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Skill Moving Patient WHEELCHAIR TO BED

The document provides guidelines for safely moving a patient from a wheelchair to a bed, including locking the wheelchair brakes, bending at the knees to protect the back, and positioning the patient so they are stable and able to move themselves from the wheelchair to the bed with assistance. It also outlines proper techniques for a caregiver to push, turn, and transport a patient in a wheelchair, as well as safety tips for patients using a wheelchair.

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0% found this document useful (0 votes)
206 views7 pages

Skill Moving Patient WHEELCHAIR TO BED

The document provides guidelines for safely moving a patient from a wheelchair to a bed, including locking the wheelchair brakes, bending at the knees to protect the back, and positioning the patient so they are stable and able to move themselves from the wheelchair to the bed with assistance. It also outlines proper techniques for a caregiver to push, turn, and transport a patient in a wheelchair, as well as safety tips for patients using a wheelchair.

Uploaded by

Open Up Tacenda
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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Moving Patient from a Wheelchair to Bed

Remember
• Lock the brakes on the wheelchair.
• Protect your back. When you help someone get up, bend your knees and
keep your back straight.
• If patient has a weak side, do not pull on that arm.

To Help Patient Move To The Bed


1. Bring the wheelchair beside the bed. Make sure the patient’s strong side is beside the bed. Lock the
brakes.
2. Put both feet flat on the floor. Move the footrest(s) out of the way.
3. Ask the patient to move forward in the wheelchair. Make sure their toes are under their knees.
4. Stand in front of the patient. Ask him to sit tall, lean forward and push down on the wheelchair
armrest as you help him to stand.
5. Place your hands around patient upper back. If patient has a weak arm, place your arm around it,
not under it. Do not pull on the weak arm.
6. Help the patient to move feet until his bottom is over the edge of the bed. Help patient sit down.
The patient should:
• Reach for the bed
• Bend knees
• Keep shoulders forward.
To move to the bed:
Wheelchair Anatomy

1
3
2

4
11
8

5 6
9

10

1- Pushing handles 7- Front caster


2- Backrest 8- Brake lever

3- Armrest 9- Tipping lever

4- Seat 10- Hand rim

5- Heel loops 11- Rear self propelling wheel


6- Footplate
Guidelines For Assisting Patient On A Wheelchair
1 Opening the wheelchair
 Stand in front of the wheelchair.
 Push down and outward on the sides of the seat, keeping your
fingers pointing inwards to prevent them getting trapped.
 Continue pushing downwards until the wheelchair is fully
opened.
 Place the cushion on the seat, with the label saying ‘back’ at the
rear of the seat.
2 Closing the wheelchair
 Lift the footplates up and remove the cushion.
 Stand beside the wheelchair, grasp the front and back of the seat
canvas and pull upwards.
Never attempt to lift the wheelchair by any detachable parts
(e.g. armrests). This may result in injury.

3 Instructions for pushing the wheelchair


 Always make sure the brakes are on when the chair
is not being pushed.
 Make sure your passenger’s feet are safely on the
footplates and elbows, all clothing, rugs or bags are
tucked in safely.
 Look well ahead for possible hazards.
 Avoid steep, soft or uneven surfaces as these will
make it harder to push or could cause the chair to
tip over.
 Always let the patient in the chair know what you are
going to do, such as tilting them or turning quickly.
 Do not hang heavy bags or shopping on the handles of
the chair. This can change the centre of gravity and cause
the chair to tip backwards.
4 Getting down a kerb (with someone pushing the
wheelchair)
 Going down a kerb backwards is recommended as it is safer and
takes less effort.
 Take extreme care when stepping onto a road.
 Make sure the road is clear.
 Back the wheelchair to the edge of the pavement.
 Pull the rear wheels gently down onto the road surface.
When the front castors are at the edge of the kerb pull on the
handles and push one tipping lever with your foot to balance the
patient on the rear wheels. Pull the wheelchair further back into
the road, and lower the front castors before turning to cross the
road.
5 Getting up a kerb (with help of a carer)
 Push the wheelchair until the footplates are at the edge of the
kerb.
 Hold the wheelchair handles firmly and tilt the chair backwards
using the tipper lever until the back wheels touch the kerb. The
front wheels should be placed on the path.
 Use the handles to lift and push the wheelchair forward.

6 Going down a steep slope (with the help of a carer)


It is safer if the wheelchair can be guided down a steep slope
backwards by a carer.

7 Getting up and down stairs


Never attempt to use stairs, or to lift a chair with the patient
in it.
8 Escalators
Never attempt to use a wheelchair on an escalator.
9 Lifts
It is easier to go backwards into a lift so that you do not have
to turn around in a confined space.
10 Important safety Tips For Patient
It is important to take note of these safety tips to make sure
that patient is safe when using a wheelchair.
Reaching and bending forwards
 Avoid leaning forwards (beyond the armrests).
 Avoid bending to reach low objects.
 Avoid reaching behind over the top of the back rest.
 Never attempt ‘wheelies’.
11 Brakes
Always make sure that the brakes are applied when patient is
stationary.

12 Footrests
Patient should Never stand on the footplates. This could
cause the wheelchair to tip forwards.
13 Remember that wheelchairs are quiet, so make sure others
are aware of you.
14 Safety straps
 Always securely fasten the lap strap or any safety harness supplied
by your therapist.
 Observe weight limits. These will be labeled on the chair frame. Do
not carry other adults, children or luggage in or on the wheelchair.

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