Personal Care Skills - Transfers
Safely transfer a resident from bed to wheelchair (or wheelchair to bed) using a gait/transfer belt to provide support and prevent falls.
Critical steps are identified only where the CareFlow study checklist marks them.
Perform hand hygiene
Critical step
Address resident by name and explain the procedure
Position wheelchair at 45-degree angle to bed on resident's stronger side
Critical step
Lock wheelchair brakes and move footrests out of way
Critical step
Lock bed brakes
Critical step
Assist resident to sitting position on side of bed with feet flat on floor
Allow resident to sit for a moment to prevent dizziness (check for orthostatic symptoms)
Apply non-skid footwear to resident
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)
Stand facing resident with your feet shoulder-width apart, one foot slightly in front
Bend knees and keep back straight - use legs for lifting, not back
Critical step
Grasp gait belt securely on both sides with underhand grip
Critical step
On count of three, assist resident to stand by straightening your legs
Allow resident to gain balance while holding gait belt
Pivot resident toward wheelchair, taking small steps
Have resident reach back for armrests when wheelchair is felt against back of legs
Lower resident slowly into wheelchair by bending your knees
Position resident comfortably in wheelchair with hips at back of seat
Remove gait belt
Position footrests and place feet on them
Ensure call light is within reach
Perform hand hygiene
Critical step
Requirements and evaluator wording can vary by state and testing program. Compare this study checklist with your current candidate handbook and instructor guidance.