What are the steps to perform an unoccupied bed change?

• A. Remove linens; immediately place blankets only.
• B. Remove old linens, place clean bottom sheet, top sheet, and blankets; smooth and tuck corners.
• C. Roll patient to one side; discard linens.
• D. Put clean top sheet over old bottom sheet.

Answer: (B)

The main idea here is to perform a bed change when the patient is not in bed, doing the task in a clean, orderly sequence so the bed is ready for the next occupant. The correct approach is to remove the soiled linens first, then apply clean materials in the proper order: a clean bottom sheet on the mattress, followed by a clean top sheet, and then blankets. After placing each layer, you smooth out wrinkles and tuck the corners securely around the mattress. This sequence ensures the bed is fully covered with fresh, properly fitted linens, reduces the risk of contamination, and provides a neat, safe surface for the patient.

Why this works best: starting with a clean bottom sheet sets a clean foundation directly against the mattress, the clean top sheet provides modesty and warmth, and the blankets add warmth as needed. Smoothing and tucking prevent wrinkles that can cause pressure points or discomfort and help keep the linen in place.

The other options don’t fit because they skip essential steps or mix layers inappropriately. Simply placing blankets after removing linens leaves the patient without proper protective sheets, and layering the top sheet over an old bottom sheet doesn’t remove contamination or provide a fresh base. Rolling or moving a patient isn’t part of an unoccupied bed change, since you’re not handling a patient in this scenario.