1.Identify the patient. Explain the procedure to the patient.
2.Perform hand hygiene and put on gloves, if necessary.
3.Close the room door or curtains. Place the bed at an appropriate and comfortable working height. Adjust the head of the bed to a flat position or as low as the patient can tolerate. Placing the bed in slight Trendelenburg position aids movement, if the patient is able to tolerate it.
4.Remove all pillows from under the patient. Leave one at the head of the bed, leaning upright against the headboard.
5.Position at least one nurse on either side of the bed, and lower both side rails.
6.If a friction-reducing sheet or drawsheet is not in place under the patient, place one under the patient’s midsection.
7.Ask the patient (if able) to bend his or her legs and put his or her feet flat on the bed to assist with the movement.
- 8.Have the patient fold the arms across the chest. Have the
- patient (if able) lift the head with chin on chest.
- 9.Position yourself at the patient’s midsection with your feet spread shoulder width apart and one foot slightly in front of the other.
10.If available on bed, engage mechanism to make the bed surface firmer for repositioning.
11.Fold or bunch the drawsheet close to the patient before grasping it securely and preparing to move the patient.
12.Flex your knees and hips. Tighten your abdominal and gluteal muscles and keep your back straight.
- 13.Shift your weight back and forth from your back leg to your front leg and count to three. On the count of three, move the patient up in bed. If possible, the patient can assist with the move by pushing with the legs. Repeat the process if necessary to get the patient to
- the right position.
14. Assist the patient to a comfortable position and readjust the pillows and supports as needed. Return bed surface to normal position, if necessary. Raise the side rails. Place the bed in the lowest position.
15. Remove gloves if used and perform hand hygiene.