BUKIDNON STATE UNIVERSITY

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

MOVING THE CLIENT TO LATERAL TO PRONE

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
5. Observe Proper body mechanics

Equipment:

RETURN DEMO
STEPS Able to Unable to
perform perform

1. Position yourself and the client

appropriately before performing the move. [1]
Rationale:
 BUKIDNON STATE UNIVERSITY
COLLEGE OF NURSING
Fundamentals of Nursing Practice
2. Move the client closer to the side of the bed, opposite the
side the client will face when turned. [1]
Rationale:

3. While standing on the side of the bed nearest the client,

place the client’s near arm across the chest. Abduct the
client’s far shoulders slightly from the side of the body. [1]
Rationale:

4. Place the client’s near ankle and foot across the far ankle
and foot. [1]
Rationale:

5. Raise the side rail next to the client before going to the
other side of the bed. [1]
Rationale:

6. Position yourself on the side of the bed toward which the

client will turn, directly in line with the client’s waistline
and as close to the bed as possible. [1]
Rationale:

7. Incline your trunk forward from the hips. Flex your hips,
knees and ankles. Assume a broad stance with one foot
forward and your weight placed upon this forward foot.[1]
Rationale:

8. Place one hand on the client’s far hip and the other hand
on the client’s far shoulder.[1]
 BUKIDNON STATE UNIVERSITY
COLLEGE OF NURSING
Fundamentals of Nursing Practice
Rationale:

9. Tighten your gluteal abdominal, leg, and arm muscles.

Rock backward, shifting your weight from the forward foot
towards the backward foot, rolling the client onto the side
of the body facing you.[1]
Rationale:

VARIATION: Turning the Client to a Prone Position

10. To turn a client to prone position, follow all of the steps

above with the following alterations:
a) Instead of abducting the far arm, keep the client’s
arm alongside the body for the client to roll over. [1]
b) Roll the client completely onto the abdomen[1]
c) Never pull a client across the bed while the client is
in the prone position. [1]
Rationale:

11. A small pillow can be placed under the client’s stomach.

You can also place a small towel under the shoulder of the
client to reduce the pressure.[3]
Rationale:

12. Put another pillow under lower legs to prevent pressure on

toes.[3]
Rationale:

13. Wash your hands.[3]

 BUKIDNON STATE UNIVERSITY
COLLEGE OF NURSING
Fundamentals of Nursing Practice
Rationale:

14. Document the procedure done.[3]

Rationale:

15. Ability to answer questions

16. Definition

17. Objectives

18. Safety and Security Measures

Total Score: ______/ 18

Percentage:

Equivalent Grade:

Name and Signature of Clinical Instructor: __________________________

REFERENCES:
__________________
[1] Kozier, B., Erb, G., Blais, K., &Wilkinson, J. (1997). Fundamentals of Nursing: Concepts, Process, and Practice. San Francisco, United States of America: Benjamin-

Cummings Publishing Company.

[2] Birchenall, M, J., & Streight, E. (2013). Mosby's Textbook for the Home Care Aide. St. Louis Missouri, United States of America: Elsevier Mosby

[3] Spatz, A., Balduzzi, S. ([2]005). Homemaker Home Health Aide. New York, United States of America: Thomson Learning Inc