Transferring clients
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Transfer is defined as the process of moving a person from one surface to another one. Clients that typically require a nursing assistant’s help with transferring include those who are weak or paralyzed, have recently had surgeries, or are injured.
The most common hospital transfers include bed to wheelchair transfer, wheelchair to bed, bed to stretcher, and vice versa.
Regardless of the type of transfer, you should always keep in mind some safety measures to protect yourself and your clients.
Plan the transfer and explain the procedure to the client. Adjust the bed height to a comfortable level for work and lower the side rails if they are up.
When using wheelchairs, don’t forget to line up the front swivel wheels with the back wheels when transferring clients.
As far as clothing measures go, a person's clothing should fit them well, while their shoes must provide a good grip and have non-skid soles.
During the transfer, clients should always lead with their stronger side, but they should not hold onto you around your neck. Instead, they can use your arm or the arm of the chair for support.
Don’t put your hands under the client’s arms to support them because, if they fall, this can lead to more injuries.
Protect yourself by using correct body mechanics, and most importantly, spread your feet shoulder-width apart and keep your back straight!
Now let’s focus on a transfer belt, also called a gait belt! When your client is unable to sit, stand up, or walk, you can use a transfer belt to make the whole process easier and safer.
When used to help a person walk, this belt is usually made from canvas, nylon, or leather with a buckle at the end. Some belts also have loops that the caregiver can hold onto.
The transfer belt is put around the client’s waist, and it can be used to maintain the stability of the client, reposition individuals in chairs and wheelchairs, and assist with ambulation.
It’s important to note that these belts can be used only in individuals that can bear weight. Weight bearing refers to a person’s ability to stand on one or both legs.
On the other hand, clients that are unable to bear weight require mechanical lifts for transfer.
Summary
A transfer is defined as the process of moving a person from one surface to another one. Clients that typically require a nursing assistant's help with transferring include those who are weak or paralyzed, have recently had surgeries, or are injured.
Transferring clients involves careful planning and executing, to ensure the safe and comfortable movement of a client. It also requires an individualized transfer plan that takes into account the client's physical condition and specific needs. There is also a need for effective communication with the client, family members, and nursing staff at the destination location.
Before the transfer, the client should be prepared and made comfortable, and during the transfer, their vital signs should be monitored as necessary. Once the client has arrived at their new location, the nursing staff should assist with the transition, which may include setting up medical equipment and orienting the client to their new surroundings.
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