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The caregiver should bring the bed up to waist height for ease of working. Patient is instructed to reach for side rail and roll onto side. If patient can follow commands and assist with weight shifting, they passed the on bed mobilization challenge. If not, stop task and use sheets or a lift and sling. Folded slide sheet under patient from bottom to ears; open flaps close to ears. Raise side rail, caregiver walks around bed. Never reach over patient. Pull slide sheet through.