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The caregiver should bring the bed to a waist-high level for comfortable working. The patient is instructed to reach for the side rail and roll onto their side. If the patient can assist with weight shifting, they pass the on-bed mobilization challenge. If not, caregivers should stop and use sheets or a lift/sling. Once passed, a folded slide sheet is placed under the patient from bottom to ears, with the folded side under the bottom. The open flaps are near the ears. Caregivers should not reach over the patient, and the slide sheet is pulled through.