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To bring the bed up 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, she has passed the on-bed mobilization challenge. If not, the caregiver will stop and use sheets or a lift and sling. Once passed, a single slide sheet is folded in half and placed under the patient from bottom to ears. The folded side goes under the bottom and the open flaps close to the ears. The caregiver raises the side rail and walks to the other side, never reaching over the patient.