Moving a Client Up in Bed Performance Checklist

Moving a Client up in a Bed

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.