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Checklist Patient Transfer

1. The document is a checklist for transferring patients between a wheelchair and x-ray table. It lists 21 procedures for assessing the patient, transferring them to and from the x-ray table, and completing documentation. 2. Nurses or medical assistants are to check which column (4-0) corresponds to their performance of each procedure, with 4 being very extensively performed and 0 being not performed. 3. The procedures cover identifying the patient, explaining the process, transferring techniques based on ambulatory or non-ambulatory status, and ensuring safety during movement.

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morseekodee101
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793 views2 pages

Checklist Patient Transfer

1. The document is a checklist for transferring patients between a wheelchair and x-ray table. It lists 21 procedures for assessing the patient, transferring them to and from the x-ray table, and completing documentation. 2. Nurses or medical assistants are to check which column (4-0) corresponds to their performance of each procedure, with 4 being very extensively performed and 0 being not performed. 3. The procedures cover identifying the patient, explaining the process, transferring techniques based on ambulatory or non-ambulatory status, and ensuring safety during movement.

Uploaded by

morseekodee101
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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NAME: _________________________________ DATE: ___________________________

COURSE & SECTION: ______________________ INSTRUCTOR: _____________________

CHECKLIST IN PATIENT TRANSFER

INSTRUCTION: Check the column that correspond the performance in the given procedure.

PROCEDURE 4 3 2 1 0
ASSESSMENT
1. Check the patient identification bracelet to ensure correct
patient is being transferred.
2. Ask the name to state the name to double check the identity
3. Explain transfer procedure to patient to gain cooperation
and alleviate fear.
4. Use proper body mechanics
IMPLEMENTATION
TRANSFERRING FROM WHEELCHAIR TO X-RAY TABLE
1. Position the wheelchair 45 degrees angle at the x-ray table.
2. Lock the wheelchair.
3. Move the wheelchair footrest out of the way.
4. Brakes are applied with step stool nearby.
5. Using face to face method, assist the patient to stand
position.
6. Ask the patient whether he or she feel alright
7. Have the patient place other hand on your shoulder on the
step onto the stool.
8. Pivot the patient toward the table until the patient can feel
The table against back of the thighs.
9. Place one arm around the patients shoulder and other arm
Under the knees.
10. Assist the patient into a supine position.
TRANSFER FROM X-RAY TABLE TO WHEELCHAIR
11. Check the brakes of wheelchair have been applied.
12. Assist and allow the patient to sit up from a short time to
regain sense of balance.
AMBULATORY:
13. Assist the patient to a standing position and pivot.
14. Have the patient reach back with both hands and grab
arms of wheelchair.
15. Assist the patient to sit in the wheelchair.
NON-AMBULATORY:
16. Stand facing the patient
17. Reach around the patient and place you hand on each
scapula
18. Lift the patient upward to standing position with your knees
bend
19. Pivot so that the back of the patients leg is touching the
edge of the wheelchair
20. Ease the patient down into sitting position with your knees
bent
21. Position foot rest into place
22. Cover patient lap with a sheet.

Remarks:_______________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________

Grade: ____________________________

Rating Scale:
4 - Very Extensively Performed
3 - Extensively Performed
2 - Fairly Performed
1 - Not Extensively Performed
0 - Not Performed

____________________________________ __________________________________
Clinical Instructor Signature Student’s Signature

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