Assisting with Ambulation Using Gait Belt CNA skills checklist

Perform hand hygiene

Critical step

Address resident by name and explain the procedure

Check care plan for ambulation orders and any restrictions

Ensure resident is wearing non-skid footwear

Critical step

Apply gait belt snugly around resident's waist over clothing (should fit 2 fingers underneath)

Critical step

Position belt with buckle off-center (not over spine or front)

Assist resident to standing position from bed or chair

Allow resident to gain balance before walking

Stand slightly behind and to the side of resident on weaker side

Critical step

Grasp gait belt securely with underhand grip at back and side

Critical step

Instruct resident to look ahead, not at feet

Walk at resident's pace, taking small steps

Critical step

Observe resident for signs of fatigue, dizziness, or shortness of breath

If resident starts to fall: hold gait belt firmly, widen your stance, bring resident close to your body, and lower them gently to floor

Critical step

Complete ambulation and assist resident to sit safely

Remove gait belt

Position resident comfortably with call light within reach

Perform hand hygiene

Critical step