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The caregiver should bring the bed to a comfortable working level, typically waist high, for ease of assistance. The patient may be instructed to roll onto their side and reach for the side rail. If the patient can assist with weight shifting, they have passed the on-bed mobilization challenge. If not, a lift and sling may be needed. To continue, a slide sheet is placed under the patient, with the folded side under the bottom and the open flaps near the ears. Caregivers should never reach over the patient, and the slide sheet is pulled through on one side to reposition the patient.