Changing An Occupied Bed Procedure Checklist

Central Mindanao University
College of Nursing
FUNDAMENTALS OF NURSING PRACTICE, RLE
Procedure Checklist
Name of Student:
Clinical Instructor:
Changing an Occupied Bed
A. Direction: Write your answers on the space provided.
Assessments:
Possible Nursing Diagnoses:

1.
2.
Materials:
B. Directions: Provide your assessment findings/rationale on the box. You are rated based on the
performance rubrics.
PROCEDURE RATIONALE
Preparatory phase
1. Check the client’s identification and
condition.
2. Determine what linens the client may
already have in the room.
Performance phase
3. Explain to the client what you are going
to do, why it is necessary, and how he
or she can cooperate. Discuss how the
results will be used in planning further
care or treatments.
4. Wash hands and observe appropriate
infection control procedure.
5. Provide for client privacy.
6. Remove the top bedding.
7. Remove any equipment attached to the

bed linen, such as a signal light.
8. Loosen all the top linen at the foot of

the bed. Loose bottom bed linens. Fan-
fold (or roll) soiled linens from the side
of the bed and wedge them close to the
client. Placing folded (or rolled) soiled
linen close to the client allows more
space to place the clean bottom sheets
and remove the spread and the
blanket.
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College of Nursing
Procedure Checklist
PROCEDURE RATIONALE
9. Leave the top sheet over the client, or
replace it with a bath blanket as
follows:
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.
c. Remove the sheet from the bed
and place it in the soiled linen
hamper.
Change the bottom sheet and draw sheet.
10. Assist the client to turn on the side
facing away from the side where the
clean linen is
11. Raise the side rail nearest the client. If
there is no side rail, have another
nurse support the client at the edge of
the bed.
12. Loosen the foundation of the linen on
the side of the bed near the linen
supply.
13. Fanfold the draw sheet and the bottom

sheet at the center of the bed, as close
to the client as possible.
14. 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 the contour sheet is
not being used
15. Place the clean draw sheet on the bed
with the center fold at the center of the
bed. Fanfold the uppermost half
vertically at the center of the bed and
tuck the near side edge under the side
of the mattress.
16. Assist the client to roll over toward you
onto the clean side of the bed. The
client rolls over the fan folded linen at
the center of the bed.
17. Move the pillows to the clean side for
the client’s use. Raise the side rail
before leaving the side of the bed.
18. Move to the other side of the bed and

lower the side rail.
19. Remove the used linen and place it in

the portable hamper.
20. Unfold the fan folded bottom sheet

from the center of the bed.
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College of Nursing
Procedure Checklist
PROCEDURE RATIONALE
21. 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.
22. Unfold the draw sheet fan folded at the
center of the bed and pull it tightly with
both hands. Pull the sheet in three
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.
23. Tuck the excess draw sheet under the
side of the mattress
24. Reposition the client in the center of

the bed.
25. Reposition the pillows at the center of

the bed.
26. Assist the client to the center of the

bed. Determine what position the client
requires or prefers and assist the client
to that position.
Apply or complete the top bedding.
27. 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.
28. Ensure continued safety of the client.
 Raise the side rails. Place the bed in
the low position before leaving the
bed side.
 Attach the signal cord to the bed
linen within the client’s reach
 Put items used by the client within
easy reach.
Follow-up phase
29. Conduct appropriate follow-up, such
as determining client’s comfort and
safety, patency of all drainage tubes,
and client’s access to call light to
summon help when needed.
30. Document and report pertinent data.
 Bed making is not normally
recorded.
 Record any nursing assessments,
such as the client’s physical status
and pulse and respiratory rates
before and after being out of bed as
indicated.
References: (Kozier, Erb, Berman, & Snyder, 2014); (Nettina, 2006)
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College of Nursing
Procedure Checklist
C. Write medical terms and abbreviations related to this procedure. Provide meaning for each.
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What is the purpose of changing bed linens?

What is the purpose of changing bed linens?

What are the steps involved in changing bed linens with a client?

What are the steps involved in changing bed linens with a client?

Central Mindanao University

Changing an Occupied Bed

A. Direction: Write your answers on the space provided.

Possible Nursing Diagnoses:

5. Provide for client privacy.

6. Remove the top bedding.

7. Remove any equipment attached to the

8. Loosen all the top linen at the foot of

13. Fanfold the draw sheet and the bottom

14. Place the new bottom sheet on the bed,

18. Move to the other side of the bed and

19. Remove the used linen and place it in

20. Unfold the fan folded bottom sheet

24. Reposition the client in the center of

25. Reposition the pillows at the center of

26. Assist the client to the center of the

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