Skill Checklists for Taylor's Clinical Nursing Skills: A Nursing Process Approach

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Copyright © 2011 by Wolters Kluwer Health | Lippincott Williams & Wilkins. Skill Checklists for Taylor's Clinical Nursing Skills:

Skill Checklists for Taylor's Clinical Nursing Skills:
A Nursing Process Approach, 3rd edition

Name Date

Unit Position

Instructor/Evaluator: Position

SKILL 9-1

Assisting a Patient With Turning in Bed

Goal:The activity takes place without injury to patient or nurse. Comments

1. Review the physician’s orders and nursing plan of care for
   patient activity. Identify any movement limitations and the
   ability of the patient to assist with turning. Consult patient
   handling algorithm, if available, to plan appropriate
   approach to moving the patient.


2. Gather any positioning aids or supports, if necessary.


3. Perform hand hygiene. Put on PPE, as indicated.


4. Identify the patient. Explain the procedure to the patient.


5. Close the curtains around bed and close the door to the
   room, if possible. Position at least one nurse on either side
   of the bed. Place pillows, wedges, or any other support to
   be used for positioning within easy reach. Place the bed at
   an appropriate and comfortable working height, usually
   elbow height of the caregiver (VISN 8 Patient Safety
   Center, 2009). Lower both side rails.


6. If not already in place, position a friction-reducing sheet
   under the patient.


7. Using the friction-reducing sheet, move the patient to the
   edge of the bed, opposite the side to which he or she will
   be turned. Raise the side rails.


8. If the patient is able, have the patient grasp the side rail
   on the side of the bed toward which he or she is turning.
   Alternately, place the patient’s arms across his or her chest
   and cross his or her far leg over the leg nearest you.


9. If available, activate the bed mechanism to inflate the side
   of the bed behind the patient’s back.
   10.The nurse on the side of the bed toward which the patient
   is turning should stand opposite the patient’s center with
   his or her feet spread about shoulder width and with one
   foot ahead of the other. Tighten your gluteal and abdomi-
   nal muscles and flex your knees. Use your leg muscles to
   do the pulling. The other nurse should position his or her
   hands on the patient’s shoulder and hip, assisting to roll
   the patient to the side. Instruct the patient to pull on the
   bed rail at the same time. Use the friction-reducing sheet
   to gently pull the patient over on his or her side.

ExcellentSatisfactoryNeeds Practice