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Assisting Patient to turn in bed

1. Review the physicians order and nursing plan care for

patient activity. Identify any movement limitations and theability of the patient to assist with turning.

This is to provide the patients safety.

2. Gather any positioning aids, if necessary. To have an organized approach to the task.

3. Identify the patient. Explain the procedure to the patient. To reduce the patients apprehension and to encouragecooperation.

4. Perform hand hygiene and done gloves, if necessary. To deters the spread of microorganism and to prevent crosscontamination.

5. Close the room or curtains. Place the bed at anappropriate and comfortable working height.

To provide the patients privacy and thus minimizesembarrassment.

6. Adjust the head of the bed to a flat position or as low asthe patient can tolerate. Place pillows, wedges, or any othersupports to be used for positioning within easy reach.

This is to ensure that the patient will be positioned safely onthe center of the bed after turning.

7. using the draw sheet, move the patient to the edge of thebed, opposite the side where she or he will be turned.

Using a draw sheet can help minimize the effort to be usedin moving the patient.

8. Stand on the side to which the patient is turning. Makesure that the side rail on the opposite side of the bed fromwhere you are standing is raised. Lower the side rail nearestyou.

Raising the side rail of the opposite side from you wouldsecure the patient from fall.

9. Place the patients arms across the chest and cross his or

her far leg over the leg nearest you.10. Stand opposite the side the patients center with youfeet spread about shoulder width and with one foot ahead ofthe other. Tighten your gluteal and abdominal muscles andflex your knees. Use your leg muscle to do the pulling.

Feet spread and knees flex would provide greater supportand stability in moving the patient.

11. Position your hands on the patients far shoulder and hipand roll the patient toward you. Or, you may use the draw

This position supports the client at the two heaviest parts ofthe body, providing greater control during the roll.

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Moving the patient up in the bed with the assistance of another Nurse

1. Review the medical record and nursing plan of the care

for the patients conditions that may influence the patientsability to move or to be positioned. Assess for tubes,intravenous lines, incisions, or equipment that may alter thepositioning procedure. Identify any movement limitations.

This is to provide the patients safety and to make sure that

positioning the patient would not cause any problems.

2. Identify the patient. Explain the procedure to the patient. To reduce the patients apprehension and to encouragecooperation.

3. Perform hand hygiene and done gloves, if necessary. To deters the spread of microorganism and to prevent crosscontamination.

4. Close the room or curtains. Place the bed at anappropriate and comfortable working height. Adjust the

head of the bed at a flat position or as low as the patient cantolerate.

To provide the patients privacy and thus minimizesembarrassment. And to provide a comfortable working

position to the nurse.

5. Remove all pillows from under the patient. Leave one atthe head of the bed, leaning upright the headboard.

This pillow protects the patients head from inadvertentinjury against the top of the bed.

6. Position one nurse on either side of the bed and lowerboth side rails.

To provide a good assistance form the other nurse.

7. If draw sheet is not place under the patient, take amoment to place one under the patients midsection.

Using a draw sheet can help minimize the effort to be usedin moving the patient.

8. if the patient is able, ask the patient to bend his legs andput his feet flat on the bed to assist with the movement.

This increases the force movement.

9. have the patient cross his arms across his chest. If able,have him left his head with his chin on his chest.

With the cooperation of the patient, the work would becomeeasier and requires less effort.

10. Position yourself at the patients midsection with yourfeet spread shoulder width apart and one foot slightly infront of the other.

Feet spread apart provides grater stability of support.

11. Fold or bunch the draw sheet close to the patient beforegrasping it securely and preparing to move the patient.

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12. Flex knees and hips. Tighten abdominal and glutealmuscles and keep your back straight.

This keeps them off the bed and minimizes friction. And thusprevent back strain.

13. Shift your weight back and forth from the back leg to

your front leg and count to three. On the count of three,move the patient up in the bed. If possible, the patient canassist the move by pushing with his legs. Repeat theprocess if necessary to get the patient to the right position.

Counting to three would provide a more synchronized

approach in moving or lifting the patient.

14. Assist the patient to a comfortable position and readjustthe pillows and supports as needed. Raise the side rails.Place the bed in the lowest position.

15. Perform hand hygiene. To prevent the spread of microorganisms and means of cross contamination.