FUNDAMENTALS OF NURSING CHAPTER 02

RLE/ SECOND SEMESTER WEEK 4

TRANSFERRING OF PATIENT FROM BED TO WHEELCHAIR
INTRODUCTION a. Lower bed to its lowest
PURPOSE: position. Locked wheels of the
 Strengthen the patient gradually, bed.
 Provide a change in position b. Place wheelchair parallel to Unaffected side supports
the bed as close to the bed as weight. Helps stabilize chair
EQUIPMENTS possible. Put the wheelchair and is shortest distance for
on side of bed that allows the resident to turn. Wheel
 Wheelchair client to move toward their locks prevent chair from
 Bathrobe stronger side. Locked wheels moving.
 Nonskid slippers/shoes of wheelchair and raised
footplate.
 Transfer/Gait Belt
7. Assess client for orthostatic Allow resident to gain
hypotension before moving balance, check for dizziness.
TRANSFER client.
8. Assist client in putting on Gait belts reduce strain on
 Most efficient & safest method.
bathrobe and nonskid slippers your back and provides for
 Moving from one place to another. Refers to moving a or shoes. security for the resident.
patient from bed to a wheelchair with maximum comfort 9. Place a transfer belt snugly Not to loose and not to tight.
and safety for patient and nurse. around client’s waist. Can still insert 4 fingers.
10. Give explicit instructions to Allows resident to adjust to
ASSESS
the client. Asked client to position change
 The client’s physical abilities. do the following:
 Ability to understand instructions. a. Move forward and sit on
edge of bed with feet placed
 Degree of comfort or discomfort when moving. on the floor.
 Client’s weight. b. Lean forward slightly from
 Presence of orthostatic hypotension. hips.
 Your own strength and ability to move the client. c. Place foot of stronger leg
beneath edge of the bed and
SAFETY put other foot forward.
d. Place their hands on the
 Check room for additional precautions
bed surface so client can push
 Confirm patient ID using the patients identifiers (name & while standing.
date of birth) 11. Position self correctly: Holding the gait belt can
 Ensure patients privacy and dignity a. Stand directly in front of provide security for the
 Ensure tubes and attachments are properly placed prior client and to the side requiring resident and enables them
to the procedure to prevent accidental removal. the most support. Hold the to turn.
gait belt with the nearest
REMEMBER hand; the other hand to
support the back of the client’s
 When the patient is weak, brace your knees against theirs. shoulder.
Transfer the patient towards their stronger side. b. Lean trunk forward from Minimizes strain on your
 Pivot means turn a little or quarter turn hips. Flex the hips, knees, and back.
ankles. Assume broad stance,
PROCEDURE & RATIONALE placing on foot forward and
one back. Mirror placement of
PROCEDURE RATIONALE client’s feet, if possible.
1. Introduce self and verified 12. Assist client to stand and Allows you and resident to
client’s identity. moved together toward work together. Minimizes
2. Explain procedure to client. the wheelchair. strain on your back.
3. Gather appropriate a. Count to three or give the
equipment. verbal instructions of “Ready,
4. Perform hand hygiene and Stead, Stand”, and ask client
observed other appropriate to push down against the
infection prevention mattress.
procedures. b. Transfer own weight from Shoulders and hips should
5. Provide for client privacy. one foot to the other while be in straight line to reduce
6. Position equipment Locked the wheels so that keeping back straight and stress on spine and joints.
appropriately: the bed will not move when stood upright, moving the
transferring patient. client forward (toward own

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FUNDAMENTALS OF NURSING CHAPTER 02
RLE/ SECOND SEMESTER WEEK 5
TRANSFERRING OF PATIENT FROM BED TO STRETCHER
center of gravity) into a
standing position.
c. Support client in an upright
standing position for a few
moments.
d. Together with the client, Improves your base of
pivot on foot farthest from the support and allows space
chair, or take a few steps for resident to turn.
toward the wheelchair.
13. Assist the client to sit.
a. Move the wheelchair
forward or had the client back
up to wheel chair and place
legs against seat.
b. Make sure the wheelchair
brakes are on.
c. Have the client reach back
and feel/hold the arms of the
wheelchair.
d. Stand in front of client.
Place one foot forward and
one back.
e. Tighten grasp on gait belt Provide security for the
and tighten gluteal, resident and enables them
abdominal, leg, and arm to sit. Minimizes strain on
muscles. your back.
f. Have client sit down while
bend own knees/hips and
lower the client onto the
wheelchair seat.
14. Ensure client safety.
a. Ask client to push back into
wheelchair seat.
b. Remove the gait/transfer
belt.
c. Lower footplates and place
client’s feet on them.
15. Document relevant data.

DOCUMENTATION

 Document the procedure.

 Patient’s comfort towards the procedure.

REFERENCE:

 https://www.mountnittany.org/wellness-article/moving-
patients-from-bed-to-wheelchair-staff-
ed#:~:text=Using%20a%20transfer%20belt%20can,whe
n%20moving%20patients%20from%20bed.
 https://www.saintlukeskc.org/health-library/transfer-bed-
wheelchair
VIDEO:
 https://www.youtube.com/watch?v=JxmH3_E2uDo

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FUNDAMENTALS OF NURSING CHAPTER 02
RLE/ SECOND SEMESTER WEEK 5
TRANSFERRING OF PATIENT FROM BED TO STRETCHER
INTRODUCTION  Walking stance: one foot forward, one foot backward

 Refers to moving a patient from bed to stretcher with PARTS OF A GURNEY

maximum comfort and safety for the patient and nurse.
A medical transport device that has an adjustable metal frame to
 This kind of transferring is for those clients who are too
transport patient with medical care, and is used during emergency.
weak to sit.
 Purpose is to transfer supine client from one location to
another.

PURPOSE

 To transfer client in a supine postion from one location to

another.
 Slide sheet/transfer board
 Remember to don’t try to transfer the patient alone.
 201 lbs – 300 lbs = slide sheet/ transfer board
 300 lbs = Air transfer system/ ceiling lift w/ supine swing
and more.

ASSESSMENT

 Client’s body size and weight.

 Ability to follow intstructions – Conscious or not
 Activity tolerance
 Level of comfort in pain or not
 Space in which the transfer is maneuvered.

PLANNING

 Review the client record

 If indicated, implement pain-relief measures so that they
are effective when the transfer begins.

DELIGATION PLANNING

 Safe transfer technique  Review the client record.

 Assess the number of staff needed
 Assisted devices needed, the client’s ability to assist to
specific info about what the assistant presumed should
report to the nurse.
EQUIPMENTS
 Stretcher
 Slide Sheet
 Transfer board
 Bath Blanket/thick blanket
REMEMBER
Patient safety is the main concern when moving patients from
beds. But remember not to lift at the expense of your own back. And
never move a patient by yourself. Two people can often do this move
safely. The leader, who pulls, should be the stronger of the two. The
helper holds the drawsheet, neither pushing nor lifting. An additional
assistant could hold the patient's head and neck during the transfer.
Use at least 3 people or a mechanical transfer device if the patient
is more than 200 pounds.
 The patient should cross his or her arms.
 Bed should be higher than the stretcher for about ½ inch.
 How the patient tolerated the transferring.
 If indicated, implement pain relief measures so that they
are effective when the transfer begins.
RATIONALE
Because the stretcher is high and narrow, the client is in danger of
falling unless the safety precautions are taken.
DOCUMENTATION
 Document the equipment used.
 Number of people needed for transfer and safety
measures/precautions used.
REFERENCE
 https://opentextbc.ca/clinicalskills/chapter/3-7-transfers-
and-ambulation/
VIDEO:
 https://www.youtube.com/watch?v=G1EOqEU

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