- Review the medical record and nursing plan of care for conditions that may influence the patient’s ability to move or to be positioned.
- Assess for tubes, IV lines, incisions, or equipment that may alter the positioning procedure. Identify any movement limitations.
- Consult patient handling algorithm for moving the patient.
- Perform hand hygiene and put on PPE.
- Identify the patient. Explain the procedure to the Patient.
- Close curtains around bed and close the door to the room, if possible.
- Adjust the head of the bed to a flat position.
- Remove all pillows from under the patient. Leave one at then head of the bed, leaning.
- Position at least one nurse on either side of the bed, and lower both side rails.
- 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.
- One nurse should be positioned on each side of the bed.
- Grasp the friction-reducing sheet securely, close to the patient’s body.
- Flex your knees and hips. Tighten your abdominal and gluteal muscles and keep your back straight.
- On the count of three, move the patient up in bed.
- Assist the patient to a comfortable position and readjust the pillows and supports, as needed. Return bed surface to normal setting.
by. Siva Nanda Reddy- http://www.slideshare.net