In the procedure for changing an occupied bed, which action immediately follows greeting and wristband check?

• A. Put new top sheet over the old top sheet
• B. Raise the bed to appropriate working level
• C. Roll up the side of the fitted sheet and tuck it under the resident
• D. Ask resident to cross their legs and arm, then turn them on their side

Answer: (B)

Raising the bed to a comfortable working level sets you up for safe, efficient care. When the bed is at the right height, you can use proper body mechanics—keep your back straight, bend at the knees, and bring linens close to your body—so you don’t strain and you can reach the resident and the linens easily. This height also allows you to turn the resident safely to the side, remove the soiled sheet, and start placing the clean sheet without awkward or risky positions. Other steps in the sequence involve manipulating linens or turning the resident, and should come after you’ve established a proper working height to protect both you and the resident from strain or discomfort.