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) Is the patient able to assist in the transfer?
(2) body weight of the patient
Patient Able to Assist?
Body Weight
Transfer Method
yes
NA
Caregiver assistance is not needed. Caregiver should stand by for safety as needed.
partially
< 100 pounds
Use a lateral sliding aid and 2 caregivers.
partially
100 – 200 pounds
Use a lateral sliding aid 2 caregivers. OR Use a friction reducing device and 2 caregivers.
partially
>= 200 pounds
Use a lateral sliding aid and 3 caregivers. OR Use a friction reducing device and 2 caregivers. OR use a mechanical lateral transfer device,
no
< 100 pounds
Use a lateral sliding aid and 2 caregivers.
no
100 – 200 pounds
Use a lateral sliding aid 2 caregivers. OR Use a friction reducing device and 2 caregivers.
no
>= 200 pounds
Use a lateral sliding aid and 3 caregivers. OR Use a friction reducing device and 2 caregivers. OR Use a mechanical lateral transfer device,
where:
• If the stretcher or exam table have wheels, then they should be locked.
• Stretchers and trolley should ideally have height adjustments and moved to the level of the bed.
• If the patient has pressure ulcers, care should be taken to avoid shearing force.
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