Manual of Policies and Procedures for Wade Nursing Registry

Transferring Client From Bed to Chair, Using Gait Belt

1. Explain what you are going to do and how the client can help you
2. Wash you hands
3. Gather the things you will need (chair, gait belt, shoes, robe)
4. Provide privacy (close doors, pull shades)
5. Apply transfer belt (Gait Belt)
6. Place chair parallel to bed and on clients strong side. If using a wheelchair, lock brakes and move footrest out of way. If bed has wheels, lock the wheels
7. Stand directly in front of client
8. Make sure clients feet are firmly on the floor
9. Have client place fists on bed next to thighs and lean forward
10. Grasp transfer belt firmly at each side
11. Lock your knees against clients knees to provide additional support and to prevent clients knees from buckling
12. Ask client to push fists down on bed and stand on the count of 3
13. Pull client into standing position as you straighten knees and legs
14. Count to 10 before continuing to allow clients body to adjust to standing position
15. Instruct client to :
    1. Take small steps while turning back to chair until legs touch chair
    2. Reach back and grasp the farthest arm of the chair, leaning slightly forward while sitting down
    3. Slide hips back into chair and sit erect
16. Make sure client is safe and comfortable
    1. If in wheelchair, replace footrest and have client put feet on them
    2. Place necessary items within reach ( fluids, bell, call light )
17. Wash your hands
18. Record clients reaction to the procedure, amount of time sitting in chair, and any other observations