Before the skill:　

1.        Verify nursing intervention using physician's order or nursing care plan.
2. Identify client （arm band and state name）.
3. Introduce yourself to client.
4. Explain procedure and rationale.
5. Assess client's current health status and possible contraindications to specific intervention.
6. Gather appropriate equipment.
7. Wash your hands for at least 10 to 15 seconds.
8. Apply clean gloves as indicated.
9. Adjust bed height and side rails.
10. Provide privacy for client.　

During the skill:

1.        Promote client involvement if possible.

2.   Assess client's tolerance.

Completion protocol

1. Ensure client's comfort and safety.
2. Raise side rails and lower bed.
3. Store or dispose of equipment properly.
4. Remove gloves （if used）.
5. Wash your hands for at least 10 to 15 seconds.
6. Report and record nursing intervention and client's response to the procedure.