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The caregiver should bring the bed up to a waist-high level for comfortable working. The patient is instructed to reach for the side rail and roll onto her side. If the patient can follow commands and assist with weight shifting, she has passed the on-bed mobilization challenge. If the patient cannot assist, stop the task and use sheets or a lift/sling. To continue, fold a single slide sheet in half and place it under the patient, with the folded side under the bottom. Caregiver then raises the side rail and walks to the other side of the bed without reaching over the patient.