Pulling a patient up in bed
A patient's body may slowly slide when the person is in bed for a long time. The person may ask to be moved up higher for comfort or may need to be moved up so a health care provider can do an exam.
Moving a patient in bed
You must move or pull someone up in bed the right way to avoid injuring the patient's shoulders and skin. Using the right method will also help protect your back.
It takes at least two people to safely move a patient up in bed.
Friction from rubbing can scrape or tear the person's skin. Common areas at risk for friction are the shoulders, back, buttocks, elbows, and heels.
Never move patients up by grabbing them under their arms and pulling. This can injure their shoulders.
Preparing to move the patient
A slide sheet is the best way to prevent friction. If you do not have one, you can make a draw sheet out of a bed sheet folded in half. Follow these steps to prepare the patient:
- Tell the patient what you are doing.
- Make the bed flat.
- Roll the patient to one side, then place a half rolled-up slide sheet or draw sheet against the person's back.
- Roll the patient onto the sheet and spread the sheet out flat under the person.
- Make sure the head, shoulders, and hips are on the sheet.
The goal is to pull, not lift, the patient toward the head of the bed. The two people moving the patient should stand on opposite sides of the bed. To pull the person up both people should:
- Grab the slide sheet or draw sheet on the side of the bed closest to you.
- Put one foot forward as you prepare to move the patient.
- On the count of three, move the patient by pulling the sheet toward the head of the bed. You may need to do this more than once to get the person in the right position.
If using a slide sheet, remove it when you're done.
If the patient can help you, ask the patient to:
- Bring the chin up to the chest and bend the knees. The patient's heels should remain on the bed.
- Have the patient push with the heels while you pull up.
Body mechanics and positioning. In: Smith SF, Duell DJ, Martin BC. Clinical Nursing Skills. 8th ed. Philadelphia, PA: Prentice Hall; 2011:chap 12.
Reviewed By: Linda J. Vorvick, MD, Medical Director and Director of Didactic Curriculum, MEDEX Northwest Division of Physician Assistant Studies, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington. Also reviewed by David Zieve, MD, MHA, Bethanne Black, and the A.D.A.M. Editorial team.