Moving Patients from Bed to Chair

Table of Contents

Introduction

Moving patients from a bed to a chair or wheelchair is a common nursing task that requires careful planning and execution to ensure patient safety and comfort. Here are the steps and considerations for performing this transfer:

1. Assessment:

Assess the patient’s physical condition, mobility level, and any specific considerations, such as injuries or restrictions.

2. Explain the Procedure:

Communicate the transfer process to the patient, informing them about each step. Ensure they understand and cooperate during the transfer.

3. Gather Necessary Equipment:

Collect any required equipment, such as a transfer belt, sling, or slide board, to assist in the transfer safely.

4. Adjust the Bed Height:

Adjust the bed to an appropriate height to facilitate the transfer. The bed should be at a level that aligns with the wheelchair or chair.

5. Lock Wheels:

If using a wheelchair, lock the wheels to prevent it from moving during the transfer.

6. Position the Chair or Wheelchair:

Position the chair or wheelchair parallel to the bed, ensuring a clear and open pathway for the transfer.

7. Prepare the Patient:

Assist the patient to a sitting position at the edge of the bed, allowing them to acclimate before standing.

8. Use Transfer Aids:

Depending on the patient’s mobility, use transfer aids such as a transfer belt, sling, or slide board to assist in the movement.

9. Maintain Proper Body Mechanics:

Bend your knees, keep your back straight, and use the strength of your legs when assisting the patient. Avoid excessive bending at the waist.

10. Assist the Patient to Stand:

Help the patient stand using a stable surface for support, ensuring they have their balance before moving.

11. Pivot or Transfer:

Pivot or transfer the patient to the chair or wheelchair, maintaining a close and supportive stance. Use proper lifting techniques to avoid strain.

12. Ensure Comfort and Safety:

Once in the chair or wheelchair, ensure the patient is comfortable and properly positioned. Check for proper alignment and support.

13. Unlock Wheels (if applicable):

If using a wheelchair, unlock the wheels once the patient is safely seated.

14. Provide Further Assistance:

If needed, offer additional assistance with adjusting the patient’s position or arranging any supportive cushions.

15. Document the Transfer:

Document the transfer in the patient’s chart, noting any challenges, assistance provided, and the patient’s response.

16. Follow Up:

Monitor the patient for any signs of discomfort or issues post-transfer. Address any concerns or adjustments needed.

By following these steps and considerations, healthcare providers can conduct safe and efficient transfers from the bed to a chair or wheelchair, promoting patient well-being and preventing injuries.