PATIENT TRANSFER

To help move the patient from one flat surface to another and to maintain the continuity of medical care.

1. Introduce self and verify the client's identity To establish trust and safety, ensuring the right patient is
using agency protocol. Explain to the 1 client being cared for.
what you are going to do, why it is necessary,
and how he or she can participate.
2. Assess client's physiological motor and To determine the level of assistance needed and ensures
cognitive status. Determine if assistance patient safety.
would be needed from other health care
personnel.
3. Prepare all necessary equipment and supplies To ensures a smooth transfer process without
for the procedure. interruptions.

4. Perform hand hygiene and observe other To minimize the risk of spreading infections to both
appropriate infection prevention procedures. patients and healthcare providers.

5. Provide privacy. Screen the patients bed, Providing privacy preserves the patient's dignity and
close the door. complies with ethical and legal standards

6. Adjust the bed and the client's position: Adjusting the bed and patient's position guarantees a
safe and comfortable environment for the transfer.

a. Adjust the head of the bed to a flat position To prevents falls and maintains stability during the
or as low as the client can tolerate. transfer.

b. Raise the bed to a height appropriate for To ensure safe and ergonomic working conditions.
personnel safety

c. Lock the wheels on the bed and raise the To prevent accidental movement during the transfer,
opposite siderail. enhancing patient safety.

d. Remove all pillows, then place one against To support the client's head and neck, preventing
the head of the bed. discomfort and potential injury.

7. Secure all of client's attachments. To prevents accidental dislodging during the transfer

8. Lower the siderails of the bed. To enhance the accessibility and safety of the patient for
the transfer.

PERFORMANCE MOVING THE CLIENT UP IN THE BED (TWO PERSON)

9. Ensure client is in a supine position. To ensures a stable base for the transfer.

10. Place a draw sheet or friction-reducing slide To minimize friction, reducing the risk of skin shearing.
sheet under the client's back.

11. Face the head of the bed. Both of the nurses To ensure coordinated movement.
standing at the different sides of the bed with
feet placed apart
12. Place the client's arms across the chest. Ask To maintain balance and prevents falling.
the client to flex the neck during the 12 move
and keep the head off the bed surface. If
possible, ask the patient to his knees,
bringing his feet close to his buttocks as
possible.
12. Roll the draw sheet of the friction-reducing
slide sheet and flex your knees and hips
bringing the forearm closer to the level of the
bed.
13. Inform the client that he will be moved up in
the bed on the count of three as nurses will
lift the draw sheet or the friction-reducing
slide sheet
14. Move in coordination to transfer the clients
up towards the head of the bed.
15. Reassess client's body alignment and ensure
comfort
16. Raise the siderails of the bed. Place the call
bell within clients reach.
LOGROLLING THE CLIENT (TWO PERSON)
18. Perform the necessary procedures that would
prepare the client for the transfer.
19. Position the client in a supine position.
20. Place a draw sheet or fiction-reducing side
sheet under the client's back and hips.
22. Pull the client to the side of the bed.
a. Stand with another nurse on the same
side of the bed. Assume a broad stance
with one foot forward, roll and grasp the
edge of the draw sheet or the friction-
reducing device.
b. On a signal, pull the client toward both
of you. Both of the nurses pull the client
to the side of the bed by shifting their
weight to the back foot.
23. One nurse moves to the other side of the bed,
and places supportive devices for the client
when turned, one pillow at the head part and
another pillow between the client's legs
24. Cross the client's arm over his chest.
25. Roll and position the client in proper
alignment
a. Fanfold or roll the draw sheet/friction-
reducing device alongside of the client.
One nurse goes to the other side of the
bed away from the rolled draw
sheet/friction-reducing device. The nurse
assumes a stable stance and reaching
over the client, grasp the draw
sheet/friction-reducing device at the
shoulder part of the client and hips.
b. The second nurse (behind the client)
helps turn the client and provides pillow
To reduce friction, facilitating the patient's upward
movement.
To ensures cooperation and minimizes anxiety.
To reduces the risk of injury and discomfort during the
transfer.
To maintained promotes comfort and prevents potential
complications.
To enhances patient safety and prevents falls.
To maintain safety and comfort during the procedure.
To provide a stable base for the lateral movement.
To minimize friction and supports the patient's
movement.
Shifting the patient to the side of the bed readies them
for the lateral transfer.
Standing with another nurse on the same side of the bed
ensures coordinated movement and effective
communication. Assuming a broad stance with one foot
forward enhances stability and provides a solid base for
the transfer. This stance allows the healthcare providers
to maintain balance and control throughout the
movement.
Rolling and grasping the edge of the draw sheet or
friction-reducing device under the client's back and hips
is essential to create a smooth surface for the client to
move. This minimizes friction and reduces the risk of
skin shear during the transfer.
To prevent pressure ulcers.
To ensure balance and stability during the roll.
To prevent musculoskeletal strain and discomfort for
both the client and healthcare providers.
To minimizes friction during the logroll. This reduces
the risk of skin shear and maintains the client's comfort
To aid in maintaining proper alignment during the turn.
 supports to ensure good alignment in the
lateral position.

c. On a signal, both of the nurses roll the To minimize discomfort and potential complications
client as one unit in a smooth,
continuous motion.
26. Support the client's head, back, and upper To maintain alignment and comfort post-transfer.
and lower extremities with pillows. Ensure
proper alignment of client's body and
comfort.
27. Raise the side rails and place the call bell To prevent falls and ensures patient safety.
within the client's reach.

ASSISTING A CLIENT TO SIT ON THE SIDE OF THE BED

29. perform the necessary procedures the would To guarantee a safe and comfortable transfer.
prepare the client for the transfer.

30. Position yourself and the client appropriately To minimize strain during the transfer
before performing the move.

a. Assist the client to a lateral position To ensure that the client is in a safe and comfortable
facing you, using an assistive device starting position. The use of an assistive device is
depending on client assistance needs. tailored to the client's specific needs, minimizing strain
and discomfort during the transfer.

b. Raise the head of the bed slowly to its To maximize the client's comfort and allows for a
highest position smoother transition to a sitting position.

c. Position the client's feet and lower legs To facilitates the sitting movement.
at the edge of the bed.

d. Stand beside the client's hips and face To prevent strain during the transfer.
the far corner of the bottom of the bed
the angle in which movement will
occur). Assume a broad stance, placing
the foot nearest the client and head of the
bed forward. Lean your trunk forward
from the hips. Flex your hips, knees, and
ankles.
31. Move the client to a sitting position, using an To ensure controlled movement.
assistive device depending on client
assistance needs.

a. Place the arm nearest to the head of the To provide stable and balanced support.
bed under the client's shoulders and the
other arm over both of the client's thighs
near the knees.
b. Pivot on the balls of your feet in the To facilitate a controlled and smooth movement.
desired direction facing the foot of the
bed while pulling the client's feet and
legs off the bed.
c. Keep supporting the client until the To guarantee a safe sitting position.
client is well balanced and comfortable.
Place the call bell within client's reach

TRANSFERRING BETWEEN BED AND CHAIR

32. Perform the necessary procedures that would To ensure a smooth transfer process.
prepare the client for the transfer.
33. Position the equipment appropriately To minimize the risk of accidents during the transfer.

a. Lower the bed to its lowest position so To provide a stable platform for the transfer. Having the
that the client's feet will rest flat on the client's feet rest flat on the floor aids in maintaining
floor. Lock the wheels of the bed. balance and stability.
 b. Place the wheelchair/chair parallel to the To ensure a smooth transition between surfaces.
bed and as close to the bed as possible, Positioning it on the client's stronger side enhances their
facing the foot of the bed. Position the ability to move towards the chair, reducing the risk of
wheelchair/chair that would allow the strain or imbalance
client to move toward his or her stronger
side. If using a wheelchair, Lock the
wheels of the wheelchair and raise the
footplate.
34. Assist the client to a sitting position on the To prepare them for the transfer
side of the bed.
35. Assess the client for orthostatic hypotension To prevent dizziness or falls during the transfer.
before moving the client from the bed.
36. Assist the client in putting on a bathrobe and To ensures safety and stability.
nonskid slippers or shoes. If available, 36
place a gait/transfer belt snugly around the
client's waist. Check to be certain that the
belt is securely fastened.
37. Give explicit instructions to the client. Ask or
position the client to:
a. Move forward and sit on the edge of the To reduce the effort that required to stand
bed (or surface on which the client is
siting) with feet placed flat on the floor.

b. Lean forward slightly from the hips. To minimize strain on the lower back.

c. Place the foot of the stronger leg beneath To help in achieving a balanced and coordinated
the edge of the bed (or sitting surface movement
and out the other foot forward.

d.Place the client's hands on the bed To allow them to push off while standing up
surface (or available stable area so that
the client can push while standing
38. Position yourself correctly:
a. Stand directly in front of the client and to To provides you with a clear view of their movements
the side requiring the most support. and allows direct communication.
Hold the gait/transfer belt with the Holding the gait/transfer belt with the nearest hand
nearest hand; the other hand supports the ensures immediate support and control.
back of the client's shoulder.

b. Assume a broad stance, placing one foot To prevent sliding during the transfer.
forward and one back. Brace the client's
feet with your feet to prevent the client
from sliding forward or laterally. Mirror
the placement of the client's feet, if
possible
39. Assist the client to stand, and then move To maintains safety and balance.
together by pivoting toward the wheelchair or
sitting area to which you wish to transfer the
client.
40. Assist the client to sit in the wheelchair or To prevent sudden jarring actions. Maintaining proper
chair maintaining proper posture of the client. posture during this step ensures the client's comfort and
safety.

41. Ensure client's safety and comfort. To contribute to their overall well-being.

TRANSFERRING BETWEEN BED AND STRETCHER (TWO PERSON)

41. Perform the necessary procedures the would To ensure a smooth transition to the stretcher
prepare the client for the transfer
42. Adjust the client's bed in preparation for the To ensure a safe transfer height.
transfer. Ensure bed wheels are locked.
43. Place a draw sheet or friction-reducing slide To reduce friction during the transfer
sheet under the client's back and hips.
44. Place the stretcher parallel to the bed next to
the client and lock the stretcher wheels. You
may fill the gap that exists between the bed
and the stretcher loosely with the bath
blankets.
45. Transfer the client securely to the stretcher.
Proper stretcher placement facilitates a seamless
transfer. Placing bath blankets between the bed and
stretcher fills any gaps and provides a smoother surface
for the transfer.
To ensure patient safety.

a. One nurse needs to be at the side of the To ensure balanced and controlled movement during the
client's bed, between the client's shoulder transfer.
and hip.

b. The second nurse should be at the side of To provide optimal support for the client's upper body
the stretcher positioned between the and maintains alignment.
client's shoulder and hip.

c. The nurses must position their feet in To enhance stability and allows them to generate
walking stance. controlled force during the transfer

d. Cross the client's arms over his chest. To prevent accidental contact with surfaces and
Ask the client to flex the neck during the equipment during the transfer
move, if possible.

e. On a planned command, the nurse at the To ensures a synchronized transfer.

stretcher's side pull (shifting weight to
the rear foot), and the nurse at the
bedside pushes the client toward the
stretcher. (shifting weight to the front
foot).
46. Ensure client comfort and safety. To prevent discomfort during the transfer

At the end of position changes.

47. Do aftercare. Secure assistive devices, if used To ensure patient comfort and safety post-transfer.

48. Perform proper hand washing. To minimize the risk of infections.

49. Document all relevant information. Record: To ensure accurate patient records.
time and change of position moved from and
position moved to, any signs of pressure
areas, use of support devices, ability of client
in moving and bearing weight and response
of the client to moving and turning (e.g.,
anxiety, discomfort, dizziness)
50. Reports to the nurse-on-duty or attending To ensure continuity of care.
physician for any pertinent observation