Lower the siderails. Strip the bed and replace the top clothes by a cover sheet (top sheet can be used, incase it is not soiled).
Fold top clothes one by one to remove and place on the back of the chair in case to be reused.
Bedspread Fold it in half, top edge to bottom edge or longitudinally with side edge to side edge. Grasp the center and fold in half, then in half one more time.
Blanket Fold it as above.
Top sheet Fold it as above.
Move the patient and mattress well up in the bed.
Turn the patient towards you.
Fold or roll the unclean draw sheet, protective sheet, bottom sheet, one by one as close to the patient' s back as possible, soiled side inward, on the far side of the bed.
Dust the mattress thoroughly. Place the clean bottom sheet, protective sheet, draw sheet on the far side and fold or roll the excess bottom clothes one by one close to the patient.
Raise the far side rail. Turn the patient away from you. Patient may hold the far side rail for support.
Roll the unclean bottom clothes on the near side towards you and remove.
Dust the mattress and unroll the clean bottom clothes towards you.
Straighten the bottom clothes tight and smooth out wrinkles, tuck these one by one firmly under the mattress and miter the corners.
Replace the cover sheet by top clothes.
Repeat the steps as mentioned in preparing the open bed. N.B: If the patient cannot be turned, the bottom clothes are
changed from head to foot. The bed linen is changed after giving bath to the patient.