Proper technique is required for the transfer of patients without causing injury to the patient or the people giving assistance. OSHA has issued guidance for the transfer of patients in nursing homes to help reduce worker injuries.
Questions:
(1) Can the patient assist in the repositioning?
(2) Does the patient have upper body strength in both arms?
(3) Does the chair recline?
(4) Is the patient cooperative?
|
Able to Assist? |
Upper Body Strength? |
Chair Recline? |
Patient Co-operative? |
Transfer Method |
|
fully |
NA |
NA |
NA |
assistance not needed; attendant stands by for safety |
|
partially |
yes |
NA |
NA |
have patient lift up, then attendant pushes knees to reposition |
|
partially |
no |
NA |
NA |
2 attendants assist patient |
|
no |
NA |
yes |
NA |
recline chair and use friction reducing device; 2 attendants required |
|
no |
NA |
no |
yes |
use full-body sling lift or non-powered stand-assist aid; 1-2 attendants required |
|
no |
NA |
no |
no |
use full body sling lift; 2 or more attendants required |
where:
• Ability to assist might be better worded as being willing and able to assist (to take into account the possibility of being uncooperative).
• Repositioning should not be attempted by one person alone (unless the patient is fully capable).
• If the patient lacks sensation, cues may be needed to remind patient to reposition.
• The attendant should not pull from behind the chair, reaching over.
• The atteendant should take full advantage of any chair functionalities available.
• For chairs with wheels, the wheels should be locked before attempting to move the patient.
Purpose: To reposition a patient in a chair using techniques recommended by OSHA for nursing homes.
Specialty: Sports Medicine & Rehabilitation
Objective: disability and performance, prevention
ICD-10: ,
