Manual of Policies and Procedures for Wade Nursing Registry

Positioning Client in Sim's Position

1. Explain what you are going to do
2. Wash your hands
3. Provide privacy (close door, pull curtains)
4. Raise bed to convenient working height
5. Lock wheels on bed, or push bed against wall if no brakes
6. Lower rails on side where you are working
7. Lower client's head; remove pillows. Fold back top sheet
8. Ask client to move to side of bed nearest you. Assist client as needed
9. Raise side rail
10. Go to the other side of the bed. Lower side rail
11. Place one hand around client's farthest shoulder and your other hand around farthest hip. Roll client toward you, turning on side facing toward center of bed. Position the upper leg so it does not rest on the lower leg. Lower arm is behind client
12. Adjust pillow properly:
    1. Small pillow under head and neck
    2. Support upper arm and leg on pillow

13. Position other devices as indicated in the care plan
14. Make sure client is in good body alignment. Replace top sheet
15. Place bed in the lowest position ( raise side rails if needed )
16. Wash your hands and record what you have done and time