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Nursing Skills Laboratory Procedure


Transferring a Patient From the Bed to a Wheelchair With One Assistant

Achievement of SATISFACTORY in all categories is necessary

Student's Name: ____________________

Grade (circle one):

P = achieved 3 or above in all categories

F = achieved 2 or below in one or more categories

The following scale is utilized:

1 = Failing 2 = Unsatisfactory 3 = Satisfactory 4 = Good 5 = Superior

ACTION
S
G
SA
U
F
  • Gather the supplies
5 4 3 2 1
  • One nurse explains the procedure to the patient
5 4 3 2 1
  • Both nurses wash and dry hands carefully
5 4 3 2 1
  • One nurse draws the curtain around the bed for privacy
5 4 3 2 1
  • Both nurses go to and stand as close as possible at the same side of the bed, in line with the patient's waistline
5 4 3 2 1
  • One nurse locks the wheels of the bed
5 4 3 2 1
  • One nurse raises the bed to waist level, or the level of the armrest of the wheelchair if present, and raises the head of the bed to a high-Fowler's position, or as high as the patient can tolerate
5 4 3 2 1
  • One nurse lowers the siderail nearest them
5 4 3 2 1
  • One nurse folds the top linens down past the patient's feet
5 4 3 2 1
  • One nurse removes the pillow out from under the patient's head and neck
5 4 3 2 1
  • One nurse assists the patient to don a bathrobe and nonskid footwear
5 4 3 2 1
  • One nurse places the wheelchair close to and near the upper end of the bed with the back of the wheelchair parallel to the head of the bed
5 4 3 2 1
  • One nurse locks the wheels and raises the footrests of the wheelchair
5 4 3 2 1
  • One nurse instructs the patient, or assists the patient, to cross his/her arms across his/her chest
5 4 3 2 1
  • One nurse stands behind the wheelchair and prepares to transfer the patient to the wheelchair, by: 1) establishing a broad base of support, 2) flexing the joints of his/her lower extremities, 3) slipping his/her arms under the patient's axillae, and 4) grasping the patient's wrists securely
5 4 3 2 1
  • One nurse stands in front of the wheelchair and prepares to transfer the patient to the wheelchair, by: 1) establishing a broad base of support, 2) flexing the joints of his/her lower extremities, and 3) slipping his/her arms under the patient's knees
5 4 3 2 1
  • One nurse counts out loud one, two, three
5 4 3 2 1
  • On the count of three, both nurses extend the joints of their lower extremities and lift the patient gently into the wheelchair
5 4 3 2 1
  • One nurse lowers and places the patient's feet on the footrests of the wheelchair
5 4 3 2 1
  • One nurse assesses and adjusts the patient's alignment in the wheelchair and secures him/her with a seat belt in the back of the wheelchair as necessary
5 4 3 2 1
  • One nurse assures the patient's call light is readily available
5 4 3 2 1
  • Both nurses wash and dry their hands carefully
5 4 3 2 1
Comments:

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This page was last modified on 6/1/01