BUKIDNON STATE UNIVERSITY

COLLEGE OF NURSING
Fundamentals of Nursing Practice
Date Performed: Final Grade:
Clinical Instructor: Time and Motion:

MOVING A CLIENT UP ON BED

Definition:

Objectives:

1.
2.
3.

Safety and Security Measures:

1.
2.
3.

Pre-procedural Preparations:
1. Wash hands
2. Introduce yourself to the client and identify client’s identity. Explain what are going to do, why it is
necessary, and how the client can cooperate.
3. Gather the necessary equipment.
4. Provide Privacy

Equipment:

RETURN DEMO
STEPS Able to Unable to
perform perform

1. Adjust the level of the bed and the client’s position.

a) Adjust the head of the bed to a flat position or as low as the
client can tolerate.[1]
b) Raise the bed to the height of your center of gravity.[1]
c) Lock the wheels of the bed and raise the rail on the side of
the bed opposite to you.[1]
d) Remove all pillows then place one against the head of bed.
[1]
 BUKIDNON STATE UNIVERSITY
COLLEGE OF NURSING
Fundamentals of Nursing Practice
Rationale:

2. Assess client’s ability to help with moving and positioning.[2]

a) Age
b) Disease process
c) Strength
d) Range of Motion (ROM)

Rationale:

3. Elicit the client’s help in lessening your workload by doing the

following. Ask the client to:
a) Flex hips and knees and to position feet so that they can be
used effectively for pushing. [1]
b) Grasp the head of the bed with both hands and pull during
the move; or[1]
c) Raise the upper part of the body on the elbows and push
with the arms and forearms during the move; or. [1]
d) Grasp the overhead trapeze with both hands and lift and
pull during the move. [1]
Rationale:

4. Position yourself appropriately, and move the client. [1]

a) Face the direction of the movement and then assume a
broad stance. Position your farthest foot forward and the
nearest foot behind the forwarded foot. Incline your trunk
forward from the hips. Flex hips, knees, and ankles.
b) Place your near arm under the client’s thighs. Push down on
the mattress with the far arm. [1]
c) Tighten your gluteal, abdominal, leg and arm muscles, bend
your knees, and keep back straight and neutral. Rock from
the back leg to the front leg and back again. Then, shift the
 BUKIDNON STATE UNIVERSITY
COLLEGE OF NURSING
Fundamentals of Nursing Practice
weight to the front leg as the client pushes with the heels
and pulls with the arms, moving the client toward the head
of the bed.
Rationale:

5. Ensure client comfort. Elevate the head of the bed and provide
appropriate support devices for the client’s new position. [1]

Rationale:

A CLIENT WHO HAS LIMITED STRENGTH IN THE UPPER

EXTREMITIES

6. Assist the client to flex the hips and knees as above. Place the
client’s arms across the chest. [1]
Rationale:

7. Ask the client to flex the neck during the move and keep the
head off the bed surface.[1]
Rationale:

8. Position yourself properly and place one arm under the client’s
back and shoulders and the other arm under the client’s thighs,
then move the patient up on bed. [1]
Rationale:
 BUKIDNON STATE UNIVERSITY
COLLEGE OF NURSING
Fundamentals of Nursing Practice

9. Assist the patient to a comfortable position and raise the side

rails.
Rationale:

10. Document all relevant information. [1] [2]

a) Time, position from which the client has moved, and
position to which client was moved.
b) Any signs of pressure areas
c) Use of support devices
d) Ability of the client to assist in moving and turning
e) Response of the client to moving and turning

Rationale:

11. Ability to answer questions

12. Definition

13. Objectives

14. Safety and Security Measures

Total Score: ______/ 14

Percentage:

Equivalent Grade:

Name and Signature of Clinical Instructor: __________________________

REFERENCES:
__________________
[1] Kozier, Barbara. & Erb, Glenora (2008). Kozier & Erb’s Fundamentals of Nursing Checklist. 8th ed. Philippines: Pearson Education, Inc.

[2] Potter, Patricia et.al (2017). Fundamentals of Nursing. 9th ed. Philippines: Elsevier Pte. Ltd.