6 Assisting with Ambulation Performance Checklist

Assisting with Ambulation

1. Check care plan for direction, degree of assistance and equipment client needed.
   • Assess the client’s status before undertaking the activity.
   • Perform hand hygiene.
   • Explain the procedure to the client.
   • Provide for privacy.
   • Request help if necessary.
2. Prepare client and ensure appropriate footwear, adequate lighting and a clear path.
3. Gather equipment as required: walker, cane, ambulation belt, crutches.
4. Perform hand hygiene.
5. Observe for dizziness prior to ambulating.
6. Apply transfer belt if used and assist client to standing position using proper posture. Observe client’s balance.

Assisting ambulation with one person:

• Ensure client is not lightheaded and assist to stand. Position self on client’s stronger side holding belt if used.
• If client began to fall – use wide base of support and allow client to slide to the floor.
• Assist client to return to bed or chair if weak or dizzy.

Assisting ambulation with two persons

• One person to stand on each side of the client while holding onto ambulation belt.
• Step in unison with client.
• Continue according to client tolerance.
• Return client to bed or chair.

Finishing Up

• Perform hand hygiene.
• Provide for safety and comfort.
• Tidy area.
• Report and record action and observations according to agency policy.