Identification and Maneurvering Change ....

First, some groundwork:

Given #1) Diapers, being disposable are worth changing multiple times instead of clothes. Not only are they cheaper, but given that clothes are meant to compliment their changing, are easier to deal with than the task of changing the clothes
Given #2) Yes... you will have to change diapers, and in short order anyway, waiting to change a diaper is not a good option because of Given #1

With that out of the way, here we go:

A) Baby needs to be changed, You place her down on the changing mat or whatever you have(preferably soft). Orient the baby facing you, toes closest, head furthest. If there are clothes or a onesie, unsnap and inspect

B) You can tell the type usually without opening:
#1) usually kinda puffy, not so smelly
#2) usually not as puffy... a little smelly

If it's not one of the above, then either she doesn't need to be changed yet, or its not hazardous enough (at this point) to really be notable.... (you'll be thankful for these).

C) At this point, usually I pull a diaper out, and pre-stretch it. Not really stretching like you do with a bio-band or the sort, but as you'll see, they come packed in pretty tight into the packages, so opening it up so that it can be later positioned with a single hand will pay dividends. This usually involves un-sticking the paper portions from itself, opening the waist areas so they are spread out, and re-orienting the diaper when you place it down so that you can pick it up and don't have to figure if you need to flip it around for front or back.

D) Pull out a baby wipe. Usually you are going to keep these in some type of receptacle that holds the moisture. We have a wipe-warmer, I'm not sure if this is for the baby or for the changer's hands.... she cries either way when she gets changed. Sometimes you might need multiple wipes, so it might be best to have easy access.

E) Un-tape the diaper, and peel the front back to see what the damage is. Now this part isn't hazardous for me, as I have a little girl. I have heard that little boy's tend to "relax" when exposed to air, so you might be careful about that.

F) Ok.. this is where it can start to get hazardous, so every step needs to be taken with a certain amount of caution and ability to react(yes... a tall order in the wee-hours of the night). After I have surveyed what the damage is, with one hand, grab the baby wipe, with the other hand, carefully roll or fold down the front of the diaper into itself(no, you don't want whatever it is all over the place.

G) Once you have the front side of the potentially toxic surface somewhat contained, you'll need to corral the legs. Typically I do a one-hand grab of the legs, one ankle at a time. As I'm right handed, I prefer the baby wipe in my right hand, opposite for those of you who think the world is backwards. I'll grab the right ankle(your left side) between my pinky and ring finger, and her left ankle(your right side) between my middle and pointer finger. With this grab, I'm able to lift with one hand, and wipe with the other.

H) If you've been reading carefully, I haven't removed the previous old diaper yet... yes that is by design. That is your fall-back, if things go awry, you can set the baby back down into the existing diaper, evacuate, and wait till the scene settles again.

I) Wiping - its good practice to wipe from front to back. No need to contaminate the little girls areas. Make sure you get in all the little folds of skin and fat. Make sure that you cover the cheeks, and if it was especially explosive, make sure that you cover the back as well. If it takes an extra wipe or so, fine. Usually I can get away with a single wipe, most I've ever used on a single change is 4.

J) When you are done with the baby wipe, simply drop it into the diaper that is already right there . Your used diaper will act as a containment device for the toxic materials as they are set aside and await transport.

K) Here we approach a series of steps that, if done quickly and efficiently, can minimize(not eliminate) further disaster.

1. Roll the used diaper up with the wipe inside
2. Set the used diaper aside(or into the daiper champ)
3. Place a new diaper down

Mind you, all of this is done with a single hand. The same hand that was working the action with the wipe. The other hand should still be occupied by holding the ankles of the baby up.

All of this must be done as quickly and smoothly as possible. Any delays during this time could and will prove costly at one time or another.

L) Once the diaper is in place, you can lower the baby back into it. As your little one changes sizes, the fitment into the diaper will change as well... it's a bit weird, but you'll get used to it. Fold up the front, hold the front in place with one hand while the off-hand loosens and pulls the backside tape around front. Repeat this on both sides.

M) Put the clothes back on, pick your little one back up, and yer done!!!!