3.7 patience Transfers

Transfers are defined as moving a patient from one flat surface come another, such as from a bed come a stretcher (Perry et al., 2014). Types of hospital transfers encompass bed to stretcher, bed come wheelchair, wheelchair to chair, and also wheelchair to toilet, and vice versa.

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Patient deliver from Bed to Stretcher

A bed to stretcher transfer calls for a minimum of 3 to 4 people, relying on the size of the patient and the size and strength the the health care providers. Patients who require this type of transport are generally immobile or acutely ill and also may be can not to help with the transfer. Checklist 29 mirrors the actions for moving patients laterally from one surface to another.

Checklist 29: moving a patient from Bed come Stretcher
Disclaimer: Always review and follow her hospital policy regarding this specific skill.
Safety considerations: Introduce yourself to patient.Confirm patience ID using 2 patient identifiers (e.g., name and also date that birth).Listen and deal with patient cues.Ensure patient’s privacy and dignity.Ensure tubes and attachments room properly put prior to the procedure to prevent accidental removal.A slider board and also full-size sheet or friction-reducing sheet is required for the transfer.
Steps Additional Information

1. Always predetermine the variety of staff compelled to safely move a patient horizontally.

Three come four health care providers are compelled for the transfer.

2. Explain what will certainly happen and how the patient can help (tuck chin in, save hands ~ above chest).

Collect supplies.

This step offers the patient v an possibility to ask inquiries and assist with the transfer.

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Stretcher and also slider board
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Chin tucked in and arms throughout chest

3. Progressive bed to safe functioning height. Lower head that bed and also side rails.

Position the patience closest come the side of the bed whereby the stretcher will be placed.

Safe working height is at belt level for the shortest health treatment provider.

The patient need to be positioned correctly prior to the move to prevent straining and reaching.

May need additional health treatment providers to relocate patient come the next of the bed.

4. Role patient over and also place slider plank halfway under the patient, forming a bridge between the bed and also the stretcher.

Place paper on top of the slider board. The sheet is used to on slide patient end to the stretcher.

The patience is went back to the supine position.

Patient’s feet space positioned top top the slider board.

The slider board need to be positioned together a bridge in between both surfaces.

The sheet have to be in between the patient and the slider plank to decrease friction between patient and board.

Place slider board

Ensure all tubes and attachments room out of the way.

5. Position stretcher next to the bed ~ above the side closest come the patient, with stretcher slightly lower. Apply brakes.

Two health treatment providers climb onto the stretcher and grasp the sheet. The lead human is in ~ the head that the bed and will understand the pillow and sheet. The various other health treatment provider is positioned ~ above the much side that the bed, in between the chest and also hips the the patient, and also will grasp the sheet v palms encountering up.

The 2 caregivers ~ above the stretcher understand the attract sheet utilizing a palms increase technique, sit up tall, and keeping their elbow close to your body and also backs straight.

The position of the health care providers keeps the heaviest part of the patient close to the health treatment providers’ centre of heaviness for stability.

Caregiver at the head the the bed

6. The caregiver top top the other side the the bed places his or she hands under the patient’s hip and shoulder area v forearms relaxing on bed.

7. The designated leader will certainly count 1, 2, 3, and start the move.

The person on the far side of the bed will push patient simply to arm’s length using a back-to-front load shift.

At the exact same time, the 2 caregivers on the stretcher will relocate from a sitting-up-tall place to sitting on your heels, shifting their load from the front leg to the back, pass the patient with them making use of the sheet.

Coordinating the move between health treatment providers avoids injury while carrying patients.

Using a weight change from former to ago uses the legs to minimize initiative when moving a patient.

8. The two caregivers will certainly climb turn off the stretcher and also stand in ~ the side and grasp the sheet, keeping elbows tucked in.

One the the 2 caregivers have to be in line through the patient’s shoulders and the other must be at the i know good area.

On the counting of three, with ago straight and also knees bent, the 2 caregivers usage a front-to-back weight shift and slide the patient into the center of the bed.

The step enables the patience to be properly positioned in the bed and prevents earlier injury come health care providers.

Caregiver at the head that the bed
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Weight on front leg
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Shift weight to ago foot

9. At the very same time, the caregiver top top the other side slides the slider board out from under the patient.

This step permits the patience to lie level on the bed.

10. Replace pillow under head, ensure patience is comfortable, and cover the patient with sheets.

This promotes comfort and prevents injury to patient.

11. Lower bed and also lock brakes, raise side rails together required, and ensure contact bell is within reach.

Perform hand hygiene.

Placing bed and also side rails in a safe position reduces the likelihood that injury to patient. Proper placement of contact bell facilitates patient’s capability to ask because that assistance.

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Bed in lowest position, next rail up, speak to bell within reach

Hand hygiene reduces the spread of microorganisms.