Lecture Notes: Transfer from Bed to Wheelchair Using Transfer Belt

Introduction

• Skill 22: Transferring a client from bed to wheelchair using a transfer belt.
• Importance of clear communication and maintaining privacy.
• Emphasis on safety and correct procedure.

Initial Steps

1. Greet Client: Address by name and introduce yourself.
2. Explain Procedure: Speak clearly, slowly, and maintain eye contact.
3. Provide Privacy: Use a curtain, screen, or door.

Preparations Before Transfer

• Ensure Safety:
  • Bed is at a safe level and wheels are locked.
  • Client is assisted to a sitting position with feet flat on the floor.
  • Confirm client is wearing shoes.
• Position Wheelchair:
  • Wheelchair should be alongside the bed with footrests up and wheels locked.

Transfer Procedure

• Apply Transfer Belt: Securely around the client’s waist over clothing.
• Provide Instructions:
  • Explain the process and agree on a signal for standing.
  • Safe Transfer Technique:
    • Use four points of contact: toes to toes, knees to knees.
    • Squat to the client's level and grasp the transfer belt.
    • Client should hold the back of your arms.
• Execute Transfer:
  • Use pre-arranged cue (e.g., count to three) to initiate standing.
  • Maintain good body mechanics: straight back, shoulders back.
  • Assist client to stand and pivot to face the wheelchair.

Completing the Transfer

• Positioning in Wheelchair:
  • Client’s legs should be against the back of the wheelchair.
  • Lower client safely into the wheelchair.
  • Ensure hips are touching the back of the wheelchair.
• Final Steps:
  • Remove the transfer belt.
  • Position client’s feet on footrests.
  • Ensure the signaling device is within reach.
  • Conclude by washing hands.

Key Points to Remember

• Safety First: Always lock bed and wheelchair wheels.
• Communication: Clear instructions and pre-arranged signals are crucial.
• Body Mechanics: Maintain correct posture to prevent injury.
• Close the Procedure: Ensure client comfort and complete hand hygiene.

Conclusion

• The process is vital for client safety and comfort.
• Practice these steps to ensure proficiency and compliance with regulations.