Transfers

Question 1

communication during transfer

Answer 1

• Pt should be informed about the transfer itself and their responsibility during the transfer
• the explanation should be understood by the patient and should occur prior to performing the transfer
• commands and counts are used to synchronize the actions of the participants involved in the transfer

Question 2

3-person carry/lift

Answer 2

• used to transfer a patient from a stretcher to a bed or treatment plinth
• three PTs carry the pt in a supine position; one therapist supports the head and upper trunk, the 2nd supports the trunk, and the third supports the LE
• the PT at the head is one to initiate commands
• the PT at the head is the one that gives commands
• the PT flex their elbows that are positioned under the pt and roll the pt on their side towards them
• the PT then lifts on commands and move in a line to the destination surface, lower, and position the pt properly

Question 3

two-person lift

Answer 3

• used to transfer a pt between two surfaces of different heights or when transferring a pt to the floor
• standing behind the pt, the first therapist should place their arms underneath the pt’s axilla
• the PT should grasp the pt’s left forearm with their right hand and grasp the pt’s right forearm with their left hand
• the second therapists places one arm under the mid to distal thighs and the other arm is used to support the lower legs
• the PT at the head usually initiates the command to lift and transfer the pt out of the chair to the destination surface

Question 4

Dependent Squat Pivot Transfer

Answer 4

• used to transfer a pt who connote stand independently, but can bear some weight through the trunk and LE. the PT should position the patient at a 45 deg angle to the destination surface
• pt places their UE on the PT’s shoulder, but should not be allowed to pull on the PT’s neck
• the therapist should position the patient at the edge of the surface, hold the patient around the hips and under the buttocks, and blocks the patient’s knees in order to avoid buckling while standing
• the PT should utilize momentum, straighten their legs, and raise the pt or allow the pt to remain in a squatting position
• the PT should then pivot and slowly lower the pt to the destination surface

Question 5

sliding board transfer

Answer 5

-used for a pt who has some sitting balance, some UE strength, and can adequately follo directions
- the patient should be positioned at the edge of the WC or bed and should lean to one side while placing one end ofd the sliding board sufficiently under the proximal thigh
- the pt should place the lead hand four to six in away from the sliding board and use both arms to initiate a push-up and scoot across the board
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Question 6

stand pivot transfer

Answer 6

• used when a patient is able to stand and bear weight through one or both of the LE
• the pt must possess functional balance and the ability to pivot
• Pt with Unilateral WB restrictions or hemiplegia may utilize this transfer and lead with the uninvolved side
• the PT can assist the pt to keep their feet flat on the floor while bringing the head and trunk forward

Question 7

stand step transfer

Answer 7

• used with a pt who has the necessary strength and balance to weight shift and step during the transfer
• the pt requires guarding or supervision from the PT and performs the transfer as a stand pivot transfer except the patient actually takes a step to maneuver and reposition their feet instead of a pivot