4 Assisting Client Out of Bed performance Checklist

Assisting Client out of Bed

1. Check care plan for degree of assistance and equipment client needs. Assess the client’s status before undertaking the activity.
   • Request help as necessary.
2. Ensure client has appropriate footwear.
   • Gather and position equipment as required, walker, cane, ambulation belt, sliding board, wheelchair or mechanical lift, etc.
3. Perform hand hygiene.
4. Decide what side of the bed to use.
5. Move furniture away.
6. Assisting client to sit at side of the bed: Use for transfers to chair or pre-ambulation
   • Position the client in a side-lying position facing you.
   • Make sure bed is in its lowest position and bed wheels are locked.
   • Help the client to a sitting position. Raise head of the bed.
   • Stand near the client’s waist on the side of the bed on which the client will be sitting. Lower the bed rail if it is up.
   • Turn to face the client.
   • Stand with a broad base of support.
   • Slide one arm under the client’s neck and shoulders. Grasp the far shoulder. Place your other arm over the client’s hip. Assist client to sitting position.
   • Do not pull the client too close to the edge of the bed.
   • Client’s feet touch the floor.
7. Does not leave the client alone.
   • Remain in front of the client.
   • Place both hands on the client’s shoulders for support, as necessary.
   • Check color, breathing ask if client feels OK.

Assist client to stand for ambulation or assist client to transfer to chair.

1. Transferring Client to chair: armchair or wheelchair
   • Place wheelchair on client’s strong side. Lock wheelchair wheels. Raise the footrests or swing them out of the way. Apply the transfer belt, if used.
   • Move client to strong side.
   • Angle chair at 45 degrees.
   • Lower or raise bed to wheelchair height if possible.
   • Support knee of weak side.
   • Place one hand under hip and the other around shoulder girdle.
   • Turn feet in direction required and turn the client so that they can grasp the far arm of the chair. Maintain correct posture.
   • Remove transfer belt if used.
2. Assisting client to transfer with a sliding board.
   • Client must be able to assist you.(Upper body strength)
   • Secure board between bed and chair.
   • Client sits on board and is assist to move/slide across board to chair in small increments. Ensure shearing does not occur during the slide.
   • Remove board and assist client to comfortable position.
3. Assisting client to transfer to tub or shower chair.
   • Position wheelchair at a 45⁰ angle to shower chair.
   • Lock wheelchair wheels.
   • Swing wheelchair footrests away or removed from chair.
   • Assist client to stand. Client uses grab bar or shower chair armrests for support.
   • Hold transfer belt or keep hands around the person’s shoulder blades.
   • Block client’s feet and knees with your feet and knees.
   • Have the person hold the grab bar and assist with undressing.
   • Lower onto shower chair, remove transfer belt if used.
   • Assist client to lift legs over side of tub as necessary.
4. To assist client into car from wheelchair
   • Position wheelchair at 45⁰ angle to car seat. Consider location of car door. Lock wheelchair and remove footrests or swing them out of the way.
   • Assist client to stand, block client’s feet and knees with feet and knees.
   • Lower client onto car seat, remove transfer belt if used.
   • Assist client to lift legs into car.
   • Assist client to secure seat belt.
   • Perform hand hygiene. Provide for safety and comfort. Tidy area.
     Report and record action and observations according to agency policy.