Repositioning a Patient in a Nursing Home By Bronson Rouille
PurposeThe purpose of repositioning is to providecomfort to all bed or chair bound residents. Alsoto prevent skin breakdown, promote circulationand provide pressure relief on focal points.
Step 1 - Check the resident’s care plan to determine the resident’s specific needs including needed equipment, resident level of participation and the number of staff to complete the procedure.Ex. Care Plan
Step 2 - Wash and dry hands thoroughly. - Apply gloves. - Ask resident to help as much as he or she can. - Check the resident for incontinence. Follow steps for incontinence care if necessary.
Step 3- Use two people and a sheet to avoid shearing while turning or moving the resident up in bed. Encourage the resident to keep their feet flat on the bed and assist with pushing up. Encourage the use of an overhead trapeze if the resident is able to use one. Overhead Trapeze
Step 4- Move the resident to his or her back.- Move the resident’s top leg and shoulder in the direction of the turn.- Encourage resident to hold the side rail with their top arm in the direction of the turn, if possible.
Step 5- Place the resident in a comfortable position in accordance with the resident’s individualized care plan.
Step 6- Prevent skin to skin contact with use of sheets, pillows, or positioning devices.
Step 7 - Lower the bed into the lowest position and place the side rails in the appropriate position as indicated in the resident’s care plan. (Up or down.)
Step 8 - Reposition the bed covers to make the resident comfortable. - Place the call light within reach of the resident.
Step 9- Wash hands thoroughly when finished with the procedure.- Return the door, curtains, and window shades to open or closed at resident’s preference.