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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 slide sheet is placed under the patient from bottom to ears, with the folded side under the bottom. The caregiver will then walk to the other side of the bed, never reaching over the patient, as the sheet is pulled through.