Assist the client to the center of the
bed. Determine what position the
client requires or prefers and assist
the client to that position
7. Apply or complete the top bedding
 Spread the top sheet over the client
and either ask the client to hold the
top edge of the sheet or tuck it
under the shoulders. The sheet
should remain over the client when
the bath blanket or used sheet is
removed
 Complete the top of the bed
8. Ensure continued safety of the clients
 Raise the side rails. Place the
bed on the low position before
leaving the bedside