I. LIFTING: A. First, plan the job. B. Make sure ample room is available for good footing, and the path is cleared for the carry. C. Stand so you will not have to twist as you lift. D. E. Your back should be kept as straight as possible. F. Lift by straightening your legs in a steady upward thrust and, at the same time, move your back to a vertical position. G. The weight of the person should be kept close to your body and over your feet.
Locking of w/c.
• Avoid twisting your back. Twisting can overload your spine and lead to serious injury. Make sure your feet, knees, shoulders and hips are pointed in the same direction when lifting or transferring. • Do not lift heavy objects above shoulder level. Avoid reaching. • Tuck your pelvis. By tightening your stomach you can tuck your pelvis which will help your back stay in balance while you lift. • Bend at your knees instead of at your waist. This helps you keep your centre of balance and lets the strong muscles in your legs do the lifting. Lift with your legs. • Hold the patient or object close to you and in line with your centre of gravity. If necessary, hop onto a patient’s bed if you need to be closer to him for a move. • Never work over a bedrail. Always lower it prior to providing any patient care. • Always raise the bed to a good working level. Make sure you lower it once you are done so your patient can safely get out of bed, or so if she falls, she will not fall as far. • Whenever possible, utilize gravity instead of fighting against it. For example, if transferring a patient from a bed to a chair, make sure the bed is slightly higher than the chair. • Pushing is easier than pulling, as the body weight can be used to help move the object or person. When pushing, get close to the object/person, push with your legs, arms should be lock in a bent position, the back should be straight, and push horizontally. • When pulling, keep the back and arms straight, and use your legs and body weight to pull.
Transcript of "Patients safety transfers and lifting"
Taking the pain out of
The healthcare industry is getting serious about
avoiding caregiver/nurses injuries caused by patient lifts
and transfers. FOR DECADES, nurses and other
healthcare providers have suffered
debilitating musculoskeletal injuries
when lifting, transferring, and repositioning
patients manually.Today, the healthcare industry
that manual patient handling isn’t safe. We’re so
devoted to protecting our patients that we don’t
on protecting ourselves .
What is the proper approach to the patient
transfer or lift?
•Proper documentation and communication should inform
the nurse of the client's abilities, transfer needs, physical
stability, and tendency if any, towards aggressive acts.
•The nurse should anticipate what actions would be
necessary if the client loses balance or falls.
•The procedure for the transfer should be clearly
communicated and understood by any other staff assisting
and the patient or resident.
•The nurse should assess the client, even briefly, before
In transfers, tighten your abdominal muscles, keep
your back straight, and use your leg muscles to avoid
Do not rotate or twist the spine. Move your entire
body in the direction of the transfer.
Never grab the client under his or her armpits as
this could injure the client.
Position yourself close to the client and assure footing
Try to maintain eye contact with the client and
communicate while the transfer is in progress.
Never allow the client to grasp you around the
neck as this could result in injury.
The client should be transported the shortest
possible distance by the lifting device.
Agree on the timing of the transfer with the
client and other caregiver(s) and count
Assure that the path of the transfer or lift is clear
from obstructions and that furniture and aids
that the client is being transferred to are
properly placed and secure.
If the weight of the person is more than one-fourth of
your body weight, you should get someone to help
you. Also, get assistance if lifting the person is
If assistance is needed, find out the person's
strengths and weaknesses. Often one side of the
body is stronger. The stronger side should be
Do not attempt to transfer anyone if you feel unable
to lift their full weight.
Never leave a person unattended on a bedside
Proper Body Mechanics
• Using specific methods
to lift large weights
• Safety Precautions
• Use legs, not back to lift
• Largest bone/muscle group
• Keep weight close to body
• Shifts center of gravity to
• More leverage
• Guidelines for lifting/carrying
• Consider pt weight
• Know your limitations
• Lift without twisting
• Position feet one in front of the other
• Communicate with partner
• Keep back locked and don’t twist
• Flex at hips (not at waist)
• Bend at knees
• Keep elbows bent with arms close to
• Don’t hyperextend your back
• Avoid reaching more than 15”-20” in
front of your body
• Push rather than pull
• Keep line of pull through midline
Avoid reaching more than 15-20" in front of your body.
Avoid reaching and strenuous activity for more than 1 minute.
Keep your back in locked-in position.
Avoid stretching or overreaching when reaching overhead.
Transfers - Safety
Safety is a major concern when transferring. Falls are a common
hazard. If a patient starts to fall – do not try to stop the fall, instead
assist the patient to the floor while protecting the head from injury.
This will reduce the risk of patient as well as staff injury.
Complete a thorough nursing assessment before you move the
patient to determine if she/he has suffered any injuries.
Prevention of injury is the key, be aware of the client’s motor deficit,
ability to support their body weight and use effective body
mechanics & lifting techniques.
When in doubt regarding the patient’s ability -GET ASSISTANCE
GENERAL MOVING AND/OR LIFTING PATIENT
i. Ensure the patient's privacy is maintained
ii. If a patient arrives on a trolley or wheelchair, ascertain
how ambulant they are by asking the doctor or nurse, in this instance, do
not depend on the patient's comments as they may be confused or too
helpful etc. It is best that when in doubt, then lift the patients so as to
iii. Remove jewellery from your hands and wrists as this may cause skin
damage to the patient.
iv. Support/splint areas as needed e.g. fractured limbs, cervical spine etc
v. Ensure the patient's arms and legs are in a suitable position.
vi. Ensure there is nothing restrictive to the patient's
movement e.g.. bedclothes
vii. Ensure that tubes are free moving e.g. urinary catheters, IV drips,
NG tubes, drains etc
viii. Do not rush the patient. If you do you will find that the patient
won't be helping and you will have to support the whole weight.
ix. Whenever possible have an assistant, preferably of the same frame
and height as yourself. Use a count down to effectively work as a team.
When holding onto an assistant, grab his/her wrist in preference to the
hand, so if one looses his/her grip then that support is still retained by
x. Lift, don't drag the patient otherwise you may cause skin tearing.
xi. If one person is aiding the patient then be on the patient's weaker
side so that they may assist you with their better side.
• Patients who are at risk for falling must receive diligent care to
• Always return the bed to the height that is safe for the patient,
which is usually the lowest position.
• Always ensure bedrails are up when the patient is in bed, if
• Never leave a patient unattended on the edge of a bed, unless
she can fully support herself and is able to walk.
• Gather all needed supplies ahead of time, prior to beginning care,
so the patient is not left unattended.
• Better to be safe—using a lift and having the help of a colleague—
• If you are helping a patient to walk or stand and he starts to fall,
do not attempt to stop him from falling. Instead, guide and support
his fall and protect his head.
Before you begin, make sure you have put up the foot pedals or swung them out of the
way. Place your arm around the person under his or her arm at the armpit. Place your other arm
under the person's knees. Or face the person in the chair. Secure a hold under each arm, and lift
the person out of the chair.
• Loosen sheets from bed
• Place stretcher next to bed
• Reach across and firmly
• Slide pt gently onto
WARM UP EXERCISES BEFOREYOU
Stand with knees slightly bent and feet apart, place palms on
lower back, fingers pointing downward.Gently push your
palms forward and gently bend your back backwards. Hold for
5-10 seconds. Repeat 3-5 times.
Then bend the knees and lower the body forward as far as
comfortable. Relax the neck, shoulders and arms. Hold 5
Keep knees bent and slowly uncurl to an upright position.
Slowly roll your shoulders backward five times in a circular
motion. Slowly roll your shoulders forward 5X in a circular
Interlace fingers.Turn palm upwards above your head as you
straighten your arms. Stretch and hold for 5-10 seconds.
Repeat 3-5 times.
Fingers interlaced behind your back. Slowly turn your
elbow outward while straightening your arms. Hold
for 5-10 seconds.
Repeat 3-5 times.
Interlace fingers.With palms facing out, straighten
arms out to
the front of you. Hold for 5-10 seconds. Repeat 3-5
Hold left elbow with right hand. Gently pull
elbow behind head until you feel a stretch.
Hold for 5-10 seconds. Repeat 3-5 times.
Repeat with other arm.
Gently pull your left elbow across your chest towards
your right shoulder until you feel a stretch. Hold for 5-
10 seconds. Repeat 3-5 times. Repeat with other arm.
Sit or stand upright. Interlace fingers and lift arms
overhead. Keeping the elbows straight, press arms as
far back as you can. Slowly bend to the left side until
you feel a stretch. Hold for 5-10 seconds.
Slowly bend to the right side until you feel a stretch.
Hold for 5-10 seconds. Repeat 3-5 times.
Sit with left leg across right leg. Rest elbow or forearm
of right arm on the outside of the left upper thigh.
Gently apply pressure with right elbow or forearm
towards the right. As you apply pressure, look over
your left shoulder. Hold for 5-
Stand upright with right hand supported on a wall or
the back of a stationary chair.Grab your left ankle with
your left hand. Keep left knee pointed towards the
ground. Slowly pull the left leg towards the buttock
until you feel a stretch in the front of the thigh. Hold
for 5-10 seconds. Repeat 3-5 times. Repeat with the
Stand arms length from a wall or other support, feet
forward. Place right foot forward and keep the left leg
straight and the heel on the ground. Lean your body
towards the wall until you feel a stretch in the left calf.
Hold for 5-10 seconds.
Repeat 3-5 times. Repeat with the other side
As you go about your daily work, remember
to push, pull or roll heavy objects rather than
lifting them—whenever possible.
Don’t ever lift or transfer a client if you feel
dizzy or lightheaded. You could both be in
for a spill!
Encourage your clients to practice good posture, too. They
may experience fewer aches and pains...and have a better
quality of life!
Ask your supervisor to review safe transfer procedures with
you anytime you feel the need.
Exercise regularly to keepyour back and abdominalmuscles strong. Rememberthat thesemuscles actlike a natural“girdle” toprotect yourback.
Exercise regularly to keep your back and
abdominal muscles strong. Remember that
these muscles act like a natural "girdle” to
protect your back.
If you’ve felt pain or discomfort while moving a
particular client , then DON’T DO IT AGAIN IN
THESAME WAY! Change your technique or get
help when it’s time to move that client again.
Don’t ever lift or transfer a client if you feel dizzy or
lightheaded. You could both be in for a spill!
Just because a client is small doesn't mean that she will be easy
to transfer. Be sure to think about the client’s flexibility, range
of motion and overall strength. All these things together affect
how easy a client is to transfer
A. Make sure the chair is locked when removing or seating the person.
B. Pull the wheelchair backwards up steps or curbs.
C. Adjust the height of the foot pedals so the person is sitting at a 90 degree angle at the
hip and knee.
D. When removing or seating the person, the following procedure is suggested as easy
for you and most comfortable for the person:
VI. LIFTING AND MOVING(from bed to wheelchair):
A. Always begin the lifting procedure by moving the person to the edge of the bed.
First, move the upper trunk, then the legs one at a time. Repeat this until the person is
near the edge of the bed. Repeated movement of the trunk and legs is easier than lifting
the person as a whole all at once.
B. Remember, bend from your knees, not from your waist. If you must bend from the
waist, tighten your stomach muscles while bending and lifting. This reduces pull on the
back muscles. Keep your back straight at all times. The following are step-by-step
procedures which will make lifting and transferring safer and easier.
OtherTips For Safe Lifting &Transferring
Try to stretch and loosen your muscles
every day before work. Even five minutes of
stretching can help save your back!
Just because a client is small doesn't mean
that she will be easy to transfer. Be sure to
think about the client's flexibility, range of
motion and overall strength. All these things
together affect how easy a client is to
If appropriate, use an assistive device to move a client. This
may include a transfer belt, sliding board or draw sheet
A back injury can change your life. It can keep you from being
able to do your job...and from doing the things you love. A
back injury can also give you a lifetime of chronic pain
Guidelines for Reaching
Keep your back straight when leaning over patients.
Lean from the hips.
Use shoulder muscles with log rolls.
Guidelines for Pushing and Pulling
Push whenever possible rather than pull.
Keep your back locked-in.
Keep elbows bent with arms close to sides.
Keep the line of pull through the center of your body by bending your
Keep weight close to body.
Push at a level between your waist and shoulders.
Use kneeling position if weight is below waist level.
Avoid pushing and pulling from overhead position.
VII.THE ONE-PATIENT TRANSFER:
A. Prepare for the lift.
1. Place a belt around the person's waist.
2. Place wheelchair at a slight angle to the side of the
3. Lock both brakes on the wheelchair.
4. Remove the armrest of the wheelchair on the side next
to bed, if possible.This helps prevent bumping the
person's hips or buttocks and allows for lifting without
lifting too high.
5. Swing away the legrests of the chair. If legrests will not
swing away, lift the pedals to avoid interference during the
6. If the person has a catheter, be sure the bag is lower
than the bladder and that both bag and tubing are out of
the way. (This applies equally to transfers from a
wheelchair to a surface and from a surface to a
7. Stabilize the bed, so it will not move
B. Steps in the one-person transfer.
1. Place the person's legs over the side of the bed with the knees near the bed's edge.
2. Place the person's hands in his or her lap.
3. Place your arms under the person's armpits and around the back.
4. Raise the person to a sitting position on the side of the bed. Do not let go unless the
person can sit alone without support.
5. Gradually slide the person forward until the person's feet are flat on the floor. Place
your feet in a "v" on both sides of the person's feet for support. Have your feet far
enough apart to give you a good base of support.Your knees should be on each side of
the person's knees.
6. Have the person lean forward. If possible, place the person's arms around your
shoulders.Allow the person to reach with an outside arm for the far wheelchair arm.
7. Bend your hips and knees while keeping your back straight. Place your arms around
the person's waist. Grip the person's belt on both sides toward the back with your hands.
(If the person is not wearing a belt, a safety belt may be put on during the preparation
8. Keep the person's knees stabilized. Count 1-2-3, then pull forward on the belt to lift
9.When the person is high enough to clear the armrest or chair surface, turn by taking
small steps. Be sure to keep the person's knees blocked with your own knees.
10.When turned, bend your hips to squat and lower the person to the chair's seat.
11. Replace the footrests, then the armrest.
12. Remove the belt, if necessary.
C. Alternate lifts: use only to lift a very small person.
1. Prepare for the lift by following the same procedure as outlined in steps 1-6 in the one-
person transfer. 2. If the individual is totally incapable of assisting you and you are alone
without another's assistance, follow the procedure listed below. (If the person is more than
one-fourth of your body weight, try not to lift the person by yourself.)
a. Move the person to the side of the bed in a lying pohition.
b. Fold the person's arms across his or her chest.
c. Place your feet far enough apart to give you a good base of support.
d. Bend your knees slightly.
e. Place one of your arms under the person's neck.
f. Place the other arm under the person's knees.
g. Using the strength in your legs, draw the person close to your body and lift up while
keeping your back straight.
h. Take small steps to the wheelchair. Remember to keep your knees bent. Carefully place
the person in the seat of the chair.
i. Check on the person's sitting position and adjust the wheelchair seat belt.
j. Fasten the seat belt.
k. Repeat the procedure to lift an individual from a wheelchair to another area (e.g., to a
bed or couch).
A. Prepare for the transfer.
1. Know where you are going to move the
2. Prepare the wheelchair, tub, or bed prior to
starting to lift the person.
3. Be sure the wheelchair brakes are locked.
4. Remove the wheelchair's armrest which is
closest to the destination point.
5. Swing away or remove the legrests or lift
pedals, if possible.
6. If the person has a catheter, be sure the bag
is lower than the bladder and that both bag
and tubing are out of the way. (This applies
equally to transfers from a wheelchair to a
surface and from a surface to a wheelchair.)
7. Stabilize the surface from which you are
lifting the person.
B. Steps in a two-person transfer.
1.The taller lifter should stand at the back of the person.
2. The shorter person should stand on one side of the person.
3.The lifter at the back should put his or her arms under the person's shoulders
and around the person's chest with arms folded across the person's chest.
4. The taller lifter at the back should then widen the base of support by
spreading feet apart and bending slightly at the hips and knees. (Remember to
not bend the back, but to use the strength in the hips and knees.)
5. The shorter lifter at the side places both arms under the person's thighs in
order to support the buttocks and lower legs.Clasp one hand to wrist for firm
6.The shorter lifter should also widen the base of support by spreading feet
7. Bend knees and hips slightly before lifting.
8. Be sure the person being lifted keeps elbows next to the body or place arms
and elbows in that position, if necessary.
9. The taller lifter counts to three after which both lifters should straighten their
hips and knees to lift the person in unison. Both lifters step to the transfer
surface and place the person there. If the individual is being put in bed,
repositioning for comfort may be necessary.
BACK CARE 101 LIFTING MECHANICS AND SAFETY
• Keep your back in balance and maintain good posture.
Maintain the three natural
curves of your spine.
• Always lift with your quads.These are long and strong.
If you bend at your waist
and extend your upper body to lift an object, you upset
your back’s alignment and
your center of balance.You also force your spine to
support the weight of your
body and the weight of the object you're lifting.Your
lower back lifts 7-10 times
the weight of an object. For example, if you bend over to
pick up a 10 lb. box,
your back is lifting 70-100 lbs., plus the weight of your
upper body.This situation
is called "overload".You can avoid overloading your back
by using good lifting
• Maintain a wide base of support by keeping your feet
• Avoid twisting your back.Twisting can overload your spine and lead to serious injury. Make
sure your feet, knees, shoulders and hips are pointed in the same direction when lifting or
• Do not lift heavy objects above shoulder level. Avoid reaching.
•Tuck your pelvis. By tightening your stomach you can tuck your pelvis which will help
your back stay in balance while you lift.
• Bend at your knees instead of at your waist.This helps you keep your centre of balance and
lets the strong muscles in your legs do the lifting. Lift with your legs.
• Hold the patient or object close to you and in line with your centre of gravity. If necessary,
hop onto a patient’s bed if you need to be closer to him for a move.
• Never work over a bedrail. Always lower it prior to providing any patient care.
• Always raise the bed to a good working level. Make sure you lower it once you are
done so your patient can safely get out of bed, or so if she falls, she will not fall as
•Whenever possible, utilize gravity instead of fighting against it. For example, if transferring
a patient from a bed to a chair, make sure the bed is slightly higher than
• Pushing is easier than pulling, as the body weight can be used to help move the
object or person.When pushing, get close to the object/person, push with your legs,
arms should be lock in a bent position, the back should be straight, and push
•When pulling, keep the back and arms straight, and use your legs and body weight
Steps for transferring from Bed to Wheelchair
Remove clutter from area, including all scatter rugs
Discuss with the transferee, the process before and during the transfer
The amount of room available for transfer will dictate which side of the bed you will be
Determine if the transferee has a stronger side, as he/she will be better able to scoot to the
edge of the bed on that side prior to transfer.
Position wheelchair on the transferee’s strongest side (for example if the right side is strongest,
you will be transferring from the right side of the bed.)
Assist person to be transferred to edge of bed and to sitting position first with feet dangling
and then with feet on floor
For ease of transfer, position the wheelchair next to the knee on his/her strongest side
Pull wheelchair within a foot of the person’s knee and lock the wheelchair brakes
Explain the sequence of lifting and pivoting into the wheelchair (example: on the count of 3, I
am going to help you stand up and turn to your strong side; eg right side as in above example;
and sit in the wheelchair)
Using the bear hug technique, ask the person to place his/her arms on your shoulders as you
place your arms around his/her trunk
Bracket their feet with your feet to prevent slipping
Using your leg muscles, stand up and bring the person upward in a slow steady rising motion
If transferee is capable, have him/her reach for the furthest wheelchair armrest
Pivot towards wheelchair seat, and lower slowly
Attach or swing foot rests of wheelchair into place
Place person’s feet onto foot rests of wheelchair
Steps for transferring from Wheelchair to Bed
Have the bed at the lowest level.
Park the wheelchair with the person’s strongest side next to the bed.
Lock the wheelchair brakes and remove feet from foot rests.
Swing or remove foot rests from wheelchair.
Explain the sequence of lifting and pivoting into the wheelchair (example: on
the count of 3, I am going to help you stand up and turn to your strong side; eg
right side as in above example; and sit in the wheelchair).
Using the bear hug technique, ask the person to place his/her arms on your
shoulders as you place your arms around his/her trunk.
Bracket their feet with your feet to prevent slipping.
Using your leg muscles, stand up and bring the person upward in a slow steady
Seat the person on the bed
Assist in bring the person’s legs up onto the bed.
Position for comfort.
• Unresponsive pt (non traumatic)
• Rolled into recovery position (Left side)
• Pt with dyspnea or chest pain
• Position of comfort
• As long as hypotension doesn’t occur
• Suspected spine injury
• Immobilized to long backboard
• Pregnant Pt
• Left lateral recumbent
• Supine= Fetus on vena cava
• Elevated legs 8”-12”
• Position of comfort
• EMT in position to control airway
Bed to Standing
Position the wheelchair close to the side of the bed, and lock the wheels. It should be
on the side that the patient feels the strongest. Ideally, the bed should be slightly
higher than the wheelchair. Assist the patient to a sitting position by gently grasping
under the legs and swinging them over the edge of the bed. Use the electric bed to
assist the patient to sitting or assist the patient to sitting by grasping her hands.
Secure a gait belt around the patient's waist.The nurse should keep her feet shoulder
width apart, her back straight and her knees bent. Place the patient's hands on the
bed or on the arms of the wheelchair. Hold the patient close, and lift with the knees
until the patient is in a standing position.
Standing to Sitting
Pivot the patient toward the wheelchair. Be sure that the patient reaches back to feel
for the chair and does not fall into the chair as this can be dangerous. Slowly bend at
the knees and lower the patient into the chair while keeping the back straight.
Read more: Proper LiftingTechniques for Nurses |
Position in Bed
Many times, a patient will need to be repositioned in bed.This requires assistance from
another person. Be sure there is a draw sheet under the patient for lifting and turning.The
bed should also be locked with the rails up and the height at waist level to avoid stooping.
Ask the patient to help, if possible, by bending his legs and pushing or by pulling on the side
rails. Everyone involved in the lift should work in unison, usually on a count of three.With a
straight back and bent knees, get as close to the patient as possible, and slide him up in the
bed to reposition him. Shift weight from one foot to another instead of twisting with the
In general, it is best to lift with the knees and avoid twisting the back. Although it is
sometimes impossible to avoid lifting, it helps to get as many people as possible to help
with the bigger lifts that sometimes are necessary. Keeping the neck and back in alignment
with the feet shoulder width apart is a good general rule to follow when attempting to lift
patients. Never lift at the waist, and always try to get the weight as close to the body as
possible to make carrying it easier on the back.
Thousands of patients are lifted and moved
by EMTs and many EMTs are injured because
they attempt to lift or move a patient
improperly.A wide variety of patient
conditions as well as circumstances affect how
the patient is "packaged" for transport.
The expression "Lift with your legs and not
your back." is a very important part of proper
body mechanics. Always get as close to the
patient as you can when lifting. Keep your
arms and patient as close to your body as you
can to help create leverage and maintain
balance. Bend at the knees while keeping your
back as straight as possible. Recognize your
limitations and call for back-up when needed
to lift patient.
Guidelines for Carrying Patients and Equipment
Whenever possible, move patients on devices that can be rolled.
Minimize the distance needed to carry patients
Know the weight to be carried.
Work in a coordinated manner with your partner.
Keep the weight as close to your body as possible.
Keep your back in a locked-in position and refrain from twisting.
Flex at the hips, NOT the waist, and bend at the knees.
Do not hyperextend your back (do not lean back from the waist).
Try to lift with a partner that has similar height and strength.
Guidelines for Safe Carrying on Stairs
One of the most difficult carries an EMT must do is carry a patient backwards up a
stairway.Try to carry heavy patients up a stairway with two people at the top, shoulder to
shoulder, and two at the bottom of the stretcher.
Always carry patients head first up the stairs and feet first down the stairs.
Try to use a stair chair if the patient's condition allows it. If a stair chair is not available, use a
light but sturdy kitchen chair. If neither are available, use the extremity lift.
Keep you back in the locked-in position.
Flex at the hips, NOT the waist, and bend at the knees.
Keep the weight and your arms as close to your body as possible.
1.Tie the patient's wrists together if you have something quickly available. If nothing is
available, tuck the hands into the waist band to prevent them from being pulled upwards.
2. Clutch the patient's clothing on both sides of the neck to provide a support for the head.
3. Pull the patient towards you as you back up, watching the patient at all times.The pulling
force should be concentrated under the armpits and NOT the neck.
1. Fold or twist a sheet or large towel lengthwise.
2. Place the narrowed sheet across the chest at the level of the armpits.
3.Tuck the sheet ends under the armpits and behind the patient's head.
4. Grasp the two ends behind the head to form a support and a means for pulling.
5. Pull the patient toward you while observing the patient at all times.
1. Lay a blanket lengthwise beside the patient.
2. Kneel on the opposite side of the patient and roll the patient toward you.
3. As the patient lies on their side while resting against you, reach across and grab the
4.Tightly tuck half of the blanket lengthwise under the patient and leave the other half lying
5. Gently roll the patient onto their back.
6. Pull the tucked portion of the blanket out from under the patient and wrap it around the
7. Grasp the blanket under the patient's head to form a support and means for pulling.
8. Pull while backing up and while observing the patient at all times.
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