22 terms

CNA Skill: *Transfer from Bed to Wheelchair with Belt

Prometric clinical skill checklist to transfer the resident from the bed into a wheelchair using a transfer belt and pivot transfer technique (2008-01-01)
Step 1: Greet
Greet the resident by addressing him/her by name and introduce yourself
Step 2: Explain
Provide explanations to resident before beginning and throughout procedure
Step 3
Place wheelchair near resident's bed before assisting resident to sit at edge of bed
Step 4
Lock wheelchair before beginning transfer
Step 5
Remove or swing footrests out of way before transferring resident
Step 6
Place nonskid footwear on resident before transferring resident
Step 7
Assist resident to sitting position on side of bed, providing opportunity to adjust to position change before beginning transfer
Step 8
Apply gait belt securely around waist; avoid restricting circulation or breathing, or injury to skin
Step 9
Ensure resident's feet are flat on the floor before beginning transfer
Step 10
Position wheelchair before transfer with front interior wheel close to bed to facilitate pivot transfer
Step 11
Stand in front of resident, bracing resident's legs, reaching under resident's arms to hold gait belt at back
Step 12
Maintain own body mechanics in assisting resident to stand
Step 13
Complete transfer as a pivot
Step 14
Maintain own body mechanics in assisting resident to sit in wheelchair
Step 15
Provide support for controlled gentle lowering of resident into seat of wheelchair
Step 16
Position resident in proper body alignment in wheelchair with resident's hips against back of seat
Step 17
Place resident's feet on footrests
Step 18
Remove gait belt from resident's waist without harming resident when transfer completed
Step 19
Utilize Standard Precautions and infection control measures throughout procedure
Step 20
Promote resident comfort throughout procedure
Step 21
Promote resident rights throughout procedure
Step 22
Promote resident safety throughout procedure