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To bring the bed to a comfortable working level, it should be waist high for the caregiver. The caregiver will instruct the patient to reach for the side rail and roll onto her side. If the patient can follow commands and assist with weight shifting, they have passed the on bed mobilization challenge. If not, the caregiver will stop the task and use sheets or a lift and sling. Once passed, a slide sheet is folded in half and placed under the patient from bottom to ears. The folded side goes under the bottom and open flaps close to the ears. The caregiver raises the side rail, never reaching over the patient, and pulls the slide sheet through.