MOVING AND LIFTING CLIENT IN BED
PROCEDURE
A. MOVING A CLIENT UP IN A BED ( ONE NURSE )
1.Wash hands
2. Explain the rationale of procedure to the client.
3. Lower the head of the client so that it is flat or
as the
client tolerate.
4. Raise the bed to a comfortable working
heights.
5. Remove the pillow and place it at the head of
the bed.
6. Lock the wheels on the bed, and raise the rail
on the side of the bed opposite you to ensure
client’s safety
7.Place one arm under the clients shoulder and
the other arm under the clients thighs.
8.Instruct the client to grasp the headboard and
with her
knees flexed on bed Ask her to help push toward
the head of the bed.
9.At the count nurses count lift and pull the client
upward as the client help push with her arms &
feet.
10. Position client comfortably, replace pillow
and arrange linen as necessary
B. MOVING a Client Up in a Bed with assistance ;
1.Two Nurses
1. Follow step # 1-5 (procedure for one nurse)
1.1 Position one nurse on each side of the
client.
1.2 Each should have one arm under the client’s
shoulder and one arm under the client’s thigh.
1.3 Together the two nurses lift as the team
leader counts.
1.4 Position client comfortably, replace pillow
and arrange linens.
2.Two Nurses (Alternate Position)
2.Follow step # 1 to 5 (one nurse)
2.1 Position one nurse at the client’s upper
body. Nurse arm nearest to the headboard
should be under the client’s head and the other
RATIONALE
A. MOVING A CLIENT UP IN A BED (ONE NURSE)
1. Wash hands:
This step is essential to maintain proper hygiene
and prevent the spread of infection.
2. Explain the rationale of the procedure to
the client:
By explaining the procedure to the client, you
promote their understanding, cooperation, and
active participation, which can help alleviate
anxiety and build trust.
3. Lower the head of the client so that it is
flat or as the client tolerates:
Lowering the head of the client allows for a more
comfortable and stable position during the
movement, reducing the risk of strain or
discomfort.
4. Raise the bed to a comfortable working
height:
Adjusting the bed height ensures ergonomic
positioning for the nurse, reducing the risk of
musculoskeletal injuries while moving the client.
5. Remove the pillow and place it at the
head of the bed:
Removing the pillow provides a clear area for the
client to move onto and ensures a smooth
transition during the lifting process. Placing it at
the head of the bed allows for the client's head
support after repositioning.
6. Lock the wheels on the bed and raise the
rail on the opposite side of the bed:
Locking the wheels and raising the bed rail on the
opposite side ensure the client's safety by
preventing accidental movement or falls during
the transfer.
7. Place one arm under the client's shoulder
and the other arm under the client's
thighs:
This technique provides a secure grip and support
to the client's body during the lifting process,
distributing the weight evenly and reducing the
MOVING AND LIFTING CLIENT IN BED

risk of injury to both the nurse and the client.

8. Instruct the client to grasp the headboard

and ask her to help push toward the head
of the bed: Engaging the client in the
movement by having them help push
allows for active participation, provides a
sense of control, and reduces the strain
on the nurse.

9. Lift and pull the client upward as the

client helps push with her arms and feet:
Coordinated effort between the nurse and the
client helps ensure a smooth and controlled
transfer while minimizing the risk of injury.

10. Position the client comfortably, replace

the pillow, and arrange linen as
necessary:
This step promotes the client's comfort and
maintains their dignity by ensuring they are
properly positioned and their environment is
clean and organized.

B. MOVING A CLIENT UP IN A BED WITH

ASSISTANCE (TWO NURSES)

Follow steps 1-5 (procedure for one nurse): These

steps ensure the same rationale as mentioned
above for maintaining hygiene, client
understanding, comfort, and safety.
1.1 Position one nurse on each side of the client:
Having one nurse on each side provides balanced
support and stability during the lifting process,
reducing the risk of injury and enhancing the
client's safety.

1.2 Each nurse should have one arm under the

client's shoulder and one arm under the client's
thigh: Similar to the rationale for one nurse, this
positioning allows for a secure grip and support,
ensuring even weight distribution and minimizing
the risk of strain or injury.

1.3 Together, the two nurses lift as the team

leader counts: Coordinated lifting and counting
by the team ensure a synchronized and
controlled movement, minimizing the risk of
MOVING AND LIFTING CLIENT IN BED

accidents and injuries.

1.4 Position the client comfortably, replace the

pillow, and arrange linens: This step remains the
same as in the procedure for one nurse and
serves the same rationale for promoting comfort,
maintaining dignity, and organizing the client's
environment.

2. Two Nurses (Alternate Position)

3. Follow steps 1-5 (procedure for one nurse):

The rationale remains the same as mentioned
above.

2.1 Position one nurse at the client's upper body.

The nurse's arm nearest to the headboard should
be under the client's head, and the other arm
should be under the client's shoulders or upper
back: This positioning provides support and
stability to the client's upper body while ensuring
proper alignment of the head and neck.

2.2 Position the other nurse at the client's lower

body. The nurse's arm nearest to the foot of the
bed should be under the client's thighs or hips,
and the other arm should be under the client's
knees or lower legs: This positioning allows for
support and control of the client's lower body
during the lifting process.

The rationale for this alternate position is to

distribute the weight evenly across the two
nurses and ensure proper alignment and stability
throughout the movement.