Procedure:

1. Explain what you are going to do
2. Wash your hands
3. Obtain material listed above, and place them in order of use on chair near bed
4. Provide privacy (close door, pull curtain)
5. Place laundry container near bed
6. Raise bed to comfortable working height and lock wheels. Lower rail on side where you are working
7. Lower head of bed to level comfortable for client - as low as possible
8. Loosen top bedding at foot of bed
9. Remove top bedding ( bedspread, quilt ), but leave client covered with one blanket or top sheet
10. Instruct client to hold top sheet while you remove other top linens
11. Fold any linens to be reused, such as blanket or quilt. Roll each remaining linen into a ball and discard in laundry container
12. Help client to roll to side of bed opposite to you and to grasp side rail for support
13. Roll each piece of bottom linen to center of bed and tuck along client's back
14. Smooth mattress pad, if used
15. Place clean bottom sheet, folder lengthwise, in center of bed. Unfold one half and roll to center of bed
    • Fitted sheet - place ends around corners - top and bottom; tuck side of sheet under Mattress
    • Flat sheet - place bottom hem of sheet even with edge of mattress at foot of bed; tuck Top sheet under mattress at head of bed

16. Miter corner at head end of mattress
17. Tuck sheet under side of entire mattress. Work from head of bed to foot
18. Place plastic draw sheet, fold in half, in center third of bed. Unfold and roll to center of bed. Tuck along client's back
19. Place cotton draw sheet, fold in half, in center of bed, covering entire plastic draw sheet. Unfold and roll to center of bed. Tuck along clients back
20. Tuck ends of plastic draw sheet and cotton draw sheet under mattress
21. Help client to roll toward you, over linens to clean side of bed
22. Raise rail on side where you have been working
23. Go to other side of bed
24. Lower side rail
25. Remove used bottom linens, roll, and discard in laundry container
26. Pull through all bottom linens. Straighten and tuck under head of mattress. Miter corner of sheet at head of bed. Or fit top and bottom corners of fitted sheet over mattress corners
27. Help client to roll back to center of bed
28. Place clean top sheet entirely over the client and remove top linen. Discard in laundry container or fold for reuse
29. Place blanket and bedspread over sheet
30. Tuck top sheet, blanket, and bedspread under foot mattress. Give "toe room" for client's feet. Make a miter corner.
31. Raise side rails
32. Go to other side of bed. Lower side rails
33. Smooth and straighten top sheet, blanket, and bedspread. Tuck them under foot of mattress. Give "toe room" for client feet. Make a mitered corner
34. Make a cuff at top sheet over bedspread
35. Remove pillow from bed. Remove pillowcase and discard in laundry container
36. Place clean pillowcase on pillow, and replace pillow under client's head
37. Make sure client is safe and comfortable
38. Place bed in lowest position ( raise rails if needed )
39. Remove laundry container and bring to washing machine or other location as requested by the client
40. Wash you hands
41. Record what you did and how the client reacted