Question

Difficulty: MediumBasic Care and Comfort

A nursing team is preparing to transfer an immobile client from a bed to a stretcher using a slide board (transfer board) and a draw sheet. Place the following steps in the correct chronological order to ensure a safe transfer.

  1. 1Position the bed flat and adjust its height to be slightly higher than the aligned and locked stretcher.
  2. 2Roll the client onto their side, turning them away from the stretcher.
  3. 3Place the slide board under the draw sheet, bridging the gap between the bed and the stretcher.
  4. 4Assist the client to gently roll back into a supine position directly onto the slide board.
  5. 5Grasp the draw sheet firmly and slide the client in a coordinated motion onto the stretcher.

Answer

The correct sequence for a safe slide board transfer is to position and lock the surfaces with the bed slightly higher, turn the client away, place the board under the draw sheet, roll the client supine onto the board, and finally pull the client across.
A safe lateral transfer with a slide board requires meticulous chronological preparation. First, the environment must be secured by locking the stretcher against the bed and adjusting the bed height slightly higher to let gravity assist the movement. Next, the client is turned away from the transfer direction to expose the back. The board is then positioned underneath the draw sheet to bridge the gap securely. The client is rolled back into a supine position so their weight is supported evenly on the board. Finally, using a coordinated pull on the draw sheet, the nursing team slides the client smoothly across the low-friction board onto the stretcher.

Step-by-Step Solution

1
Align and prepare the transfer surfaces.
The bed is flat, locked, and slightly higher than the locked stretcher.
Reduces lifting effort by using gravity and prevents the surfaces from separating during the transfer.
2
Position the client for board placement.
The client is turned laterally away from the stretcher.
Exposes the dependent side of the client's body so the board can be inserted securely underneath.
3
Insert the slide board.
The slide board bridges the bed and stretcher underneath the client's draw sheet.
Provides a smooth, continuous bridge. Placing it under the draw sheet prevents shear injuries to the client's skin.
4
Reposition the client onto the board.
The client is resting supine, centered on the slide board.
Ensures the client's weight is fully supported by the board before any lateral movement begins.
5
Perform the lateral transfer.
The client is successfully moved onto the stretcher.
Using the draw sheet minimizes friction and protects both the client's skin and the nurses' backs.

Key Concept

Safe client transfer techniques using assistive devices
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