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Transferring a Resident from a Wheelchair to a Bed

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Step 1   Knock before entering the room. Identify and greet resident. Explain procedure. Perform hand hygiene. Provide for privacy. Ask for consent.  
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Step 2   Place the chair parallel to or at a 45-degree angle to the bed.  
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Step 3 *   Lock the wheels of the wheelchair  
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Step 4   Remove the resident’s feet from the footrests. Remove or lift foot rests out of the way. Remove lap blanket.  
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Step 5 *   Adjust bed to lowest position, lock bed wheels, and raise head of bed to Fowler’s or sitting position.  
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Step 6   Fanfold top linens to the foot of bed.  
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Step 7   Observe resident is wearing non-skid footwear. Stand in front of the resident. Apply transfer belt. (must be tight – a flat hand should slide snug between belt and body)  
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Step 8   Ask the resident to hold onto the armrests and lean forward. Grasp the transfer belt at each side.  
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Step 9   Position your feet and legs to provide stability for the resident and prevent the resident from falling or sliding.  
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Step 10   Ask the resident to push down on the armrests on the count of three. Pull resident into a standing position as you straighten your knees.  
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Step 11   Support the resident in the standing position.  
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Step 12   Turn the resident so they can reach the edge of the mattress. The back of the resident’s legs should touch the mattress.  
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Step 13   Continue to turn the resident until they can reach the mattress with both hands.  
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Step 14   Lower the resident onto the bed as you bend your hips and knees. The resident assists by leaning forward and bending the elbows and knees.  
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Step 15   Remove the transfer belt and footwear.  
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Step 16   Assist the resident to lie down. Provide for comfort.  
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Step 17 *   Attach signal light within the resident’s reach.  
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Step 18   Perform hand hygiene and report and record observations.  
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Created by: na3
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