Transfer From Bed to Wheelchair
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- Опубліковано 22 січ 2012
- A NEWER VERSION OF THIS SKILL CAN BE FOUND HERE: • Transfer from Bed to W...
THIS IS AN OLDER VERSION OF THIS SKILL. View how this skill should look when performing for the Florida CNA State Exam. View to proper way to position a patient in a sitting position on the side of a bed, then transfer the patient into a wheelchair with a gait belt using a pivot transfer technique. On the Florida CNA exam, the patient will be unable to take steps. This skill was demonstrated using the proper safety protocols and body mechanics to prevent injury to the patient or the CNA. This skill is one of the 21 testable skills on the Florida State CNA exam and is also used in RN and LPN training. Please visit 4YourCNA.com to order a supplies kit that contains all the books and supplies needed for the exam! Enroll in our online program for practice tests, online workbook, instructional videos, practice kits and our step by step skills booklet to give you the skills you need to pass the FL CNA state exam!
The main principles for this skill are to ensure safety, ensure the wheelchair is locked during and after the transfer, ensuring the patient has shoes on during the transfer, using the gait belt appropriately and using proper body mechanics. Informing the patient of each action before it is performed is also important to gain the patient's cooperation. Best of luck!
Hello, I took a CNA course in FL back in April and have just now tested. I was pleased with my program, but I must give you credit for these excellent videos. They have helped me so greatly! I am proud to say that I not only passed my written and skills test today, but thanks to your instruction, I had ZERO discrepancies. My evaluator told me that is virtually unheard of!
Sorry for the delay in answering...thank you for the great compliment! We are committed to providing quality tutorials for students and are glad you found them helpful. Yes, I am a Registered Nurse (in Florida) with over 20 years experience in nursing and over 6 years experience teaching CNA skills. I LOVE MY JOB! :)
Congratulations! We are so happy that you found our videos helpful as you prepared for the exam! We are so proud of you and wish you luck in your new career!
FIrst off the bed needs to be at a 90 degree angle before the person is pivoted to a seated position. Second the wheelchair needs to be locked BEFORE the gait belt is put on, because all patients can't sit up on their own. Third, the patients feet need to be APART and the CNA puts their right leg (to pivot left) in between and assume a T-position, get in close to the patient, instruct the patient to push off on the count of 3 (NOT to grab onto the CNAs shoulders) and when you come down on the wheelchair to grab the side arms.
Yeah ur so right.
You right
Thanks
Right
Repeat the video with your technique 🙏
Congratulations! We are so happy that you found our videos helpful as you prepared for the exam! Good luck!
These Videos helped me so much in passing my test. I am a visual learner so seeing all the steps and hearing how you interact with the residents made me understand better what the testers are looking for then just reading on a paper what you are suppose to do. I can see you as a great teacher. I am sure all your students go into their skills testing with a lot of confidence.
Patty is awesome! I am taking my test on Monday and these video's are by the far the best I've seen! It has really helped me gain confidence and make me less nervous! Thank you so much!!!!
I am happy that you have found these videos helpful as you prepare for your exam! Good luck!
Congratulations! We are happy that you found these videos helpful as you prepared for the test! Best of luck!
She didn't lift him at all, he did all the work. It wouldn't be that easy with a 200 lb. man!
Good eye! I didn't catch that at first, but you're right. He did do all the work
mkmason2002 This is for exam purposes.
250
U right
No shit. This is bullshit. My mom im trying to move her now thats why im here. She cant use her legs. This is bullshit
LOL. Thanks! We are happy you found our videos helpful!
Thank you for such a wonderful comment! You are so kind! I am very happy that you found our videos helpful in preparing for the exam. We wish you the best of luck in your new career! Please tell your instructor to contact us for free training materials!
You are very welcome. We are happy that you have found our videos helpful.
Thank you for your comment! This method can be used for patients of all shapes and sizes. However, as always, if you do not think you can safely lift a patient on your own, always get help! This keeps both your patient and yourself safe from injury. Good luck in your new career!
Thank you for your comment. We also have a skills book available that lists all the steps of the skills and has practice tests. We offer a practice exam on our website.
Thank you for your comment! I am very happy that you find our videos helpful! Good luck on your test!
Thank you! We love to hear that students enjoy are videos! Good luck on your exam!
Thank you so much for your support! Best of luck!
Thank you for your comment! We are very happy that you found our videos helpful as you prepare for the CNA exam. Make sure you subscribe to our channel to be notified when new videos are added! Good Luck!
Thank you for your comment! We are happy you are finding our videos helpful! Good luck to you on your exam and in your new career!
Thanks for the great comment! These curtains are for simulation only...the real ones won't be so see-through...lol! Good luck!
Thank you for your comment. We are glad to hear that you have a good understanding of the test requirements in your state and wish you luck on your exam. Thank you for watching our videos.
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Thank you so much for your wonderful comment! We will be thinking of you Monday and wish you luck on your exam and in your new career! Don't forget to subscribe to our channel for notifiication of new videos as they are added, such as our FREE continuing education videos for CNAs that will be addedd shortly!
in the UK we are years ahead of the USA this technique has been assessed as high risk many years ago. Our approach is encourage people to move for themselves, Good for maintaining mobility and independence step two make changes so they can do it for themselves step 3 assess if equipment is to be used or if a manual task is safe. The nurse is at high risk and the "patient" obviously capable of moving for himself !
It certainly makes it easier to swing them around to a sitting position! Otherwise, their arms can get in the way or shift their center of gravity. Our skills book located on our website 4YourCNA (.org) gives more information on this.
These videos were demonstrated using current Florida state standards. You may view those standards by visiting Prometric's website and clicking on the Clinical Skills Checklist. This lists all the points tested for each skill by the RN evaluator. It may help alleviate your fears. Good luck.
You are very welcome! Good luck on your exam! Please feel free to view additional resources on our website and buy me a cup of coffee if these videos and feedback have been helpful to you! Best of luck!
That's the worse privacy curtain I've ever seen lol
Agreed
Lala Smith
Kiki
Lala Smith Lol😂😂
🤣🤣🤣🤣
Congratulations! These are all important principles, not only in testing but in your everyday clinical practice as well. Good luck!
Even though I cannot was your time I was
The bed is in the locked position and remains that way throughout the skills. If it was not locked, when I lean against it to swing the patient into a sitting position on the side of the bed, it would have rolled away. The beds in the testing center will be in the locked position as well. You can quickly determine if they are locked by lightly bumping against the bed during your opening. If the bed moves, you will need to lock it before proceding. Thanks for your question!
This video helps me in a great way. Thanks!
I love this UA-cam channel! Thanks so much for posting these videos (:
These skills are demonstrated in accordance with current Florida testing standards. For the exam you MUST perform the transfer as a pivot transfer, according to the care plan you are given. Understand this is only one possible way of transferring and each patient is unique - that is why you are required to follow the care plan which lists specific tasks for that individual patient. This video demonstrates skills to be performed on the Florida exam.
Yes, you should be familiar with how the wheelchair works. The evaluator will show you how to work the components of the wheelchair if you get this skill and you can ask for a review of how to move the leg rests without penalty. You must move the leg rests to provide the largest possible opening before transferring the patient into the wheelchair so the patient does not trip. Thanks for the comment and good luck!
Thank you instructor you make the best videos in you tube demostrating the skills .Im blessed i foud your videos. and for those hwo instead of thanking the just talk mean ; please read your state paper cause you may have extra steps to perform in the skills GOD Bless you Patty. 😃😃😃😃😃😃😃
Thank you for your kind comment! We are so happy to hear that you are finding our videos helpful as you prepare for the exam. Good luck!
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i live in nyc. I learned that after you have lifted them up you ask them if they are ok, or if they are dizzy (it should only take a few secs ) then explain that at the count of 3 your gonna turn them to the chair (making sure their knees feel the back of the chair when getting ready to sit down) . my test is coming up soon and these videos really help . even tho this is the fl version the basics are the same
Hi, I will take my test this coming Wednesday, thank you so much for the videos! I'm in MI, so there are some differences, but not that many. For the guy in the UK--NOT EVERY PATIENT CAN AMBULATE FROM BED TO CHAIR ON THEIR OWN!! If you have worked in healthcare for awhile you should realize that. Sooooo....you have to know how to do it, simple as that. I hope you never have to work in settings where there's not all the fancy transfer equipment, or where you HAVE to give "total care" to your patients! And you all are NOT all that ahead of us here in the US, so that was a really ignorant comment.
I locked the wheelchair both before and after the transfer. This is a safety issue and must be performed both before and after the transfer. Good luck!
For the exam, the bed will already be locked, but it is a good idea to check anyway. The test does not require you to verbalize that the bed is locked. Simply leaning against the bed during the opening or bumping it with your hip will let you know if it is locked. Good observation and good luck.
I am sorry to hear that. I hope you are doing better.
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For the sake of reducing timing for this video, washing hands is not shown. However, the CNA does say that she is leaving to wash her hands both before and after the skill is performed. Thank you and good luck.
For the exam, if a candidate is assigned this skill, the Evaluator will choose a "patient" (which is another testing candidate) that is the same size or smaller than the CNA. In real life, if you do not think you can safely lift a patient, you should ask the nurse or another CNA for assistance. There are other options as well, such as mechanical lifts or transfer boards, but you will use the method indicated in the care plan. Remember, you MUST comply with the care plan! Good luck!
thank you very much for this video. I passed my exam last may and this video is a great help. thank you so much.
This video is a great help~!!
I passed the skill test last thursday. lol
I did well because of this video. ^-^;
I really appreciate it.
Using proper body mechanics and a wide base of support (your feet should be at least shoulder width apart) will enhance your stability and balance for this skill. Good luck!
If you will notice, the bed is at the same level as the wheelchair. If you view the video at 2:10, when the wheelchair is next to the bed, the seat of the wheelchair is at the same level as the mattress. At 2:25, I clearly lock the wheelchair. You are correct in that this is a serious safety issue - wheelchairs must be locked before transferring a patient. Clicking the link at the top of the screen will take you to the instructional video for detailed instructions. Thank you.
Thank you miss patty for your video I pass my skills exam!
That is so awesome! Congratulations and best of luck in your new career! :-)
I'm here from LA and i pass today both written and oral at South Gate. Thanks for all the videos i did not review anymore for 2 days about the different skills just watch carefully the videos. At first,I'm so nervous the evaluator gave me 5 skilled test just don't forget 1. WASHING HANDS BEFORE AND AFTER THE PROCEDURE 2. PRIVACY 3. LOCK THE BED OR LOWER THE BED 4. NON-SKID SHOES AND GAIT BELT FOR AMBULATING 4. ASKING THE PATIENT IF THERE IS PAIN BEFORE OR WHILE DOING THE ROM 5.CALL LIGHT. :)
I feel like shoes should be put on first before you sit up the person on the side of the bed because not all residents are able to sit up by themselves...
You do put the shoes on before lifting the person to a sitting position and moving them into a chair. You place a chux or other disposable item on the bed to keep it clean.
Kathy C I was told that shoes go on while in bed by my nursing instructor. You want to limit the time they spend sitting up, for you do not want them sliding off the bed. And... If the feet of the patient is NOT on the floor, you will fail your exam here in PA! Feet on floor!!!!
@@Meanoldwoman2013 each state is probably different on their requirements
very interesting i've learn a lot knowledge and ideas..it's. great...thanks
omg thank you so much for your videos very helpful great job :)
MAKE SURE IF YOU GET THIS SKILL>>> you remember to move the foot rests out of the way! Or get acquainted with how to work them. I got this skill for my state exam!
Some videos are different,but I like all of them.
Hello nice video, I'm currently enrolled in a Physical Therapist Assistant program and some of my practicals will be based on transfers. I'm really nervous about it because I'm a short person, and I'm afraid of not being able to lift a taller, heavier patient, but this video gives me an idea of how to do it. thanks! keep posting more
Yes, you should use gloves for partial bedbath. Please refer to our videos on Partial bed bath (introduction and instructional) for more detailed instruction on that skill. Good luck!
your welcome and thank you
I have just researched California's standards on this skill. There is very little difference, except that the wheelchair is to be positioned at the head of the bed, facing the foot of the bed and you must have a pre-arranged signal (like on the count of 3) before transferring. Other than that, all California standards are satisfied with this demonstration. You can research the standards yourself so you are familiar with them. Good luck!
For the FLORIDA CNA EXAM, this skill is simulating a patient who cannot take steps and must be assisted using a pivot transfer - according to the care plan. Every patient is different and to assume that this video represents all patient levels of ability is unrealistic. This video represents ONE possible patient care scenario (chosen by the state) and is demonstrated accordingly. Of course we also encourage independence and mobility! This is a training video only for one scenario.
You may leave them on the wheelchair but swung out to the side to present a wide opening to transfer the patient into the wheelchair. However, you must swing them back into the forward position and place the patient's feet on the foot pedals. Wheelchairs generally have a high seat, which means the legs will dangle without touching the floor, which puts pressure on the back of the lower legs and can cause complications. They should be supported by the foot pedals. Good luck!
okay, awesome! thanks Patty, these videos are so great, you're a natural! Are you a nurse?
The bed height refers to the entire bed, which can be raised up so that you won't have to bend over the patient to perform skills. This does not apply to this skill because the bed height must remain in the low position so the patient can put their feet flat on the floor prior to the transfer (in shoes, of course). The HEAD of bed is adjusted for safety for some skills and comfort for others, but can remain up at the end of the skill if the patient prefers for comfort. The two are different.
You can swing the patient to a sitting position on the side of the bed any way you choose. You can put the head of the bed up or leave it down. We demonstrate this from a lying position because in home care and ALFs you may not have electric beds and need to know how. You do not have to lower the HEAD of the bed at the end of each skill, you have to lower the bed HEIGHT if you raised the bed to a comfortable working height. This is a common misconception. Head of bed is comfort. Thanks!
The gait belt is placed around a clothed patient - the same clothing that will come into contact with the wheelchair seat. How is one dirty and one clean when they touch the same objects? The brakes MUST be applied after the patient is in (automatic failure) because of safety. It is not a restraint, the patient can unlock and move at will. I am an RN with 20+ years of experience (NOT a student) and have researched the testing standards at length (testing center owner). These skills are correct.
I am only 5'2" and the "patient" is over 6' tall in this demonstration. Yes, you can perform this skill but you will have to maintain a wide stance to give yourself a broader base of support while lifting. As always, if you feel unsure of your ability to transfer a patient safely, consult the nurse for other options or assistance. We do not want you hurting yourself and/or the patient! Good luck!
As an RN, I am sure you are aware that there are different levels of abilities with patients. The patient described for the CNA exam for this skill in Florida is unable to bear weight or take steps. If the patient cannot bear weight, you cannot stand them up. This motion to transfer them into a wheelchair must be done in one smooth motion, using momentum. Please pay particular attention to my foot placement and stance at an oblique angle to the patient. This is proper body mechanics.
Very helpful video :) Thanks
Not a stupid question at all! You may set it on the bed, or just hold it because you are performing your closing immediately and will be leaving the patient. It will go back wherever you got it from at the beginning of the skill. Hope this helps! Good luck!
Very good. Really good job
That's a great way to wreck your back, raise the head of the bed. And you can avoid that severely ungraceful dump into the wheelchair by having them reach back for the arms of the chair. You need to make sure you're lowering down into the wheelchair and that's a great way of knowing that you're there. Have them hold onto your forearms if they need something to stabilize them, that way they're right there when they need to feel for the arms of the chair.
this is really a big help for me because this coming may i have assessment/exam for tesda nc II i hope i can pass.thanks for this video.
OMG .. finally I found a helpfull vedio thank you so much ..
We are certainly wishing you luck for your exam tomorrow! Please let us know how you do!
Nice work
Yes, you can put the head of the bed up to assist you in pivoting the patient to the side of the bed, but you should know how to do it without putting the head of the bed up because that isn't always an option. You must know how to pivot a patient to a sitting position because not all patients will be able to do that on their own and you must know how to help them safely. This video shows that procedure in detail.
Good video. It's informative to see the steps performed and I appreciate that you have taken the time to post them here. It is clear that the wheelchair wheels were locked. I know this will sound mean but judging by some of the comments, I really hope that proper use of English and grammar isn't required on the CNA exam or some of them are going to flunk. Just saying...
I love your videos .that helps a lot.✌❤👍
Glad you are finding our resources helpful! Please consider ordering our book for more great information, available here: courses.4yourcna.com/product/cna-skills-made-easy-skills-book/
ID bracelets are not used in long term care and home care and are not graded on the exam. Bed is locked (l lean against it to make sure and this is not graded on the exam). High fowlers is acceptable if you wish but you lose momentum and it may make it harder to pivot for some. I don't do that because not all beds (home care) can be raised. You MUST leave the wheelchair locked when leaving or the patient may fall if they stand, the chair may roll on an uneven floor. THIS is graded! Good luck!
Thanks!
Thank you so much!!! We appreciate you!
The resident was positioned in a sitting position while I put on his shoes (dangling) and I asked if he was dizzy after the pivot. Patients that are unable to bear weight (as in the test) will need to be transferred quickly using momentum. Not all patients can stand or pivot or bear weight. Please refer to the care plan that the state will provide for specific information on each individual patient as each will be different. Good luck!
Great video great comments! I have a question. In my CNA Book it says after we have the resident scoot toward us from a lying position, we need to raise the bed, then hand on knee, back and turn to sitting up position. yadda yadda yadda. My question is ..If we raise the bed. Do I also lower it before I say finish to the examiner? I think I may just do it like you did so I don't forget to lower the bed. Thank you for the videos!
Good job
This is a pivot transfer skill. This means that the patient cannot take steps and you must lift the patient, swing them around and seat them in the wheelchair in one smooth movement because the patient is unable to move their legs. This method is specifically what is required for the Florida CNA exam (the care plan states that the patient CANNOT take steps). Good luck!
So helpful made my life easy.
We are happy you find our resources helpful! Best of luck in your new career!
Thank's heaps.
For the Florida CNA exam the care plan states the patient CANNOT take steps and has limited ability to bear weight. This skill should be done as a PIVOT transfer, which is demonstrated on this video. Remember, the care plan for the exam will indicate the specific scenario for that particular patient and you must accomodate your skill to that scenario. In this case, the patient will not be assisting, so your method would not be accurate for the exam and in real life may cause a fall.
thank you !!! i guess if the patient were just wearing a gown, it might be more of a concern ? thanks again.
You may certainly check to see if the wheels of the bed are locked. The beds in the testing facility will remain locked, so that is not a graded point. If you notice, I very subtly bump the bed prior to pivoting the patient into a sitting position to ensure the bed is stationary, well before the patient is transferred into the wheelchair. You have great observation skills! This is NOT a tested point on the exam, however. :)
thx 4 this vid
So I just did my transfer evaluation today, and I did "fabulous" according to the evaluator. I reviewed this video again and found more errors. For one thing, you never leave the patient alone unsafe, unless there is someone else supporting and watching the patient. You put the shoes on before you move them into sitting position, so place a towel underneath their feet and put on their shoes; it just a good habit to get into and ensure patient's safety.
I am very happy that you did fabulous on your exam. As always, there are many ways to perform any skill, based on the specific needs of the patient. However, thinking that one specific method will work for every situation, and that one specific method is the ONLY way a skill can be performed is not correct. You may apply the patient's shoes while they are in bed if you wish, but it is not necessary (and many patients will object to having their shoes in bed). After pivoting the patient to a sitting position on the side of the bed, the patient is danging while you put on their shoes (which is important) and it is easier for the patient to ensure their heel is properly seated in the shoe when in a sitting position (try putting your shoes on while lying down - you can't press your foot down into the shoe with nothing to press against). I am unsure what you are referring to as an error - this patient was not left alone at any time during this demonstration; the caregiver was always at the bedside. Regarding the need for a second caregiver: If the patient is unsteady enough to require constant support, that would be reflected in the care plan (and the patient probably would not be a candidate for this type of transfer in the first place). ALWAYS FOLLOW YOUR CARE PLAN AS IT IS PATIENT SPECIFIC. This skill is demonstrated according to current testing standards. Thank you for your comment.
I LOVE these videos - but I just noticed an infection control issue - the gait belt was thrown on the dirty linen after transferring pt to the wheel chair.
I enjoyed watching it, it has to be hard for a man to be receiving help, but it helped me to know the best way to care for a client
Gait belts are placed on the patient (who just got out of that bed), so placing the gait belt on the bed is no different than having it around their waist. The test does not differentiate on this point, so either way is acceptable! Good luck!
wow Thanks for this video.m tomorrow i want exam Simulation this.. so good i remember this the video tutorial.. 😍😘 i like it
Thank you! We are happy you are finding our videos helpful! Best of luck!
I had this skill, which I did help her sit up by shifting her to a sitting position, but I think she could have sit up on her own. I also had recording Resperation. and Denture with mouth care. I messed up on that one and i thought I was going to fail but she passed me. I think one thing to do is be confident and make sure you do well on your Indirect care. Good Luck I know it is nerve wracking, but just study the skills and try to get these videos in your head and you will do well.
good job. Whats if its a really heavy patient?
For the Florida exam, it does not matter because the patient is not staying in his room. In a clinical setting, no, you would not leave a patient facing the wall, but remember that most patients are getting out of bed and into a wheelchair to GO somewhere (activity, dining, therapy, socialization, etc). For the test, the test ends before the patient is transported away because that is not what they are grading you on. Good luck!
Pretty interesting video
Putting shoes on while the patient is lying in bed may not be the best option for all patients as they will bring germs and dirt into the patient's bed. You certainly may do that for the test, but it is not always the best option. Great observation regarding the transfer belt. Great job! Good luck!
For the Florida exam, the patient CANNOT self-transfer and you MUST perform this skill as a full assist pivot transfer. This is explicit in the care plan for this skill. You should always follow the care plan - it is not up to CNAs to determine what actions should be taken with each patient - the CNA must always follow the care plan which is individualized for each patient taking into account their level of ability. Your method would work only if the patient can transfer.