3 Moving a Client Up in Bed Performance Checklist
- Check care plan for direction and client needs.
- Perform hand hygiene.
- Assess the client’s status before undertaking the activity.
- Explain the procedure to the client.
- Provide for privacy.
- Request help as needed.
- Raise bed to a comfortable working height.
- Lower the head of the bed so it is as flat as client can tolerate.
- Fold back top sheet.
- Place the pillow against the headboard.
- Make sure the turning sheet is in position under the person.
- Lower the bed rails.
- Stand with a broad base of support.
- Bend hips and knees.
- Roll the sides of the lift sheet up close to the person.
- Grasp the rolled-up lift sheet firmly near the person’s shoulders and pelvis.
- Make sure the person’s head is supported.
- Ask the person to tuck chin into chest.
- Explain that you will move on the count of “3.”
- The person pushes against the bed with the feet if able.
- Slide the person up in bed on the count of “3”, maintaining proper body mechanics.
- Repeat if necessary.
- Unroll the lift sheet.
- Put the pillow under the person’s head and shoulders.
- Replace top sheet.
- Provide for safety and comfort.
- Place the call bell within reach.
- Return the bed to its lowest position.
- Follow the care plan for bed rail use.
- Perform hand hygiene.
- Report and record observations, according to agency policy.
Assessment: Moving a Client up in Bed
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