21 - Moving A Client To The Side of The Bed in Segments

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BUKIDNON STATE UNIVERSITY

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

MOVING A CLIENT TO THE SIDE OF THE BED IN SEGMENTS

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. Raise bed to a comfortable working height.


Rationale:

2. Lock wheels on the bed or if there is no lock, push bed


against the wall. Lower the rail on the side where you
BUKIDNON STATE UNIVERSITY
COLLEGE OF NURSING
Fundamentals of Nursing Practice
are working.[2]
Rationale:

3. Position yourself and the client appropriately before


performing the move

3.a. Stand as close as possible at the side of the bed


toward which the client will be moved.
Rationale:

3.b. Place the client’s near arm across the chest.


Rationale:

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

4. Place one arm under client and reach across to the


opposite shoulder. Put the other arm under the client’s
back.
Rationale:

5. On the count of “3”, lift and move the client’s upper


segment of the body to the edge of the bed by rocking
backward, shifting your weight from the forward foot to
the backward foot.[2]
BUKIDNON STATE UNIVERSITY
COLLEGE OF NURSING
Fundamentals of Nursing Practice
Rationale:

6. Move the client’s waist and buttocks the same way as


describe above. [1]
Rationale:

7. Move the client’s leg and feet. Place your hands close
together beneath the client’s ankles, and repeat the steps
above, pulling the client’s legs and feet to the side of the
bed.[2]
Rationale:

8. Elevate the side rail next to the client.[1]


Rationale:

VARIATIONS: Using a Pull Sheet


9. Use a pull sheet beneath the client’s trunk and the
thighs to pull the client to the side of the bed.[1]
Rationale:

10. Roll up the sheet as close as possible to the client’s


body, and pull the client’s shoulder then the buttocks, to
the side of the bed. Move the legs and feet as
described above.[1]
Rationale:

11. Roll up the sheet as close as possible to the client’s


body, and pull the client’s shoulder then the buttocks, to
the side of the bed. Move the legs and feet as
described above.[1]
BUKIDNON STATE UNIVERSITY
COLLEGE OF NURSING
Fundamentals of Nursing Practice
Rationale:

12. Ability to answer questions

13. Definition

14. Objectives

15. Safety and Security Measures

Total Score: ______/ 15


Percentage:

Equivalent Grade:

Name and Signature of Clinical Instructor: __________________________

REFERENCES:
__________________
[1]
Taylor et. al. (2011) Fundamentals of Nursing: The Art and Science of Care. 7th edition. Philadelphia. Wolters Kluwer Health/Lippincott
Williams and Wilkins.
[2]
Potter, P.A. Perry, A.G., Stuckert, P.A., & Hall, A.U. (2013) Fundamentals of Nursing (8 th ed.)

[3]
Kozier, B., Erb, G. L., Berman, A. & Synder, S.J. (2008). Kozier & Erb’s Fundamentals of Nursing Checklist (10 th ed.). Pearson Education South
Asia Pte Ltd. 23-25 First Lok Yang Road Juron, Singapore 629733. ed.).

[4]
Altman, G.B., Buchsel, P. & Coxon, V. (200). Delmar’s Fundamental & Advanced Nursing Skills. Delmar’s Thomson Learning, Canada.

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