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Andrew Pollack-Gray

Nursing Notes

Repositioning in Bed

2 min read

When & Why?

Reposition residents to maintain comfort, support body alignment, and reduce prolonged pressure.

  • Helps prevent pressure injuries.
  • Reduces discomfort and stiffness.
  • Supports mobility and circulation.
  • Helps maintain skin integrity.

Before You Start

  • Review the care plan for positioning restrictions and frequency.
  • Assess mobility, pain, skin condition, and required assistance.
  • Explain the procedure and obtain permission.
  • Gather pillows, slide sheets, or appropriate repositioning equipment.
  • Lock the bed and adjust its working height.
  • Check attached tubing, drains, and medical devices.

Steps

  1. Explain the intended position and encourage resident participation.
  2. Prepare the bed and required positioning aids.
  3. Position caregivers and equipment according to the approved technique.
  4. Coordinate movement using clear instructions and a shared count.
  5. Reposition using appropriate assistance and friction-reducing equipment.
  6. Support the head, limbs, and body with pillows as indicated.
  7. Check alignment, comfort, skin pressure, and tubing.
  8. Restore the bed to a safe position and place the call light within reach.

Safety & Observations

Prevent friction and shear:

  • Avoid dragging the resident across linens.
  • Use approved slide sheets or repositioning devices.
  • Coordinate movement with assisting staff.
  • Minimize unnecessary sliding down the bed.
    Protect pressure areas:
  • Inspect bony prominences and device contact points.
  • Offload heels when indicated.
  • Use appropriate support between knees and ankles.
  • Avoid prolonged direct pressure on vulnerable skin.
    Resident participation:
  • Encourage appropriate pushing, turning, or use of mobility aids.
  • Do not expect residents to assist beyond their abilities.
  • Follow restrictions on rails, trapeze bars, and other equipment.

What Should I Remember?

  • Lift or glide with appropriate equipment; never drag.
  • Encourage independence when safe.
  • Follow individualized repositioning schedules.
  • Your CNA course teaches approximately every 2 hours in bed, but the care plan determines actual frequency.
  • Recheck skin, comfort, and body alignment after repositioning.

Practice

  • Studied
  • Observed
  • Practiced
  • Passed checkoff

Sources

  • CNA Module 5 — Body Mechanics
  • Facility repositioning procedure

Flashcards

Why use a draw sheet or approved repositioning device?03-application / clinical-skills
Answer

To reduce friction, shear, and unsafe lifting.

What should determine repositioning frequency?03-application / clinical-skills
Answer

The individualized care plan, tolerance, and skin risk.

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