What is the first step the nurse aide should take when making an occupied bed?

The first step the nurse aide should take when making an occupied bed is to make the toe pleat. This involves folding the bottom sheet over the foot of the bed, which provides comfort and allows for the patient's feet to be positioned properly without feeling constrained. By making the toe pleat first, the aide ensures that the patient's feet are secured and comfortable, preventing the sheets from hanging loosely at the bottom, which can be a safety concern.

In an occupied bed scenario, it is critical to prioritize the comfort and safety of the resident. Making the toe pleat enables the nurse aide to proceed with making the bed while keeping the individual stable and secure. This foundational step is also essential for organizing the rest of the bedding before removing any layers or making changes that could disturb the resident.

Following the making of the toe pleat, the aide can then proceed to remove other bedding components safely, ensuring the resident's comfort throughout the process. Understanding the order of these steps is vital for effective care and supports patient dignity.