Goal: The transfer is accomplished without injury to patient or nurse and the patient is free of any complications of immobility.
1. Review the medical record and nursing plan of care for conditions that may influence the patient’s ability to move or to be positioned. Assess for tubes, IV lines, incisions, or equipment that may alter the positioning procedure. Identify any movement limitations.
2. Perform hand hygiene and put on PPE, if indicated.
3. Identify the patient. Explain the procedure to the patient.
4. If needed, move the equipment to make room for the chair. Close curtains around bed and close the door to the room, if possible.
5. Adjust the bed to a comfortable working height, usually elbow height of the caregiver (VISN 8 Patient Safety Center, 2009). Lock the bed brakes.
6. Lower the side rail, if in use, on the side of the bed you are working. If the sling is for use with more than one patient, place a cover or pad on the sling. Place the sling evenly under the patient. Roll the patient to one side and place half of the sling with the sheet or pad on it under the patient from shoulders to mid-thigh. Raise the rail and move to the other side. Lower the rail, if necessary. Roll the patient to the other side and pull the sling under the patient. Raise the side rail.
7. Bring the chair to the side of the bed. Lock the wheels, if present.
8. Lower the side rail on the chair side of the bed. Roll the base of the lift under the side of the bed nearest to the chair. Center the frame over the patient. Lock the wheels of the lift.
9. Using the base-adjustment lever, widen the stance of the base.
10. Lower the arms close enough to attach the sling to the frame.
11. Place the strap or chain hooks through the holes of the sling. Short straps attach behind the patient’s back and long straps attach at the other end of the sling. Check the patient to make sure the hooks are not pressing into the skin. Some lifts have straps on the sling that attach to hooks on the frame. Check the manufacturer’s instructions for each lift.
12. Check all equipment, lines, and drains attached to the patient so that they are not interfering with the device. Have the patient fold his or her arms across the chest.
13. With a person standing on each side of the lift, tell the patient that he or she will be lifted from the bed. Support injured limbs as necessary. Engage the pump to raise the patient about 6 inches above the bed.
14. Unlock the wheels of the lift. Carefully wheel the patient straight back and away from the bed. Support the patient’s limbs, as needed.
15. Position the patient over the chair with the base of the lift straddling the chair. Lock the wheels of the lift.
16. Gently lower the patient to the chair until the hooks or straps are slightly loosened from the sling or frame. Guide the patient into the chair with your hands as the sling lowers.
17. Disconnect the hooks or strap from the frame. Keep the sling in place under the patient.
18. Adjust the patient’s position, using pillows, if necessary. Check the patient’s alignment in the chair. Cover the patient with a blanket, if necessary. Make sure call bell and other necessary items are within easy reach. When it is time for the patient to return to bed, reattach the hooks or straps and reverse the steps.
19. Clean transfer aids per facility policy, if not indicated for single patient use. Remove gloves and any other PPE, if used. Perform hand hygiene.
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