TRANSFERRING A PATIENT

Name: Score:
Date:

Helping the mobile client from bed to wheelchair

STEPS RATIONALE

1. Place the wheelchair 45 degrees facing the To easily pivot the client.
head of the bed.

2. Place the bed in a low position. The client can place his or her feet on the floor easily
from low position
3. Explain the procedure to the client Providing information fosters the client’s cooperation
and understanding
4. Fan fold the bed covers to the foot of the Protect the client’s privacy and prevent chilling
bed with a bath blanket
This procedure often helps you evaluate how well
5. Measure and record the client’s pulse and the client may tolerate being up
blood pressure
Doing so allows you to turn the client as a unit
6. Place one arm around the client’s
shoulders and other arm under his knees
To provide base of support for client
7. Turn the client toward you so that his or her
feet touches the floor. For shorter clients
use foot stool
When a person sits up for the first time blood rush
8. Dangle the client’s legs for as long as into the legs. The client may feel faint due to
ordered, if tolerated. Stay with the client at orthostatic hypotension
all times. Help the client to lie down if he
becomes light headed or feels faint.

9. Assist the client with putting on robe and Slippers with non skid soles ensure safety and
slippers stability

10. Prepare to raise the client to a standing

position. Place a gait belt around the
client’s hip.

11. Spread the client’s feet and brace your This position provides stability for the transfer
knees against the client’s knees . Place
your arm around the client’s waist

12. Using the rocking motion of your legs to

 assist the client to stand. The client may Use muscles with large muscle mass to lift the client
use his or her hands to help push upward
from bed
This position supports and stabilizes the client as he
13. Pivot the client into position immediately in or she moves into the chair
front of the wheelchair. Encourage the
client to use arm rest for support while you
lower him or her into chair

14. Reposition foot rests. Secure the client in a A client reminder device prevents accidents. This
chair with a reminder device if needed. blanket ensures warmth. The client must be able to
Cover the client with a blanket. Provide the call for help
nurse call button.

15. Wash your hands

16. Check the client frequently
17. Document the transfer and the client’s
response
Prevent the spread of infection
You can then assist if the client feels faint. Provides
a feeling of security
Documentation provides ongoing data collection.