The Nurse Successfully Transfers a Patient from the Bed to the Chair

The nurse successfully transfers a patient from the bed to the chair and back.What information does the nurse to include in the progress notes? (Select all that apply.)

A) The visitors involved in assisting the patient to transfer
B) Home care instructions for the patient about transferring
C) The patient's blood pressure before and after each transfer
D) A description of the patient's response to each transfer
E) Presence of NAP needed for transfer purposes