A practical nurse (PN) and an assistive personnel (AP) are preparing to move a client up in bed using a draw sheet. The client has limited mobility but can follow commands. In what order should the PN perform the following actions to ensure safety and proper body mechanics? Arrange the steps in the correct chronological sequence.
- 1Place the bed in a flat position and elevate it to the caregivers' waist height.
- 2Remove the pillow from under the client's head and position it upright against the headboard.
- 3Ask the client to cross their arms over their chest and bend their knees.
- 4Roll the draw sheet closely alongside the client's body and grasp it firmly.
- 5Stand with a wide base of support and shift weight from the back foot to the front foot while moving the client.
Answer
First, place the bed in a flat position at waist height. Second, remove the pillow and place it against the headboard. Third, instruct the client to cross their arms and bend their knees. Fourth, roll the draw sheet close to the client's sides. Fifth, shift weight from the back foot to the front foot to complete the move.
The correct sequence ensures maximum safety for both the client and the caregivers. Preparing the environment (bed height and positioning the pillow) must occur first to prevent strain and head injury. Next, preparing the client's body posture reduces friction and allows the client to assist. Finally, establishing a firm grip and utilizing leg muscles for the weight shift ensures the move is executed with proper ergonomics.
Step-by-Step Solution
Key Concept
Proper body mechanics and sequence of steps during patient positioning.