12.8.14: Procedure- Transfer from Wheelchair to Stool or Chair in Tub
A person may be transferred from a wheelchair into a shower chair or stool in the tub. A shower chair is water and slip resistant. If the shower chair has wheels, ensure the brakes are locked during transfers and while the patient is using it.
- Explain the procedure to the patient.
- Wash your hands and don gloves as needed.
- Ensure all equipment needed is gathered (shower chair, bathing supplies, and linens).
- Place a non-slip mat in the tub.
- Fill the tub with warm water (not to exceed 105 degrees Fahrenheit).
- Position the wheelchair so that it is at a slight angle facing the tub, next to the shower chair.
- Ensure wheelchair locks are on. Raise or remove footrests.
- If using a gait belt, ensure it is secure and that the patient has a shirt or towel on, with the gait belt positioned over their clothing. This is to prevent skin irritation and breakdown.
- Assist or instruct the patient to move to the edge of the wheelchair seat.
- Instruct the patient, or assist with placing their legs, one at a time, over the edge of tub.
- Instruct the patient to grab onto the bars or the side of the tub and assist them into a sitting position on the edge of the tub.
- Ensure wheelchair locks are on. Raise or remove footrests.
- Assist the patient to remove clothing.
- Assist the patient to a stand and then to a sit at the edge of the tub, following procedures above.
- Push the wheelchair out of way.
- Assist the patient onto chair or stool in tub.
- Place toiletries and bath linens in patient’s reach. Provide for privacy.
- If the patient is weak, or requests, stay nearby and assist as needed.
- Ensure all soap is rinsed off patient, and that skin is thoroughly dried.
- Assist patient out of the shower in the reverse way that you helped them into the shower.
- Assist the patient to the edge of the tub. Guide their legs over the edge, one at a time. Assist the patient to a stand and then pivot them into the wheelchair as in procedures above. Assist them to sit in the wheelchair.
- If the patient begins to fall during a transfer, widen your stance. Bring the patient’s body close to you to provide support. Bend your knees and using the strength of your thighs, lower the patient to the ground. Home Health Aides/Personal Care Aides should report the near fall or any actual falls immediately to their supervisor. If the patient falls, do not attempt to get the patient up alone. The agency may require the patient gets evaluated by a nurse before helping the patient back up. Report any injuries or concerns. Home Health Aides/Personal Care Aides will also likely be required to complete an incident report, and should seek direction from their supervisor about completing the incident report.
- Assist with dressing as needed.
- Put away equipment and supplies. Place soiled clothing and linens in the appropriate place.
- Clean shower/tub.
- Remove gloves if wearing and wash your hands.
- Document the procedure and any observations or changes in condition or behavior.