Which action secures the bottom sheet during an occupied bed change?

• A. Place clean sheet on mattress, roll toward you, and tuck it tightly under the dirty sheet.
• B. Leave the dirty sheet in place and place the clean sheet on top.
• C. Place the clean sheet flat without tucking.
• D. Remove the dirty sheet first and then place the clean sheet.

Answer: (A)

During an occupied bed change, the goal is to keep the clean sheet secure to the mattress while the resident stays covered and safe. Placing the clean sheet on the mattress, rolling the resident toward you, and then tucking the clean sheet tightly under the dirty sheet creates a firm, secure layer that won’t slip as you work. This keeps the clean sheet in place, reduces the risk of exposing the resident to the dirty sheet, and provides a stable surface to continue the process as you remove the dirty sheet and finish tucking. Leaving the dirty sheet in place and simply puttng the clean sheet on top wouldn’t secure the sheet or protect cleanliness; leaving the clean sheet flat without tucking allows shifting; removing the dirty sheet first can expose the resident and disrupt a secure, continuous change.