Transfer to Wheelchair Flashcards

1
Q

List the steps of the Transfer to Wheelchair procedure.

A
  1. Do the initial steps procedure.
  2. Place the wheelchair on the resident’s unaffected side. Brace firmly against the side of the bed with wheels locked and foot rests out of the way.
  3. Assist the resident to sit on the edge of the bed. Encourage the resident to sit for a few seconds to become steady. Check for dizziness.
  4. Stand in front of the resident and apply the gait belt around the resident’s abdomen.
  5. Grasp the gait belt on both sides of the resident.
  6. Ask the resident to place their hands on your upper arms.
  7. On the count of three, help the resident into a standing position by straightening your knees. Stand toe to toe with the resident.
  8. Allow the resident to gain balance, check for dizziness.
  9. Move your feet to shoulder width apart and slowly turn the resident.
  10. Lower the resident into the wheelchair by bending your knees and leaning forward.
  11. Align the resident’s body and position foot rests. Remove gait belt.
  12. Unlock the wheels. Transport the resident forward through the open doorway after checking for traffic.
  13. Transport the resident up to the closed door, open the door and the wheelchair through the doorway.
  14. Take the resident to their destination and lock the wheelchair.
  15. Do the final steps procedure.
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2
Q

What is the rationale for step “2. Place the wheelchair on the resident’s unaffected side. Brace firmly against the side of the bed with wheels locked and foot rests out of the way.”?

A

The unaffected side supports the resident’s weight. Helps stabilize the chair and is the shortest distance for the resident to tur. Wheel locks prevent the chair from moving.

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3
Q

What is the rationale for step “3. Assist the resident to sit on the edge of the bed. Encourage the resident to sit for a few seconds to become steady. Check for dizziness.”?

A

Allows the resident to adjust to the position change.

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4
Q

What is the rationale for step “4. Stand in front of the resident and apply the gait belt around the resident’s abdomen.”?

A

Gait belts reduce the strain on your back and provides for the security of the resident.

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5
Q

What is the rationale for step “5. Grasp the gait belt on both sides of the resident.”?

A

Provides security for the resident and enables them to turn.

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6
Q

What is the rationale for step “6. Ask the resident to place their hands on your upper arms.”?

A

You may be injured it the resident grabs around your neck.

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7
Q

What is the rationale for step “7. On the count of three, help the resident into a standing position by straightening your knees. Stand toe to toe with the resident.”?

A

Allows you and the resident to work together. Minimizes the strain on your back.

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8
Q

What is the rationale for step “8. Allow the resident to gain balance, check for dizziness.”?

A

Change of position may cause dizziness due to drop in blood pressure.

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9
Q

What is the rationale for step “9. Move your feet to shoulder width apart and slowly turn the resident.”?

A

Improves your base of support and allows space for the resident to turn.

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10
Q

What is the rationale for step “10. Lower the resident into the wheelchair by bending your knees and leaning forward.”?

A

Minimizes the strain on your back.

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11
Q

What is the rationale for step “11. Align the resident’s body and position foot rests. Remove gait belt.”?

A

Shoulders and hips should be in a straight line to reduce stress on the spine and joints.

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12
Q

What is the rationale for step “12. Unlock the wheels. Transport the resident forward through the open doorway after checking for traffic.”?

A

Provides for safety.

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13
Q

What is the rationale for step “13. Transport the resident up to the closed door, open the door and the wheelchair through the doorway.”?

A

Prevents the door from closing on the resident.

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14
Q

What is the rationale for step “14. Take the resident to their destination and lock the wheelchair.”?

A

Prevents the wheelchair from rolling if the resident attempts to get up.

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