A practical nurse is assisting a client with left-sided hemiparesis to transfer from the bed to a wheelchair. In what order should the nurse perform the following actions? Arrange the steps from first to last.
- 1Position the wheelchair on the client's right side at a 45-degree angle.
- 2Ensure the wheels on both the bed and the wheelchair are locked.
- 3Assist the client to a sitting position on the edge of the bed.
- 4Secure the transfer belt snugly around the client's waist.
- 5Pivot the client toward their unaffected side and lower them into the wheelchair.
Answer
First, position the wheelchair on the right side. Second, lock the wheels. Third, assist the client to sit on the edge of the bed. Fourth, secure the transfer belt. Finally, pivot the client into the wheelchair.
Safe transfer protocols require organizing the environment first (placing the chair on the strong side), securing the equipment (locking wheels), moving the client to a stable intermediate position (dangling), applying safety devices (transfer belt), and finally executing the movement leading with the strong side.
Step-by-Step Solution
Key Concept
Safe client transfer techniques and mobility assistance