3 Moving a Client Up in Bed Performance Checklist

  1. 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.
  2. Raise bed to a comfortable working height.
    • Lower the head of the bed so it is as flat as client can tolerate.
  3. Fold back top sheet.
    • Place the pillow against the headboard.
    • Make sure the turning sheet is in position under the person.
  4. 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.
  5. 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.
  6. Slide the person up in bed on the count of “3”, maintaining proper body mechanics.
    • Repeat if necessary.
  7. Unroll the lift sheet.
    • Put the pillow under the person’s head and shoulders.
    • Replace top sheet.
  8. 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.
  9. Perform hand hygiene.
  10. Report and record observations, according to agency policy.

Assessment: Moving a Client up in Bed

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