Nursing How To’s: Assisting Patient From Bed to Chair

Mobilizing patients can be quiet a challenging task sometimes, especially if one doesn’t know the proper techniques of doing so. Even worse, sometimes, improper handling of patients may even lead to unwanted accidents such as falls, resulting to unwanted injuries.

One may assume that moving a patient from the bed to a chair is easier if the patient can stand on at least one leg, but such is not true if proper techniques are not followed. Below are the steps to move a patient from bed to a wheelchair:

Equipment

  • Chair or wheelchair
  • Patient’s robe and slippers
  • Pillows
  • Blanket, sheet or draw sheet

Preparation

Think through the steps before you act, and get help if you need it. If you are not able to support the patient by yourself, you could injure yourself and the patient.

Make sure any loose rugs are out of the way to prevent slipping. You may want to put non-skid socks or shoes on the patient’s feet if the patient needs to step onto a slippery surface.

The following steps should be followed:

  1. Explain the steps to the patient.
  2. Park the wheelchair next to the bed, close to you.
  3. Put the brakes on and move the footrests out of the way.

Procedure

  1. See that the chair or wheelchair is in good condition.
  2. Place the chair conveniently at night angles to the bed—back of chair parallel to the foot of the bed and facing the head of bed.
  3. Place pillow on the seat of the chair. If using wheelchair, line it with a blanket or sheet and arrange pillows on the seat and against the back. Put the foot rest up and lock the wheels.
  4. Take the patient’s pulse
  5. Assist the patient to a sitting position on bed, i.e., put one arm under the head and shoulders and the other arm under her knees and pivot her to a sitting position with the legs hanging over the side of the bed.
  6. Watch the patient for a minute to defect any change in his color, pulse and respiratory rate.
  7. Put on patient’s robe and slippers. Place the foot stool under the patient’s feet.
  8. Stand directly in front of the patient and with a hand under each axilla, assist him to stand, step down and turn around, with his back to the chair. Let patient flex his knees and lower body to seat him to the chair. Anchor chair with foot or have someone hold it on. (Or let patient place his arm over your shoulders while you put your arm around his waist. Turn patient around with his back to the chair and seat him gently). Help him get comfortable in the chair.
  9. Adjust the pillows and wrap blanket over patient’s lap. If in a wheelchair adjust the foot rests.
  10. Observe frequently for changes in color and pulse rate, dizziness or sign of fatigue.
  11. To put him back to bed, assist to stand, help to turn and stand on stool and back to bed. Support patient while he sits on the side of bed. Remove robe and slippers. Pivot to a sitting position in bed, supporting her head and shoulders with one arm and her knees with the other arm, and lower slowly to bed in lying position.
  12. Draw up bedding.
  13. Take pulse after
  14. Document

Sources:

https://medlineplus.gov/ency/patientinstructions/000428.htm

Liane Clores, RN MAN

Currently an Intensive Care Unit nurse, pursuing a degree in Master of Arts in Nursing Major in Nursing Service Administration. Has been a contributor of Student Nurses Quarterly, Vox Populi, The Hillside Echo and the Voice of Nightingale publications. Other experience include: Medical-Surgical, Pediatric, Obstetric, Emergency and Recovery Room Nursing.

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