What are the steps to perform an occupied bed change?

• A. Move resident to chair; change bed.
• B. Raise side rails, keep resident covered, roll to one side, remove soiled linens, place clean linens, return resident to center.
• C. Remove bottom sheet, replace top sheet only; no repositioning.
• D. Remove all linens while resident is supine, then re-cover.

Answer: (B)

An occupied bed change focuses on keeping the resident safe, warm, and dignified while changing the linens without leaving the bed. Start by adjusting the bed to a comfortable height and raising the side rails to create a safe working area. Keep the resident covered with a top sheet or blanket to preserve privacy and modesty. Then gently roll the resident onto one side to access the linens, remove the soiled linens from the exposed side, and slide in clean linens underneath. Once the clean linens are in place, roll the resident back toward the center of the bed and smooth out the sheets so there are no wrinkles. Lower the bed, lower the side rails, and ensure the resident is comfortable and covered, with the call light within reach.