Assessment:
Check the client’s physical abilities such as, the ability to understand instructions, degree of comfort or discomfort when moving. If needed, administer analgesics or perform other pain-relief measure, client’s weight and your own strength and ability to move the client.
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:
Assemble equipment and supplies, and assistive devices such as overhead trapeze, pull and/ or turn sheet, and transfer or sliding bar.
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. Adjust the bed and the client’s position. Adjust the head of the bed to a flat position, or as low as the client can tolerate. Raise the bed to the height of your center of gravity. Lock the wheels on the bed, and raise the rail on the side of the bed opposite you. Remove all pillows, then place one against the head of the bed. Elicit the client’s help in lessening your workload. Ask the client to flex the hips and knees to position the feet so that they can be used effectively for pushing. Ask the client to grasp the head of the bed with both hands and pull during the move or raise the upper part of the body on the elbows and push with the hands and forearms during the move or grasp the overhead trapeze with both hands and lift and pull during the move. Position yourself appropriately, and move the client. Ensure client comfort.
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.
