TRANSFERRING A PATIENT FROM A BED TO A CHAIR WITH THE ASSISTANCE OF ANOTHER NURSE Procedure 1.

Review the medical record and nursing plan of care for conditions that may influence the patients ability to move or to be positioned. Assess for tubes, intravenous lines, incisions or equipment that may alter the positioning procedure. Identify any movement limitations. 2. Identify the patient. Explain the procedure to the patient. 3. Perform hand hygiene and put on gloves, if necessary. 4. If needed, move the equipment to make room for the chair. Close the door or draw the curtains. 5. Make sure the bed brakes are locked. Adjust the height of the bed to comfortable working height or at the level of the armrest (if one is present) on the chair. 6. Move the patient to the near side of the bed while patient crosses his arms on his chest if possible. Position the chair next to the bed near the upper end with the back of the chair parallel to the head of the bed. If possible, remove the armrest closest to the bed. Lock the chair wheels, if available. Use a chair transfer board if appropriate. 7. Prepare to lift the patient from the bed to the chair. Have the lead nurse stand behind the chair and slip his or her arms under the patients axillae and grasp the patients wrist securely. The second nurse faces the wheelchair and supports the patients knees by placing his or her arms under the patients knees. 8. On a predetermined signal, flex hips and knees, keeping backs straight and simultaneously lifting the patient and gently lowering patient into the chair. If necessary, Rationale To provide safety to the patient.

To reduce apprehension and encourages cooperation. To deter spread of microorganisms

To provide privacy to the patient

Unexpected movements may result to injury. It takes less energy to work on a surface at an appropriate height.

Moving the patient to the near side of the bed brings the clients center of gravity closer to the nurses. Good positioning of the bed prevents client from injury. Transfer board provides support to the clients body.

Each staff members then has a major weight area of the client centered between their arms to be supported and lifted. This manner distributes the clients weight more evenly.

The wider the base of support and the lower the center of gravity, the greater the stability. Moving the body in unison maintains body alignment.

use a chair transfer board. 9. Adjust the patients position using pillows if necessary. Check his alignment in the chair. Cover the patient with a blanket if necessary. Place the call bell within reach. 10. Perform hand hygiene. Document the activity, transfer, and observations, the patients tolerance, and the length of time in the chair. Pillows provide support and elevation to maintain good body mechanics. Blanket provides comfort.

Hand hygiene deters spread of microorganisms and documentation indicates unusualties and deformities observed to the clients body.