Transfer Basics
Safe movement from one surface to another.
What is a transfer?
The first step in ensuring safety when transferring a resident. (Think back to CNA/Nursing Skill Checkoffs)
What is explain all procedures to the resident prior to beginning?
Type of transfer when the resident can do the transfer with staff observation only.
What is Standby Assist Transfers?
Lower extremity cannot touch the ground at all during the transfer.
What is Non-Weight Bearing?
Mandatory part of the nursing staff uniform.
What is a gait belt?
Gait belts, sliding boards, pivot disks, overhead trapeze bars, grab bars, side rails, raised toilet seats, tub chairs.
What are assistive devices that are used for transfers?
Should be placed on resident's feet prior to attempting transfer.
What is appropriate shoes/gripper socks?
Type of transfer when resident need very little assistance to complete the transfer.
What is Minimal Assist Transfer?
Put full weight on lower extremity.
What is Full Weight Bearing?
Where to check if you are unsure of a resident's transfer ability/ weight bearing status.
What are Resident Plan of Care Sheets/ Black Books.
Located at Nurses Station 1 for 100-300 Halls
Located in chart room for 400-700 halls
Applied around the resident's waist, over the clothing, and should be buckled securely in the from with enough room to insert a few fingers underneath.
What is a gait belt?
Should be done while transferring the resident to promote their compliance, understanding, and safety.
What is provide instruction and guidance to the resident during the transfer?
Type of transfer used when resident can bear SOME weight on lower extremities; they can stand, but need assistance transferring.
What is Assisted Stand Pivot Transfer?
Limited amount of weight on lower extremity; usually a set amount of weight.
What is Partial Weight Bearing?
Should be done if you are unsure of your ability to transfer someone by yourself, or if you are unsure of the resident's capability at the time of transfer.
What is GET HELP PRIOR TO ATTEMPTING TRANSFER?
Type of grasp used when holding the gait belt to provide greater safety.
What is the underhand grasp?
Resident equipment that should be protected during transfers.
What is IV line, tubes, casts, foley catheters, dressings, or splints? (Multiple Answers)
Type of transfer when resident is dependent on staff to stand and transfer.
What is Dependent Stand Pivot Transfer?
Patient determines amount of weight on lower extremity; depends on tolerance of the patient and can be up to full weight bearing.
What is Weight Bearing As Tolerated?
Can assist CNA with transferring a 2+ person assist resident.
What is another CNA or PCA? (multiple answers)
PCAs CANNOT transfer patients requiring more than standby-limited assist by themselves; but can help when a CNA is present.
Times you should use a gait belt under the arms instead of around the waist.
What is if the resident has a colostomy, abdominal incision, peg tub, back or rib fractures? (multiple answers)
Do this to enhance learning and improve the resident's skill. (Think about how learning occurs; how you become competent at doing something)
What is use the same transfer technique consistently?
Type of transfer that is useful for residents who cannot bear weight for a standing transfer but who have upper extremity strength. (Think of equipment)
What is Sliding Board Transfer?
The patient can rest toes of the involved lower extremity on the ground for balance, not weight bearing.
What is Touch Down Weight Bearing/ Toe Touch Weight Bearing?
Name 2 different types of transfer equipment.
What is manual stand aid, EZ lift, and hoyer lift? (multiple answers)