Helping the client into Wheelchair or Chair Procedure

Supplies and Equipment
- Wheelchair
- Slippers or shoes (non-skid soles)
- Robe
- Transfer self (optional)

Procedure
1. Wash your hands
2. Explain the procedure to the patient
3. Position the wheelchair next to the bed or at 450 angles to the bed. Lock the wheel brakes and remove the food rests or move them to the “up” position.

4. Prepare to move the client:
a. Assist the client with patting on robe and slippers.
b. Obtain help from another person if the client is immobile, heavy, or connected to multiple pieces of equipment.

5. Raise the head of the bed so that the client is in the sitting position.
6. Assist the client to sit on the side of the bed
a. Support the head and neck with one arm.
b. Use your other arm to move the client’s leg over the side of the bed.
c. Allow the client’s feet to rest on the floor.
d. Maintain the client in this position for a short-time

7. Prepare to raise the client to a standing position
a. Apply a transfer belt if necessary.
b. Spread the client’s feet and brace your knees against client’s knees.
c. Place your arms around client’s waist.

8. Use the rocking motion of your legs to assist the client to stand. The client may use his or her hands to help push upward from bed.
9. Pivot the client in to position immediately in front of the wheelchair. Encourage the client to use armrests for support while you lower him or her in to chair.
10. Reposition foot rests; secure the client in a chair with a reminder device if needed. Cover the client with a blanket. Provide the nurse call button.
11. Wash your hands.
12. Check on the client frequently. Document the transfer and the client’s response.

Study questions
• State the principle underlying proper body mechanics and relate a nursing consideration.
• State the purposes of range of motion exercise.
• Identify principles related to safe movement of clients in and out of bed.
• Demonstrate the ability to move a partially mobile client safely from bed to chair and back.
• Demonstrate the ability to teach each of the crutch walking gaits to a client.
• Mention different positions used for various examination and treatment.