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Supplies needed:

  1. Gloves
  2. (3) pillows (3)
  3. Towel (to cover table top)

Procedure:

  1. Knock, greet resident by name and introduce self and title. Explain intended procedure and ask permission.
  2. Excuse self to wash hands and gather supplies. Give call button.
  3. Simulate hand wash and gather supplies
  4. Knock, greet resident by name
  5. Set up table, cover with towel and lay supplies down
  6. CLOSE CURTAIN FOR PRIVACY
  7. Adjust bed height if needed
  8. Ask/help patient to move towards your side of the bed (so that when they roll onto side they are positioned in the middle of the bed)
  9. Roll patient onto left side facing away from you adjusting position as needed
    - Pillow #1 Roll lengthwise and tuck under back to prevent patient from rolling onto back
  10. Move to opposite side of bed, position patients legs so that top leg is bent 90o at knee and hips are aligned. Avoid bony prominences touching (ankles, knees)
    - Pillow #2 Place flat between knees
  11. Position Lt shoulder forward slightly and at 90o to body
    - Pillow #3 place at chest level tucking slightly to avoid patient rolling onto stomach
  12. Position head pillow to provide support and alignment of neck
  13. Verbalize comfort level
  14. Pretty beds, lower beds, call bell, check comfort, open curtain
  15. Wash hands

Testing Checklist:

  • Did candidate position and align resident to ensure safe turning?
  • Position pillow behind back?
  • Bend knees w/ pillow between?
  • Avoid pressure points/bony prominences?
  • Adjust Lt. shoulder to avoid pressure?
  • Position head pillow to provide comfort & support of head?
  • Provide pillow to support Rt. arm?
  • Wash hands before and after

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