The nurse is preparing to safely transfer a client with right-sided hemiparesis from the bed to a wheelchair. In which order should the nurse perform the following actions? (Arrange the steps in the correct sequence from first to last.)
- 1Place the wheelchair on the client's left side at a 45-degree angle to the bed.
- 2Lock the brakes on both the bed and the wheelchair.
- 3Assist the client to sit on the edge of the bed and ensure their feet are flat on the floor.
- 4Fasten the transfer (gait) belt securely around the client's waist.
- 5Instruct the client to bear weight on the left leg and pivot toward the wheelchair.
- 6Guide the client to reach back for the wheelchair armrests before lowering into the seat.
Answer
The correct sequence prioritizes safe environmental setup (placing the chair on the strong side and locking brakes), patient preparation (sitting the client up and applying the transfer belt), and safe physical execution (pivoting on the strong leg and reaching for armrests).
A safe transfer sequence must follow a logical progression that maximizes client safety, utilizes their functional abilities, and minimizes nursing injury. The environment must be prepared first by placing the wheelchair on the unaffected (left) side and locking all brakes. Once the environment is secure, the client is assisted to a seated position to stabilize hemodynamics before the transfer belt is applied. Finally, the physical transfer is executed by having the client bear weight on their strong leg, pivot, and secure themselves using the armrests before sitting.
Step-by-Step Solution
Key Concept
Safe Client Transfer Techniques and Mobility Assistance