Registered Nurses' Association of Ontario

Plan of Care for Repositioning

The individualized plan of care should involve:

  • All of the lying and sitting surfaces, including arm and pedal supports that the person uses throughout the day (e.g., beds, wheelchairs, geri-chairs, car seats, stretcher surfaces, operating room tables, foot rests, and shoes).
  • Referral to an occupational therapist or a physical therapist in collaboration with other interprofessional team members (e.g., dietitian, front-line nurse).


When transferring or repositioning a person on or between any support surfaces, the following guidelines should be observed:

  • Establish and follow a repositioning schedule, regardless of the support surface used.
  • Educate the person and primary caregiver(s), as appropriate, about the repositioning plan and monitor regularly.
  • Use proper transfer techniques. Do not lift and drag the person across surfaces.
Clinical Management
Assessment and Management of Pressure Injuries for the Interprofessional Team, Third Edition
Point of Care Resources