Many patients may struggle to stand or walk on their own after an injury or surgery. They may require the help of a certified nursing assistant (CNA) to ambulate or move around. This process is called transfer. It can be very dangerous for both the patient and the CNA if the transfer is not done properly.
There are many ways to ambulate a patient, but one of the most common is using a transfer belt. A transfer belt is a long strap that goes around the patient’s waist. The CNA holds onto the ends of the belt to help support the patient’s weight.
Before beginning the transfer, it is important to assess the situation. Make sure that there is enough space to move around without hitting anything. If the patient is too heavy to lift, do not attempt to ambulate them without help. You could injure yourself or the patient.
To ambulate a patient using a transfer belt, follow these steps:
Explain the Procedure: Before beginning the process, the CNA needs to explain what they will be doing step by step, speaking clearly, slowly and maintaining face-to-face contact if possible. This will help the patient feel more comfortable and less anxious.
Maintain Privacy: Patients may feel embarrassed about needing help to move around. Be sure to maintain their privacy by closing the door or curtains if possible.
The patient has proper attire: Be sure they wear comfortable clothing that does not restrict their movement. They should also remove any loose jewelry or clothing that could get caught on something. Patients also should wear non-skid footwear.
The bed is at a Safe Level: Before assisting to stand, make sure the bed is at a safe level. This will help prevent the patient from falling. CNAs also should lock bed wheels as needed. Then the CNA help the patient to sit on the bed with feet flat on the floor.
Belt Placement: The transfer belt should be placed high on the patient’s waist, over the clothing or gown. It should be tight enough to provide support but not so tight that it is uncomfortable.
Standing Up: The CNA then stands facing the patient, positioning to ensure patient safety during the transfer. The CNA can count to three to alert the patient to begin standing. On signal, CNA assists patient to stand by grasping transfer belt on both sides with hands close to hips. CNA slides their hands up the belt as the patient stands to support the patient’s weight.
Walking: Once the patient stands, the CNA can help them take a few steps. The CNA should maintain a firm grip on the belt and walk slightly behind the patient, so they can catch them if they stumble.
Transferring to a Chair or Wheelchair: If the patient needs to be transferred to a chair or wheelchair, the CNA can help them sit down. The CNA should position the chair or wheelchair close to the bed so that the patient does not have to take too many steps.
Transfer to Bed: When the patient is ready to be transferred back to bed, the CNA removes the transfer belt and helps them lie down. The CNA should position the bed so that it is close to the chair or wheelchair. The CNA should also ensure that the bed wheels are locked before transferring the patient.
Wash Hands: After the transfer is complete, the CNA should wash their hands to remove any germs.
Transferring a patient using a transfer belt is a common way to ambulate a patient. By following these steps, you can ensure that the transfer is done properly and safely. Always follow your facility’s specific policies and procedures. If you have any questions, be sure to ask your supervisor.
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CNA TRAINING INSTITUTE,INC
140 Eldridge Road # G, Sugar Land, TX 77478
Phone: (346) 812 – 0147
Phone: (281) 201 – 2678
https://cnatraininginstitute.org/
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