Moving Patient from Bed to Chair or Wheelchair

Moving Patient from Bed to Chair or Wheelchair

Procedure: Moving Patient from Bed to Chair or Wheelchair

  1. Check the Condition of the Chair or Wheelchair:
    • Ensure that the chair or wheelchair is in good condition, with functioning parts and locked wheels if applicable.
  2. Position the Chair:
    • Place the chair at a slight angle to the bed, with the back of the chair parallel to the foot of the bed and facing the head of the bed.
  3. Prepare the Chair or Wheelchair:
    • If using a chair, place a pillow on the seat. For a wheelchair, line it with a blanket or sheet, arrange pillows on the seat and against the back, and put the footrest up while locking the wheels.
  4. Check Patient’s Pulse:
    • Take the patient’s pulse to assess their baseline condition before the transfer.
  5. Assist Patient to Sitting Position:
    • Assist the patient to a sitting position on the bed by placing one arm under the head and shoulders and the other arm under the knees. Pivot the patient to a sitting position with legs hanging over the side of the bed.
  6. Observe Patient’s Condition:
    • Monitor the patient for a minute, observing for any changes in color, pulse, or respiratory rate.
  7. Dress the Patient:
    • Put on the patient’s robe and slippers, and place a footstool under their feet for added comfort.
  8. Assist Patient to Stand and Transfer:
    • Stand directly in front of the patient, placing a hand under each axilla. Assist the patient to stand, step down, and turn around with their back to the chair. Guide the patient to flex their knees and lower their body into the chair. Anchor the chair with a foot or have someone hold it steady.
    • Alternatively, the patient can place their arm over your shoulders while you put your arm around their waist. Turn the patient around with their back to the chair and gently seat them.
  9. Arrange Patient in the Chair:
    • Help the patient get comfortable in the chair, adjusting pillows and placing a blanket over their lap. If using a wheelchair, adjust the footrests.
  10. Observation and Monitoring:
    • Observe the patient frequently for any changes in color, pulse rate, dizziness, or signs of fatigue during their time in the chair.
  11. Returning to Bed:
    • To return the patient to bed, assist them to stand, turn, and stand on a stool before guiding them back to bed. Support the patient while they sit on the side of the bed, remove the robe and slippers, and pivot them to a sitting position in bed. Lower them slowly to a lying position.

By following this procedure, healthcare providers can ensure a safe and comfortable transfer of a patient from the bed to a chair or wheelchair, considering the patient’s well-being throughout the process.

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