5. Transfer patient from Bed to Stretcher

SAFE PATIENT







HANDLING



























Procedure Transferring Client Between Bed and Stretcher

INTRODUCTION


















A bed to stretcher transfer Patients who require this

requires a minimum of type of transfer are


three to four people, generally immobile or

depending on the size of acutely ill and may be


the patient and the size unable to assist with the

and strength of the health transfer.


care providers.

Check room for additional precautions.




Confirm patient ID using two patient identifiers





Listen and attend to patient cues.


SAFETY

CONSIDERATIONS Ensure patient’s privacy and dignity.




Assess ABC/suction/oxygen/safety.



Ensure tubes and attachments are properly placed prior to

the procedure to prevent accidental removal.


A slider board and full-size sheet or friction-reducing sheet is
required for the transfer.

Safe working height is at waist

level for the shortest health care


provider.







COMPOSITE The patient must be positioned


SKILLS correctly prior to the transfer to
avoid straining and reaching.






May need additional health care


providers to move patient to the

side of the bed.

Ensure all tubes and attachments are out of the

way.





The position of the health care providers keeps

the heaviest part of the patient near the health
COMPOSITE care providers’ centre of gravity for stability.


SKILLS Coordinating the move between health care



providers prevents injury while transferring
patients.





Using a weight shift from front to back uses the

legs to minimize effort when moving a patient.

COMPOSITE SKILLS










• The step allows the patient to be Weight on front leg

properly positioned in the bed and


prevents back injury to health care

providers.





























Shift weight to back foot

Do not allow patients to place their arms around
your neck. Have them place their arms around your

hips.





Avoid lifting patients. Let them stand using their
own strength.
SPECIAL

CONSIDERATIONS Stay close to your patient during the transfer to



keep the patient’s weight close to your centre of
gravity




If the patient has weakness on one side of the body
(e.g., due to a cerebral vascular accident (CVA) or

stroke), place the wheelchair on the strong side.

CRITICAL


THINKING

PROCEDURE TRANSFERRING CLIENT



BETWEEN BED AND STRETCHER

PROCEDURE











No Procedure



1 Greet client and introduce self


2 Explain the purpose of the procedure



3 Perform hand hygiene


4 Prepare equipment



5 Lock the bed wheels and provide privacy


6 Position stretcher at right angle 90° to bed and lock brakes



7 Elevate bed to a height of trolley and lock wheels

PROCEDURE









No Procedure


8 Place bed in flat position and lower side rails on side

nearest to nurse


9 Position two to three nurses on the side toward which

patient will move


10 Assume positions for moving patient.


10.1 A nurse at head end supports patient's head and

shoulders


10.2 Second nurse supports patient’s trunk and hips


10.3 The third nurse supports patient's thigh and ankle
**if two nurses are available, one nurse supports patient's head and


shoulders and second nurse support the waist and the thighs.

PROCEDURE









No Procedure



11 Move patient to the side of bed simultaneously


12 Instruct patient to flex the neck and place his arms across


the chest


13 At the count of three, lift and carry patient safely and


simultaneously towards the trolley


14 Place patient simultaneously on the stretcher



15 Unlock the trolley wheels and move trolley away from the

bed.

PROCEDURE










No Procedure



16 Raise the trolley side rails and or fasten the safety strap

across the patient.



17 Make patient’s comfortable

CRITICAL THINKING EXERCISES
















As you start to stand


Prior to moving the your patient, the


patient, where should patient gently places


the patient’s feet be his arms around your


placed? neck. How do you


proceed?