Transfer From Bed to Wheelchair 

Good eye! I didn't catch that at first, but you're right. He did do all the work

mkmason2002 This is for exam purposes.

250

U right

No shit. This is bullshit. My mom im trying to move her now thats why im here. She cant use her legs. This is bullshit

Agreed

Lala Smith

Kiki

Lala Smith Lol😂😂

🤣🤣🤣🤣

Even though I cannot was your time I was

You do put the shoes on before lifting the person to a sitting position and moving them into a chair. You place a chux or other disposable item on the bed to keep it clean.

Kathy C I was told that shoes go on while in bed by my nursing instructor. You want to limit the time they spend sitting up, for you do not want them sliding off the bed. And... If the feet of the patient is NOT on the floor, you will fail your exam here in PA! Feet on floor!!!!

@@Meanoldwoman2013 each state is probably different on their requirements

I am very happy that you did fabulous on your exam. As always, there are many ways to perform any skill, based on the specific needs of the patient. However, thinking that one specific method will work for every situation, and that one specific method is the ONLY way a skill can be performed is not correct. You may apply the patient's shoes while they are in bed if you wish, but it is not necessary (and many patients will object to having their shoes in bed). After pivoting the patient to a sitting position on the side of the bed, the patient is danging while you put on their shoes (which is important) and it is easier for the patient to ensure their heel is properly seated in the shoe when in a sitting position (try putting your shoes on while lying down - you can't press your foot down into the shoe with nothing to press against). I am unsure what you are referring to as an error - this patient was not left alone at any time during this demonstration; the caregiver was always at the bedside. Regarding the need for a second caregiver: If the patient is unsteady enough to require constant support, that would be reflected in the care plan (and the patient probably would not be a candidate for this type of transfer in the first place). ALWAYS FOLLOW YOUR CARE PLAN AS IT IS PATIENT SPECIFIC. This skill is demonstrated according to current testing standards. Thank you for your comment.

Thank you so much!!! We appreciate you!

We are happy you find our resources helpful! Best of luck in your new career!

Thank's heaps.

***** Good answer. The name is Hoyer. Wish I had invested when I first learned the name. retired RN

***** Hoyer ..i find that difficult tho for the obese but u get used to it

He would not be lifted without a Hoyer lift and two people are needed at all times. This is for the safety of the lifters as well as the client/patient. This answer is for a client that does not have control of their legs or is an amputee.

4yourCNA مشان الله

Thank you! We are happy you are finding our videos helpful! Best of luck!

Thank you! We are very happy that you are finding our videos helpful!

We are very happy that you are finding our videos helpful! Please make sure you view the newest version for updated skills performance! Best of luck!

I am sorry but your post is incorrect. Failure to lock the wheels is a failing offense. Floors are often uneven and unlocked wheelchairs may roll into walls, other residents or stationary objects. This is a serious safety concern and a major testing point. please make sure wheels are locked when leaving a resident. If the resident is able to self-propel, they may release the brakes to do so - this is not a restraint. Thank you for your comment!

+4yourCNA utah code forbids us from locking wheels after a transfer. they will fail us if we do after a transfer is compleate. As far as I know from my state hand book. this is correct in my state. but it may differ from other. the example I was given was if the patient has a form of dementia and can't figure out how to unlock their wheels. thank you for informing me that code other places is different to Utah code. have a nice day :)

+4yourCNA unless the resident has dementia or you have an order to lock the wheelchair after the resident being seated in the wheelchair it should not be locked. It's now considered a restraint against the resident. Being that people use this video for testing practices you may want to state that.

+Missy Heyman I am sorry but that is incorrect. Wheelchairs MUST be locked for safety. This is NOT a restraint because patients that self-propel can unlock the wheelchairs easily and move at will. But those that can't self-propel are at risk of rolling into a stationary object because floors are often uneven. This is a testing point and extremely important as a safety principle. All wheelchairs MUST be locked when you leave a patient in then.

the resident can hold ur shoulders arms or push up on the bed.

and for state u wouldnt wait 5 minuets u would just say u waited that long

Yes the client can push up from the bed, but holding onto your shoulders is a safety hazard. This is because you can strain your back, or if the client is dizzy and they fall back you will fall on top of them.

Ok well I'm sure I know how to do it! If u get the new 2015 book it will tell u!

Please remember that all patients are individuals with completely individual needs and abilities. The care plan will indicate what is needed for each patient - you must always follow the care plan because patients are not "one skill fits all". The care plan for this skill indicates that the patient can sit and stand with assistance but cannot take steps and this skill must be done as a pivot transfer. This patient was pivoted to the side of the bed and remained in the sitting position while the shoes were put on (which is a dangle position). You will not be dangling patients for 5 minutes - that is excessive and not appropriate (if the patient is that unsteady, the nurse would not be able to delegate that task to a CNA because they would need constant assessment - assessment is prohibited for any unlicensed healthcare worker by law). Patients should ALWAYS place their hands on your shoulders during a pivot transfer, otherwise you are lifting them from their center but their shoulders will be trailing behind and you are not moving them as a unit which risks injury to them or you. CNAs do not wear gait belts during transfer - this is an inappropriate action. Gait belts are applied around the waist of a patient that needs assistance to allow you to provide stability while walking or standing and lifting assistance at their center of gravity. The body mechanics demonstrated in this video are performed according to current clinical standards and testing regulations.

Please refer to the newest video for updated skills demonstration. This is the appropriate method of transferring a patient. Patients should rest their hands on your shoulders or upper arms to move them as a unit, so that their upper body moves in alignment with their lower body and does not trail behind. This is an important body mechanics principle. All wheels were locked prior to transfer (the bed wheels and the wheelchair wheels). Thank you for your comment.

4yourCNA

These videos reflect testing standards only. Please visit our channel for an updated version of this skill (this is the old video). These videos are demonstrated exactly as the skill should be done for testing and are demonstrated by an RN Instructor. I would be happy to explain any action that you think is inappropriate, please ask! Thank you for your comment!

Me too.

You can tell the patient lifted himself and she did not have to deal with lifting 200 lbs. Also my patient is paralyzed and can't put her arms around my neck so she'll just fall down.

What a bogus video!

The only thing I would caution about is making sure to get your hips low, lift with your legs to avoid straining your back, and block the patients knees in case they buckle. Maybe use two people for safety if the patient isn't able to help much. Protect yourself. Back injuries are no joke.