7. Safe Transfers

image

Bed to chair and return

If this is a pivot transfer, the PCA must ensure the chair is positioned close to the bed. The client should have secure fitting shoes or slippers on for transfers. The PCA will position himself/herself in front of the client, place his/her feet against the toes of the client, put his/her arms under the clients arms, place one knee in front of the client’s knee and stand straight up, holding on to the client at all times.

Bed to wheelchair and return

The PCA must ensure the wheelchair is in the correct position with the wheels locked in place. Make sure the wheelchair is positioned so the client’s feet will not become entangled in the footrests. If footrests are movable, fold the person up and out of the way.

Bed to toilet/commode and return

The PCA should ensure the bedside commode is properly positioned beside the bed to allow the client to transfer with minimal exertion.

Bed to tub/shower and return

Bed to tub/shower and return – The PCA should ensure the client is wearing secure fitting shoes or slippers. Assist the client to a sitting position on the side of the bed. Assist the client as needed to a standing position; offer stand-by assistance to the bathroom.

Chair to commode and return

Ensure the client is wearing secure fitting shoes or slippers. Assist the client to a standing position; provide stand-by assistance to the bathroom.

Chair to tub and return

Ensure the client is wearing secure fitting shoes or slippers. Assist the client to a standing position. Provide stand-by assistance to the bathroom. Assist the client to disrobe and stepping into the tub.

Wheelchair to tub and return

Ensure the client is wearing secure fitting shoes or slippers. Roll the wheelchair into the bathroom and lock the wheels. Assist the client to a standing position. Assist the client in disrobing, and stepping into the tub.

Wheelchair to commode and return

Ensure the client is wearing secure fitting shoes or slippers. Roll the wheelchair into the bathroom and lock the wheels. Assist the client to a standing position. Assist the client in pulling down his/her underpants, and help him/her to sit safely on the commode.