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The caregiver should bring the bed up to waist height for comfort. The patient should be instructed to move onto their side and assist with weight shifting. If unable to do so, a slide sheet or lift and sling will be needed. Once the patient passes the on bed mobilization challenge, a slide sheet is placed under them from bottom to ears. The caregiver then raises the side rail and moves to the other side of the bed, not over the patient. The slide sheet is then pulled through.