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BODY MECHANICS: MOVING A PATIENT UP IN BED WITH/WITHOUT ASSISTANCE

Student Name: __________________________________________  

PROCEDURE

Satisfactory

Unsatisfactory

1.

Washes hands and dons the appropriate PPE

2.

Explains the procedure to the patient

3.

Ensures that the bed brake is on

4.

Adjust the bed to working height (waist level)

5.

Lower the head of the bed until it is flat and removes the pillow

6.

Instructs patient to flex knees, placing heels of feet on the mattress and, when commanded to do so, to lift their head and to push themselves upward toward the head of the bed (If the patient is unable to lift his/her head, put the sheet height enough so that their head is lifted as you lift the sheet)

7.

With the help of another, grasps the draw-sheet at the shoulder and hip level, pointing one foot in the direction you’re moving the patient

NOTE: When moving the patient without assistance, place one hand under the shoulders and the other under the thigh (Always avoid pulling a patient up in bed by their arms.  (You can place the bed in Trendelenburg position to pull the patient up in bed if her/she can tolerate it – let gravity help)

8.

Lean in the direction of the move, using your legs and body weight

9.

On the count of the three, two of you lift and pull the patient up (repeat this step as many times as needed to position the patient)

10.

Repositions the patient and places the pillow back under their head

11.

Ensures the safety and comfort of the patient

12.

Removes PPE and washes hands using the appropriate hand-hygiene procedure

REMEMBER:

Maintain the proper alignment of your head and neck with your spine

Maintain the natural curve of your spine; don't bend at your waist

Avoid twisting your body when lifting or carrying a person

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