Safe Patient Transfer (Bed to Chair)
Category: Patient Mobility
Overview
Safe transfer of patients from bed to chair using proper body mechanics and assistive devices to prevent injury to patient and healthcare worker.
Indications
Mobilization for meals, toileting, therapy, prevention of complications from immobility, discharge preparation.
Contraindications
Unstable spine, recent hip fracture, severe orthostatic hypotension, physician orders for bed rest, patient refusal.
Equipment Needed
Transfer belt, non-slip footwear, sturdy chair, wheelchair, assistive devices as needed, additional staff for two-person transfer.
Procedure Steps
1. Assess patient's ability to bear weight and assist
2. Explain procedure and obtain consent
3. Ensure adequate assistance available
4. Position chair at 45-degree angle to bed
5. Lock bed and wheelchair brakes
6. Lower bed to lowest position
7. Assist patient to sitting position on bed edge
8. Allow patient to sit for 1-2 minutes
9. Apply transfer belt around patient's waist
10. Help patient stand using proper body mechanics
11. Pivot patient to chair position
12. Lower patient slowly into chair
13. Ensure comfort and safety
14. Document transfer and patient response
Safety Considerations
Use proper body mechanics. Get adequate help for heavy or dependent patients. Check for orthostatic hypotension. Use gait belt for safety. Ensure equipment is functioning properly.
Potential Complications
Patient falls, injury to staff, orthostatic hypotension, increased pain, skin shearing, joint dislocation.
Documentation
Record transfer method, assistance required, patient tolerance, vital signs if indicated, and any complications.
References
Occupational Safety and Health Administration. (2019). Safe Patient Handling Guidelines. American Nurses Association Position Statement on Safe Patient Handling.