A practical nurse is preparing to transfer a client who has right-sided hemiparesis from the bed to a wheelchair using a stand-and-pivot technique. In what order should the nurse perform the following actions to maintain proper ergonomics and client safety? Arrange the steps in the correct chronological sequence.
- 1Position the wheelchair on the client's left side at a 45-degree angle and lock the wheels.
- 2Assist the client to sit on the edge of the bed and apply non-skid footwear.
- 3Apply a transfer gait belt securely around the client's waist over their clothing.
- 4Face the client, maintain a wide base of support, and brace the client's right knee.
- 5Instruct the client to push up from the bed, pivot on the left leg, and reach for the wheelchair armrest.
Answer
The correct sequence begins with equipment setup on the strong side, followed by preparing the client, applying the safety device, using proper nurse body mechanics, and finally executing the pivot transfer.
Safe transfer protocols require a structured approach to minimize injury risk for both the client and the nurse. First, the environment must be prepared by placing the wheelchair on the client's strong (left) side and locking the wheels. Next, the client is brought to a sitting position and provided with non-skid footwear to prevent slipping. A gait belt is then applied to give the nurse a secure handling point. The nurse then adopts a wide base of support and braces the client's weak (right) leg to prevent buckling. Finally, the client pivots on their strong leg to safely lower themselves into the wheelchair.
Step-by-Step Solution
Key Concept
Safe Patient Transfer and Ergonomics