Chapter 3. Safe Patient Handling, Positioning, and Transfers Show
Transfers are defined as moving a patient from one flat surface to another, such as from a bed to a stretcher (Perry et al., 2014). Types of hospital transfers include bed to stretcher, bed to wheelchair, wheelchair to chair, and wheelchair to toilet, and vice versa. Patient Transfer from Bed to StretcherA bed to stretcher transfer requires a minimum of three to four people, depending on the size of the patient and the size and strength of the health care providers. Patients who require this type of transfer are generally immobile or acutely ill and may be unable to assist with the transfer. Checklist 29 shows the steps for moving patients laterally from one surface to another. Checklist 29: Moving a Patient from Bed to Stretcher
Take this Lateral Transfer Sliding Board course for more information on sliding board transfer. Transfer from Bed to WheelchairPatients often need assistance when moving from a bed to a wheelchair. A patient must be cooperative and predictable, able to bear weight on both legs and take small steps. If any of these criteria are not met, a two-person transfer or mechanical lift is recommended. Always complete a patient risk assessment prior to all patient-handling activities. See Checklist 30 for the steps to transfer a patient from the bed to the wheelchair (PHSA, 2010). Checklist 30: Bed to Wheelchair Transfer
Special considerations:
Video 3.6Take this Standing Step Around Transfer course to learn the method for a bed to wheelchair transfer.
What steps will you take to ensure a safe transfer to the wheelchair?Safe transfer rules and technique
Lock your wheels if transferring from a wheelchair. Put your feet on floor (unless your therapist tells you not to). Scoot to the edge of your chair. Get your arm rest out of the way on the side next to the surface you are transferring to.
What are some of the safety tips you should implement during a wheelchair transfer quizlet? Never attempt to transfer a patient alone.. Never attempt to transfer alone a patient who is very tall or heavy. ... . All transfer movements done with feet separate for good balance and with knees bent to protect against back strain. ... . Never twist the back while lifting; causes severe muscular back strain/injury.. What important safety precautions must be done when transferring client from bed to a wheelchair?During the turn, the patient can either hold onto you or reach for the wheelchair. They should not wrap their arms around your head or neck. Stand as close as you can to the patient, reach around the chest, and lock your hands behind the patient or grab the gait belt.
What are the safety concerns regarding the use of wheelchair?Don't over stretch or over reach for an object - you may tip over the wheelchair. Avoid leaning forward - You may tip yourself out of the wheelchair. Lock the brakes before trying to move out of the wheelchair. Avoid sliding or positioning yourself too far forward on the seat.
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