Now that we've dangled the patient now we can
start from the bed to the wheelchair transfer.
Now if you've got your gait
belt place this on the patient
now it's important to stand as close
as you can actually here to the patient
now there's going to be a lot of personal space
invaded but this is okay. If you remember from
earlier those body mechanics if something's heavy,
have it as close to you as you can possible.
Now it's important to place your feet
with one foot pointing towards the patient
the other one in the direction
of the wheelchair so much like
moving a patient in bed, think about you always
want a foot in the direction that you're going
to go so make sure you kind of keep this
in mind when you're moving the patient.
Now it's important here for good body mechanics,
bend your knees and keep your back up straight.
Now here's where that communication needs
to happen between you and your patient,
we need to talk about do we move on three? Is
it after three? So make sure you talk to your
patient and have them help you so we're going to
count to three here and have the patient stand
using their legs to lift
and you using the gait belt
Now sometimes a patient could have a disease
process like a stroke or maybe a recent surgery
that one side is weaker than the other now the
patient should always support their weight on
their strong leg now what I mean by this if you
have a patient that's moving to a wheelchair
over here for example I'm going to have let's say
my right leg here if it's my strong leg here,
I want the patient to pivot on this
foot closest to the wheelchair.
So again, have the patient's strong leg closest to
the wheelchair so they can use that one to pivot.
So if you're transferring that
person on their strong foot
make sure you have the patient reach for
the wheelchair while they're pivoting over.
Now you want to turn yourself and the patient
toward the direction of the wheelchair.
Now once they've reached that lower them down
slowly down to the seat now if we've had the
gait belt on make sure you take this off before
you let your patient set up in your wheelchair.
Hi guys, welcome to transfer from a bed to a
chair or you can use the same technique from
a bed to a wheelchair or a bedside commode
you're really going to use this quite often
so before we get started notice that I'm in
the dangle position and it's really important
that you have your patients wearing non-skid
socks or footwear, we don't want them to slip
also before we get started notice that I
have my gait belt on and we're going to use
this in the transfer and don't forget with the
gait belt you want it snug but not too snug.
So Dean's going to help me today
and when he grabs the gait
belt we want to make sure his hands can go over this
and then make sure that he's going to be able to
use this as a guide to move me to the wheelchair.
Okay so now we're ready to transfer so when he's
ready Dean's going to take his trunk in my trunk and
be as close as possible that's really going to
help you move the patient then once we do that,
he's going to position his feet one towards me and
one towards the direction he's going it's the same
as when you're moving a patient up in bed, always
point a foot towards the direction you're going
so once he has his feet in place, he's going to let
me know where we're going to sit. Then once we're
there he's going to have make sure he bends his
knees, keeps his back straight and then he's going to
count to three and help me to use my legs to lift
and he's going to. use the gait belt in that process.
So then when we're trying to transfer
you always want to instruct your patient
to also reach for the wheelchair also note if your
patient has one leg that's weaker than the other,
you want your patient to support the weight on
the strong leg so today during this demonstration
my strong leg will be the right also note that
the strong leg should be the one closest to the
wheelchair so just remember that when you're
setting up the wheelchair to your patient.
So now we're going to have the patient pivot on that
strong leg turn myself toward the direction of the
wheelchair and slowly lower myself down. Okay
so now Dean's going to demonstrate and help me.
So now if you notice I've got my gait
belt on, I'm in the dangle position
and Dean's going to position himself towards me
and one foot towards the direction he's going,
so he's got his hands underneath the gait belt and
then he's going to instruct me on three to lift.
On three we're going to lift,
are you ready? Yes! One,
two, three, and now I'm going to reach towards the
wheelchair and at this point I'm going to pivot
on my right reach to the
wheelchair and lower me down.
Great! so now I'm safely in the wheelchair.
Now at this point if necessary I can
go ahead and remove my gait belt.