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.
When transferring a patient from bed to chair?Put one of your arms under the patient's shoulders and one behind the knees. Bend your knees. Swing the patient's feet off the edge of the bed and use the momentum to help the patient into a sitting position. Move the patient to the edge of the bed and lower the bed so the patient's feet are touching the ground.
When transferring the client from a bed to a chair he should?Move the consumer to the edge of the bed and lower the bed so that their feet are touching the ground. If you have a gait belt, place it on the consumer to help you get a grip during the transfer. During the turn, the consumer can either hold onto you or reach for the chair/wheelchair.
Which action should the nurse take when transferring a patient from the bed to the chair?The nurse is transferring a client from the bed to the chair. Which action should the nurse take during the transfer? Instruct the client to dangle the legs.
What device should be used when transferring a patient from the bed to the wheelchair?A transfer belt is placed around the patient's hips/buttocks. The wheelchair is placed as close to the bed, and brakes are applied. The armrest is removed, and the footrests must be swung away. The patient of the assistant places the sliding transfer board under the patient's buttock/leg.
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