Moving Patients Up

Perform hand hygiene.

Close door to room or close bedside curtains.
  • Put bed in flat position.

Assist patient in moving up in bed (two nurses):

  1. Place patient on back with head of bed flat.
  2. Remove pillow from under head and shoulders, and place pillow at head of bed.
  3. Face head of bed.
  4. Each nurse should have one arm under patient’s head and shoulders and one arm under patient’s thighs. A draw sheet may be used as an alternative.
  5. Alternative position if patient can assist: position one nurse at patient’s upper body. Nurse’s arm nearest head of bed should be under patient’s head and opposite shoulder; other arm should be under patient’s closest arm and shoulder. Position other nurse at patient’s lower torso. The nurse’s arms should be under patient’s lower back and torso.
  6. Place feet apart, with foot nearest head of bed behind other foot (forward-backward stance).
  7. When possible, ask patient to flex knees with feet flat on bed.
  8. Instruct patient to flex neck, tilting chin toward chest.
  9. Instruct patient to assist moving by pushing down with feet on bed surface.
  10. Flex knees and hips, bringing forearms closer to level of bed.
  11. Warn patient to push with heels and elevate trunk while breathing out, thus moving toward head of bed on count of three.
  12. On count of three, rock and shift weight from front to back leg. At the same time patient pushes with heels and elevates trunk.

Move immobile patient up in bed with draw sheet (two nurses):

  1. Place draw sheet under patient, extending from shoulders to thighs.
  2. Place patient on back with head of bed flat.
  3. Position one nurse at each side of patient.
  4. Fan-fold the draw sheet on both sides, and grasp firmly near patient.
  5. Place feet apart with forward-backward stance. Flex knees and hips. Shift weight from front to back leg, and move patient and draw sheet to desired position in bed.
  6. Perform hand hygiene.