What initial action should a nurse take when placing a patient in the Sims' or lateral lying position?

When placing a patient in the Sims' or lateral lying position, it is critical to ensure that the bed is at an appropriate height for the caregiver to perform the task safely and effectively. Raising the bed to waist height facilitates proper body mechanics, allowing the nurse to maintain a neutral spine while lifting or turning the patient. This reduces the risk of injury to both the patient and the nurse by promoting ergonomic positioning during the maneuver.

Positioning the bed at an optimal height helps the nurse apply effective leverage when moving the patient, which can be especially important in preventing strain on the back. It also allows better access to the patient for further adjustments, such as supporting their back and ensuring that their body is aligned properly once they are in the Sims' position.

Although other actions, such as supporting the patient's back with a pillow or bringing the patient to the edge of the bed, are aspects of safe patient positioning, establishing the bed height is fundamentally important as a first step to create a safe and effective working environment for both the patient and the healthcare provider.