Quote from meanmaryjean
Open new diaper completely, smash the mattress down with your hand as you slide new diaper under baby. Then unfasten and pull old diaper out. (Much easier if you put the diaper on backward so the fasteners are toward their back/ upside.
HOWEVER, why in the world are hourly diaper changes ordered? That is crazy unless the kid is critically dehydrated.
^ Agreed with all of the above. However, I'd add steps: hold breath until you're sure you didn't wake the kid. Then: ninja-creep out of the room.
I kid. But, seriously, while I could see a Q1 for a c-diff kid...why? Hourly I&O? If the diaper is dry, it's not gonna count. And most diapers will be dry hourly. I don't doubt what you've heard, OP; I just question the order itself. (I've seen more ridiculous ones.) As other posters have mentioned, not disturbing these kids' sleep is ALSO important. For all the well-meaning and necessary interventions, I think people sometimes forget how restorative sleep is and how ill children have limited capability to deal with more physiological stress...such as sleep deprivation.
Also, even healthy children are crankier when they haven't slept, so there's that.
Good luck, OP! You'll find as you gain experience, you'll learn a lot of little tricks of the trade...and one day down the line when you slip out of a room after having done a full set of vitals without waking the little one, a nursing student will be looking at you in awe.