Follow these steps to move a patient from bed to a wheelchair. The technique below assumes the patient can stand on at least one leg.
If the patient cannot use at least one leg, you will need to use a lift to transfer the patient.
Pivot turn; Transfer from bed to wheelchair
Think through the steps before you act, and get help if you need it. If you are not able to support the patient by yourself, you could injure yourself and the patient.
Make sure any loose rugs are out of the way to prevent slipping. You may want to put non-skid socks or shoes on the patient's feet if the patient needs to step onto a slippery surface.
Explain the steps to the patient.
Place the wheelchair on the same side as the patient's good leg.
Park the wheelchair next to the bed, close to you.
Put the brakes on and move the footrests out of the way.
Getting a Patient Ready to Transfer
Before transferring into the wheelchair, the patient must be sitting.
To get the patient into a seated position, roll the patient onto the same side as the wheelchair.
Allow the patient to sit for a few moments, in case the patient feels dizzy when first sitting up.
Put one of your arms under the patient's shoulders and one behind the knees. Bend your knees.
Swing the patient's feet off the edge of the bed and use the momentum to help the patient into a sitting position.
Move the patient to the edge of the bed and lower the bed so the patient's feet are touching the ground.
If you have a gait belt, place it on the patient to help you get a grip during the transfer. During the turn, the patient can either hold onto you or reach for the wheelchair.
Stand as close as you can to the patient, reach around the chest, and lock your hands behind the patient or grab the gait belt.
Place the patient's outside leg (the one farthest from the wheelchair) between your knees for support. Bend your knees and keep your back straight.
Count to three and slowly stand up. Use your legs to lift.
At the same time, the patient should place their hands by their sides and help push off the bed.
The patient should help support their weight on their good leg during the transfer.
Pivot towards the wheelchair, moving your feet so your back is aligned with your hips.
Once the patient's legs are touching the seat of the wheelchair, bend your knees to lower the patient into the seat. At the same time, ask the patient to reach for the wheelchair armrest.
If the patient starts to fall during the transfer, lower the person to the nearest flat surface, bed, chair or floor.
Timby BK. Assisting with basic needs. In: Fundamentals of nursing skills and concepts. 10th ed. Philadelphia, PA: Wolters Kluwer Health: Lippincott Williams & Wilkens. 2013: unit 6.
Dennis Ogiela, MD, Orthopedic Surgeon, Danbury Hospital, Danbury, CT. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.