Title: Demonstrate how to make an occupied bed.
Course: Nurse Aide (14051) > Section: Unit VII: Basic Skills

Demonstration should include following these steps:

- Identify yourself, and explain the procedure to the resident. Provide for resident privacy.
- Adjust the bed to waist height.
- Loosen the top linen from the end of the bed on the side you will work on first.
- Unfold the bath blanket over the top sheet to cover the resident and remove the top sheet, keeping the resident covered at all times.
- Raise the side rail on the far side of the bed to protect the resident from falling out of the bed while you are making it. Go to the other side of the bed and assist the resident to turn onto the side away from you toward the raised siderail.
- Loosen the bottom soiled linen, mattress pad, and protector on the working side. Roll the bottom soiled linen toward the resident, soiled side inside and tuck it snugly against the resident’s back.
- Place the mattress pad on the bed, attaching the elastic corners on the working side. Place and tuck in the clean bottom linen; finish with the bottom sheet free of wrinkles. Smooth the bottom sheet out toward the resident; roll the extra material toward the resident; tuck it under the resident’s body.
- If using a draw sheet, place it on the bed and tuck it in on your side, smooth it and tuck it as you did with the other bedding.
- Raise the side rail nearest you; go to the other side of the bed, lower the side rail on that side and help the resident turn onto the clean bottom sheet. Loosen the soiled linen; roll the linen from the head to the foot of the bed avoiding contact with your skin or uniform; place it in the laundry hamper or bag.
- Pull the clean linen through as quickly as possible starting with the mattress pad; pull and tuck in the clean bottom linen just like the other side; finish with the bottom sheet free of wrinkles.
- Assist the resident to turn onto their back; keep the resident covered and comfortable with the pillow under their head; raise the side rail.
- Unfold the top sheet and place over the resident, centering it; slip the bath blanket or old sheet out from underneath and put it in the hamper or bag.
- Place the blanket over the top sheet, matching the top edges; tuck the bottom edges of the top sheet and blanket under the bottom of the mattress; miter the corners and loosen the top linens over the resident’s feet; fold the top sheet over the blanket at the top of the bed by about 6 inches.
- Remove the pillow and change the pillowcase, placing the soiled one in the hamper or bag. Remove and discard gloves.
- Position the resident in a comfortable position; return the bed to the low position; return the side rails to an appropriate position.