I have had the privilege of working with a diverse group of assisted living facilities throughout Tampa. The change of bed position in these facilities provides quality of care for many residents who need assistance turning in bed every 2 hours.

Sadly, I have also worked in nursing homes and seen bedsores 1 inch in diameter and 2 inch deep. I cannot stress enough the importance of turning a resident in bed (change of bed position) every 2 hours to prevent skin breakdown and bedsores.

Equipment & Supplies Needed For The Change Of Bed Position:

  • 1 pillow for under the head
  • 1 pillow behind the back (if resident is turned on her side).
  • 1 pillow between the legs (if resident is turned on her side).
  • 1 pillow between the arms (hugging).

In order to maintain CNA and caregiver safety in the assisted living facility, it is recommended that the bed be raised to a comfortable working height. As usual, explain to the resident that you will be changing his or her position in bed. If the resident is on the left side, change her position to her right side or supine (eyes looking up, flat on back), and vise versa.

When a resident is not capable of turning herself, assisted living facilities should follow the change of bed position procedure every 2 hours.

Steps Required:

    1. Communicate with the resident. Explain that you will change his bed position and ask him for his assistance. It is important that the resident assist as much as possible in order to maintain their independence and mobility.
    2. Loosen and roll down the top sheet.
    3. Cross the resident’s arms in an “X”.
    4. Slide the resident on the bed towards you in 3 sections:
      • First section, upper body. Hold shoulders and slide resident towards you on the count of 3.
      • Second section, middle body. Hold hips and slide resident towards you on the count of 3.
      • Third section, lower body. Hold calves and slide resident towards you on the count of 3.
    5. Ask the resident if they have any knee or shoulder issues. Hold resident’s glasses (if applicable).
    6. Bend the knee closest to you and hold the resident by their bent knee and shoulders.
    7. Roll the resident to their new side (away from you). At this point, the resident should be on her side and in the center of the bed.
    8. Ask the resident if their shoulders are OK. Provide resident with glasses (if applicable).
    9. Tuck and place pillows:
      • Tuck pillow #1 comfortably under their head. Make sure that pillow #1 is supporting neck and chin.
      • Tuck pillow #2 behind their back for support.
      • Place pillow #3 between legs & knees.
      • Place pillow #4 between arms (hugging). Make sure that the open-end of the pillow cover is not facing the resident.
    10. Return the top sheet cover over the resident’s shoulders and ask the resident if she is comfortable.

Quality Of Care

Can you imagine lying in bed in the same position for several hours? In order to maintain quality of care, our assisted living facilities in Tampa properly trains CNA and caregivers to change residents’ bed position every 2 hours. Additionally, the change of bed position prevents the resident from developing skin breakdown and nasty bedsores.


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