1-Person or 2-Person Transfer to a Stationary Surface

Children sometimes need the assistance of a trained adult to transfer to a stationary surface. The instructional steps assist the registered nurse working under the auspices of the school or program in professional judgement and accountability of delegation. Additional steps may be required depending on the learner’s health needs.

Steps

1. Let the student know it’s time to transfer
2. Wash your hands. Have or help the student wash their hands and assist as much as possible.
3. Ensure the receiving surface is safe
4. Clear the path
5. Minimize the distance of the transfer if necessary:
   1. If the student is able, ask him to move his wheelchair, walker or other devices to the proper position for the transfer
   2. If not, inform the student of your intention and move the chair into position yourself or with the assistance of two.
6. Lock the wheelchair or walker brakes (if applicable)
7. If utilizing a wheelchair, remove any parts in the way.
   1. Remove lap tray and any switches or other devices
   2. Loosen foot traps and move footrests to the side
   3. Remove abductor block from between the knees
   4. Remove any chest, shoulder, or head straps
   5. Remove or adjust one side support or arm rest
8. Unfasten the seat belt (if applicable)
9. Have the student lean slightly back and scoot forward
   1. Have the student put their feet flat on the floor
10. Have the student lean forward
11. Utilize a gait belt or additional transfer device with one person or two person assistance (if applicable)
12. Have the student assist or stand (if applicable)
    1. Remember:
       1. Some students may be able to bear weight. Their ability is important to utilize and practice whenever they transfer.
       2. Except in emergencies (which are rare), never lift a student who cannot support any of their own weight
       3. Use a mechanical lift if the student is unable to support any of their own weight
13. Transfer the student to receiving surface
    1. For your own health and safety, be sure to maintain good body alignment while assisting the student
14. Check the student’s response to the transfer:
    1. Ask the student if they are comfortable
    2. Observe for nonverbal communication
15. Ensure the student is sitting in the central location of the receiving surface before moving away
16. Move the wheelchair, walker or transfer equipment (if applicable) to an appropriate location out near the student and out of the way.
17. Wash your hands. Have or help the student wash their hands.
18. Document the date, time, procedure, assistance from other personnel (if applicable),  student’s response, your initials and signature