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To bring the bed up to a comfortable working level, it should be waist high for the caregiver. The caregiver instructs 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 stops and uses sheets or a lift and sling. Once the challenge is passed, a single slide sheet is placed under the patient, with the folded side under the bottom and open flaps close to the ears. The caregiver raises the side rail and avoids reaching over the patient while pulling the sheet through.