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To bring the bed 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 follow commands and assist with weight shifting, they have passed the on bed mobilization challenge. If not, the caregiver will need to use sheets or a lift and sling to continue. After passing the challenge, the caregiver will use a single slide sheet to assist with moving the patient without reaching over them. The sheet should be folded in half and placed under the patient from bottom to ears, with the folded side under the bottom and the open flaps close to the ears.