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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 assist with weight shifting, she has passed the on bed mobilization challenge. If not, the caregiver will stop the task and use sheets or a lift and sling. After passing the challenge, a folded slide sheet is placed under the patient, with the folded side under the bottom and open flaps near the ears. The caregiver then raises the side rail and moves to the other side without reaching over the patient, pulling the sheet through.
