Assessment:
Determine assistive devices that will be required and encumbrances to movement, such as an IV or a heavy cast on one leg. Medications the client is receiving, as certain medications may hamper movement or alertness of the client. Assistance required from other health care personnel.
Planning/Implementation:
Explain to the client what you are going to do, why it is necessary, and how she can cooperate. Wash hands and observe other appropriate infection control procedures. Provide for client privacy. Position yourself and the client appropriately before performing the move. Pull or roll the client toward you to the lateral position. Instead of abducting the far arm, keep the client’s arm alongside the body for the client to roll over. Roll the client completely onto the abdomen. Never pull a client across the bed while he is in the prone position.
Evaluation:
Document all relevant information. Record the tine and change of position moved from and position moved to, any signs of pressure areas, use of support devices, ability of client to assist in moving and turning and response of client to moving and turning.
