CNA Procedure for Changing Bed Sheets

Introduction

• CNA Name: Patti
• Patient Name: Mr. Jones
• Objective: Change sheets while maintaining patient privacy and comfort

Initial Preparations

• Greeting and Consent: Patti introduces herself and confirms with Mr. Jones if it is okay to change the sheets.
• Curtain and Handwashing: Curtain closed for privacy; hands washed before starting.
• Supplies Needed:
  • Top sheet
  • Bottom sheet
  • Pillowcase
  • Privacy blanket

Changing the Sheets

Step 1: Preparing the Patient

• Place privacy blanket over patient for warmth and privacy.
• Ask Mr. Jones to hold the blanket in place.

Step 2: Removing Soiled Sheets

• Ask Mr. Jones to scoot and roll to one side.
• Remove and roll soiled sheet inward, tuck under the spine.

Step 3: Placing Clean Sheets

• Positioning:
  • Unfold and attach corners of the clean sheet.
  • Roll clean sheet toward the patient, tucking under the soiled sheet.
• Ask Mr. Jones to roll to the other side.
• Remove soiled sheet completely and place in dirty linen.
• Unroll clean sheet and attach corners securely.

Step 4: Finalizing Bed Making

• Assist Mr. Jones back onto his back and to the center.
• Place top sheet over the patient, remove privacy blanket, and place it in dirty linen.
• Secure sheets, make hospital corners, and ensure foot space.

Pillowcase Change

• Remove and replace pillowcase without contact with uniform.
• Place clean pillow under Mr. Jones’ head, opening facing away from the door.

Final Checks and Comfort

• Ensure Mr. Jones is comfortable.
• Provide call light and offer additional help (magazine, etc.).

Closing

• Open the curtain.
• Wash hands and dispose of barrier.
• Review steps mentally for corrections.
• Confirm with evaluator that skill is completed.