Professional Documents
Culture Documents
Techniques
Body Mechanics
Transfer Techniques
n Position patient close to you
n Position your COG as close to the patient’s COG
n as possible (S2)
n Increase your BOS (lower your COG and maintain
your vertical gravity line (VGL) within your BOS; BOS
is dependent on position of your feet
n Plan the activity and make room arrangements if
necessary (obtain eq. Or assistance as needed)
n Avoid trunk flexion and rotation
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Lifting Models
n Traditional model: lift any object that is below the
waist by squatting & avoid posterior tilt; keep lumbar
and thoracic spine relatively straight
Transfers
n PT Goal
n Safe & independent transfer
n PT POC
n Transfer training to pt., caregiver
2
Transfer Training
n Transfer from one surface to another
n Bed to chair
n Commode to wheelchair
n Commode to standing
n Car transfer
n Bed to gurney
n Bed to wheelchair
n *lots of types of transfers
Transfers
n Safe movement of a person from one surface
to another or from one position to another
n Independently
n Verbal cues/instructions
n SBA
n Minimum Assistance
n Moderate assistance
n Maximum assistance of 1
n Maximum assistance of 2 or 3
n Or special equipment i.e. sliding board, hoyer lift
Terminology
n Independent:
n Pt can perform transfer w/o any type of asst.
(verbal or manual)
n Assisted:
n Pt requires asst from another person
n (verbal or manual)
n Dependent:
n Pt requires total physical asst from 1 or more
people to transfer
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Terminology
n Minimal Assistance
n Pt performs 75% or more
n Moderate Assistance
n Pt performs 50-75%
n Maximal Assistance
n Pt performs 25-50%
Terminology
n Stand by Asst
n Pt requires verbal or tactile cues
n Contact Guarding
Organization of
Patient Transfers
n Plan & organize transfer BEFORE moving
patient
n Instruct patient in technique/procedure
n Demonstrate technique/procedure
n Be alert to safety factors
n Review chart to determine amt of asst,
cognitive status, strength, type transfers
already performed etc
n Utilize safety belt
n NEVER leave pt. unattended
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Organization of
Patient Transfers cont’d
n Proper shoes on patient
n Appropriate equipment
n Alert to IV lines, catheters, weight bearing
status etc
n Use proper body mechanics
n Position yourself to guard, protect and assist
n Break transfer into component parts
n Only assist as needed at each component
Types of Transfers
n All transfers start with bed mobility
n Types
n Bend knees up, rolle to side, let legs off
bed, push to sitting with UE’s
Pointers
n Avoid use of trapeze bar if performing
transfer training if at all possible
n Trapeze bar is useful for scooting in bed
but not for transfer
n Plus, pt won’t have trapeze at home
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Types of transfers
n Pivot
n Sliding Board
n Hoyer Lift
n 2-3 person lift
n Floor to chair
n Bath tub with transfer chair
n Bath tub with transfer bench
n Car transfer
Transfer training
n For all pivot transfers the pt should:
n Scoot to edge of chair/bed/w/c
n Position feet
n Lean forward
n Pt should have on shoes that will provide traction
n NEVER transfer patient with patient just wearing socks
n Therapist
n Always use gait belt
n Remove armrest on wheelchair if possible
n Lock brakes of wheelchair
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Standing Pivot Transfer
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Conditions Requiring Special
PRECAUTIONS during Transfers
Total Hip Replacement
Burns
Hemiplegia
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Low back pain or trauma
n Have pt log roll onto their side
n Allow feet to come off bed
n Have pt rise to sitting
n Avoid
n Lumbar rotation
n Lumbar lateral flexion
n Lumbar flexion
Burns
n Avoid shear forces across burn or graft
site
n Avoid sliding
Hemiplegia
n Do NOT pull on affected UE or LE
n Pulling on the affected UE or LE can
dislocate the shoulder or overstretch the
joint capsule
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Bed to Gurney transfers
n Insert draw sheet
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