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.
Type of transfers involved by this method:
(1) bed to chair
(2) chair to toilet
(3) chair to chair
(4) car to chair
Questions:
(1) Can the patient bear weight?
(2) Is the patient cooperative?
(3) Does the patient have enough upper extremity strength to help support weight during the transfer?
Able to Bear Weight
Cooperative
Upper Extremity Strength
Transfer Method
fully
NA
NA
caregiver assistance not needed; stand by for safety as needed
partially
yes
NA
1 caregiver: stand and pivot technique with gait/transfer belt, OR powered standing assist lift
partially
no
NA
2 caregivers with full body sling lift
no
no
NA
2 caregivers with full body sling lift
no
yes
no
2 caregivers with full body sling lift
no
yes
yes
may use gait/transfer belt or other seated transfer aid; proficient patients may not need assistance
Additional guidance:
(1) Seated transfer aids require chairs with removable or recessing arms.
(2) If the patient can partially bear weight, then transfer towards the stronger side.
(3) Specialty slings are available for toileting and bathing.
(4) If a person requires a full body sling and is being transferred to or from a car, then use a specifically designed sling.
where:
• I would think that a person who was capable but uncooperative would fall into the partial category.
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