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 9-2

Moving a Patient Up in Bed With the

Assistance of Another Nurse

Goal:The patient remains free from injury and maintains

proper body alignment. Comments

1. 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. Iden-
   tify any movement limitations. Consult patient handling
   algorithm, if available, to plan appropriate approach to
   moving the patient.


2. Perform hand hygiene and put on PPE, if indicated.


3. Identify the patient. Explain the procedure to the patient.


4. Close curtains around bed and close the door to the room,
   if possible. Place the bed at an appropriate and comfortable
   working height, usually elbow height of the caregiver (VISN
   8 Patient Safety Center, 2009). Adjust the head of the bed to
   a flat position or as low as the patient can tolerate. Placing
   the bed in slight Trendelenburg position aids movement, if
   the patient is able to tolerate it.


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


6. Position at least one nurse on either side of the bed, and
   lower both side rails.


7. If a friction-reducing sheet (or device) is not in place under
   the patient, place one under the patient’s midsection.


8. 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.


9. Have the patient fold the arms across the chest. Have the
   patient (if able) lift the head with chin on chest.


10. One nurse should be positioned on each side of the bed, at
    the patient’s midsection with feet spread shoulder width
    apart and one foot slightly in front of the other.


11. If available on bed, engage mechanism to make the bed
    surface firmer for repositioning.


12. Grasp the friction-reducing sheet securely, close to the
    patient’s body.


13. Flex your knees and hips. Tighten your abdominal and
    gluteal muscles and keep your back straight.

ExcellentSatisfactoryNeeds Practice