Example of an Algorithm to Aid in Decision Making Regarding Safe Patient Handling and Mobility to Transfer a Patient from Bed to a Chair
Example of an Algorithm to Aid in Decision Making Regarding Safe Patient Handling and Mobility to Transfer a Patient from Bed to a Chair - Flowchart Example of an Algorithm to Aid in Decision Making Regarding Safe Patient Handling and Mobility to Transfer a Patient from Bed to a Chair Example of an Algorithm to Aid in Decision Making Regarding Safe Patient Handling and Mobility to Transfer a Patient from Bed to a Chair
«Flowchart»

Start here

Start here

Start here

Partial weight bearing or unreliable standing balance

Partial weight bearing or unreliable standing balance

Partial weight bearing or unreliable standing balance

Allow independence transfer. May use personal assistive devices

Height-adjustable exam tables are recommended.

Consider fall protection for high fall risk.

Allow independence transfer. May use personal assistive devices

Height-adjustable exam tables are recommended.

Consider fall protection for high fall risk.

Allow independence transfer. May use personal assistive devices

Height-adjustable exam tables are recommended.

Consider fall protection for high fall risk.

End

End

End

Options:


    Seated transfer aid or other personal device for self-transfer.
    Non-powered standing aid if able to stand independently
    Powered standing assist device.

Adjust transfer toward stronger side.

Adjust surfaces to comfrotable transfer height. Height-adjustable exam tables are recommended.

Bariatric patients require additional caregivers.

Options:


    Seated transfer aid or other personal device for self-transfer.
    Non-powered standing aid if able to stand independently
    Powered standing assist device.

Adjust transfer toward stronger side.

Adjust surfaces to comfrotable transfer height. Height-adjustable exam tables are recommended.

Bariatric patients require additional caregivers.

Options:

Options:

    Seated transfer aid or other personal device for self-transfer.
    Non-powered standing aid if able to stand independently
    Powered standing assist device.

Seated transfer aid or other personal device for self-transfer.
Non-powered standing aid if able to stand independently
Powered standing assist device.

Adjust transfer toward stronger side.

Adjust surfaces to comfrotable transfer height. Height-adjustable exam tables are recommended.

Bariatric patients require additional caregivers.

Options:


    Ceiling lift or full body lifting device with a seated sling.
    If using a stretcher that converts into a chair, perform lateral transfer to horizontal surface of device, then convert device into a seated position (chair). Use lateral transfer device (e.g., air assisted lateral transfer device) OR repositioning sling with a ceiling lift or full body lifting device to perform lateral transfer.

Bariatric patients require additional caregivers.

Options:


    Ceiling lift or full body lifting device with a seated sling.
    If using a stretcher that converts into a chair, perform lateral transfer to horizontal surface of device, then convert device into a seated position (chair). Use lateral transfer device (e.g., air assisted lateral transfer device) OR repositioning sling with a ceiling lift or full body lifting device to perform lateral transfer.

Bariatric patients require additional caregivers.

Options:

Options:

    Ceiling lift or full body lifting device with a seated sling.
    If using a stretcher that converts into a chair, perform lateral transfer to horizontal surface of device, then convert device into a seated position (chair). Use lateral transfer device (e.g., air assisted lateral transfer device) OR repositioning sling with a ceiling lift or full body lifting device to perform lateral transfer.

Ceiling lift or full body lifting device with a seated sling.
If using a stretcher that converts into a chair, perform lateral transfer to horizontal surface of device, then convert device into a seated position (chair). Use lateral transfer device (e.g., air assisted lateral transfer device) OR repositioning sling with a ceiling lift or full body lifting device to perform lateral transfer.

Bariatric patients require additional caregivers.

Does patient have upper extremity strength, sitting balance, and ability to grasp with at least one hand?

Does patient have upper extremity strength, sitting balance, and ability to grasp with at least one hand?

Does patient have upper extremity strength, sitting balance, and ability to grasp with at least one hand?

Yes

Yes

Yes

No

No

No

Can parient bear weight and balance while standing?

Can parient bear weight and balance while standing?

Can parient bear weight and balance while standing?

Fully

Fully

Fully

Partial

Partial

Partial

No

No

No

Is patient cooperative?

Is patient cooperative?

Is patient cooperative?

Yes

Yes

Yes

No

No

No

Notes:


If patient has partial weight-bearing capacity, transfer toward stronger side.
Ensure all chairs, beds, stretchers, etc. are locked
To use seated transfer aid, chair arms must recess or be removable.
High/low beds, adjustable exam tables, and stretchers are ideal for making transfers easier.
Always transfer toward stronger side.
NEVER use a gait belt to lift, transfer, or catch a patient.

Notes:


If patient has partial weight-bearing capacity, transfer toward stronger side.
Ensure all chairs, beds, stretchers, etc. are locked
To use seated transfer aid, chair arms must recess or be removable.
High/low beds, adjustable exam tables, and stretchers are ideal for making transfers easier.
Always transfer toward stronger side.
NEVER use a gait belt to lift, transfer, or catch a patient.

Notes:

Notes:


If patient has partial weight-bearing capacity, transfer toward stronger side.
Ensure all chairs, beds, stretchers, etc. are locked
To use seated transfer aid, chair arms must recess or be removable.
High/low beds, adjustable exam tables, and stretchers are ideal for making transfers easier.
Always transfer toward stronger side.
NEVER use a gait belt to lift, transfer, or catch a patient.


If patient has partial weight-bearing capacity, transfer toward stronger side.
Ensure all chairs, beds, stretchers, etc. are locked
To use seated transfer aid, chair arms must recess or be removable.
High/low beds, adjustable exam tables, and stretchers are ideal for making transfers easier.
Always transfer toward stronger side.
NEVER use a gait belt to lift, transfer, or catch a patient.