A practical nurse (PN) and an unlicensed assistive personnel (UAP) are preparing to move a partially dependent client up in bed using a draw sheet. In what order should the nurse direct these actions? Arrange the steps from first to last.
- 1Position the bed flat and raise the bed height to the level of the caregivers' waists.
- 2Remove the client's pillow and place it upright against the headboard.
- 3Instruct the client to fold their arms across their chest and bend their knees.
- 4Grasp the rolled draw sheet tightly and close to the client's body on both sides.
- 5Shift weight from the back leg to the front leg while moving the client on the count of three.
Answer
The correct sequence is: 1) Position the bed flat and raise the bed height, 2) Remove the pillow and place it against the headboard, 3) Instruct the client to fold their arms and bend their knees, 4) Grasp the draw sheet close to the client, and 5) Shift weight to move the client on the count of three.
To safely move a client up in bed, the nurse must first prioritize environmental safety and ergonomics by flattening and raising the bed. Next, the client's head is protected by placing the pillow against the headboard. The client is then positioned to minimize friction and assist with the move (arms folded, knees bent). Finally, the caregivers establish a secure, close grip on the draw sheet and use a coordinated weight-shifting technique to execute the movement safely.
Step-by-Step Solution
Key Concept
Proper body mechanics and safety principles during client positioning and bed transfers.
Estimated Time:1m 15s