Home Health Aide how-to
How to Help a Client Transfer from Bed to Wheelchair
Transfers are when most client falls and aide back injuries happen. A consistent method protects you both.
Transfers are when most client falls and aide back injuries happen. A consistent method protects you both. In short: explain; place; help, then complete the remaining steps below.
Step by step
Explain what you are going to do and check the care plan for weight-bearing limits.
Place the wheelchair at a slight angle next to the bed, lock the brakes and swing the footrests away.
Help the client sit on the edge of the bed with feet flat on the floor and put on non-slip footwear.
Put a gait belt snugly around the client’s waist.
Stand close, bend your knees, hold the belt and count together before standing on three.
Pivot with small steps, have the client reach for the armrest, and lower them gently into the chair.
Reposition the footrests, check comfort and remove the gait belt.
Safety reminders for home health aides
- Use a gait belt and good body mechanics for every transfer
- Wash hands before and after care and wear gloves for body fluids
- Remove tripping hazards and keep paths clear in the home
- Know the agency’s emergency plan and when to call 911
Key terms
ADLs · IADLs · Care plan · Gait belt · Transfer · Range of motion (ROM): see the full home health aide glossary.