It is the responsibility of a nurse aide to help the patients (who have some issues with mobility) in movement or exercising, because physical movement is very important for them. To make patients move, certified nursing assistants can make use of transfer belt. Similarly, to shift the patient sit from bed to wheelchair, transfer belt can be used in order to ensure safety and security. A transfer belt is a belt-like device that prevents the patient from falling down. It is 60 inches long and 2 inches wide. Greet the patient with a smile, address him/her by his/her name to make him more comfortable, and explain the procedure of transferring him/her from the bed to wheelchair using transfer belt.
Procedure to be Followed While Making Patient Wear Transfer Belt
Using antiseptic soap and lukewarm water wash your hands properly.
Place the wheelchair near the bed of the patient. Ensure that you lock the wheels of the wheelchair before making the patient sit on it.
Remove the foot cleaner mattress; otherwise, the patient can step over it and fall down.
Make the patient wear non-slippery footwear before you start transferring him/her from the bed to wheelchair.
Help the patient sit on the edge of the bed and make him sit in such a position for a while so that s/he may adjust according to the changes made in his/her position.
Apply the transfer belt to the waist of the patient. Make sure that the belt is not too tight or too loose. Also ensure that the patient is not finding any problem in respiration or blood circulation because of the belt.
Assist the patient in keeping his foot on the floor, before you make him transfer from bed to wheelchair.
The front part of the chair must be positioned towards the side of the bed.
Try to give the patient a signal like counting until 3. Ask him that on the count of three, he must try to stand up.
You must stand in front of the patient holding his transfer belt from both the arms. Your hands must be in the upward position. Brace the legs of the patient at the same time which will help in keeping him firm while he tries to stand up.
Hold the belt tightly when the patient tries to stand up and pull him in the upward direction.
You must maintain your body balance while making the patient stand up and shift.
Help him turn towards the wheelchair. Gradually, make his back face the wheelchair and his legs touching it.
Make him sit in a comfortable position, with his back resting against the wheelchair’s backrest.
Now open and remove the transfer belt from the patient very slowly.
Ask him whether he is feeling comfortable. If not, adjust the wheelchair, making the patient shift backwards so that his back lies against the back of the wheelchair.
Wash your hands properly after the completion of this entire activity.
What Does an Examiner Monitor When You Demonstrate this Skill?
If you rinse your hands properly before starting the procedure.
Whether you apply the transfer belt tightly so that the patient is comfortable, and does not face any respiratory or blood circulation problem, and at the same time, does not face the risk of falling.
If you lock both the wheels of the wheelchair.
Whether you bring the level of the bed to the height which is convenient for the patient.
Do you remove the transfer belt after moving the patient to the wheelchair?
If you unlock the wheels of the wheelchair.
Whether you make the patient wear shoes before transferring him to the wheelchair.
If you ensure that the patient is comfortable, safe and his rights are maintained during the entire process.
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