Name______

Transfer from bed to chair

Criteria / Points / Not Adequate / Acceptable
26/37=70% / Exceptional
COMMUNICATION / 2 / 0 / 1 of 2 / 2 of 2
Introduce self
Explain procedure
PATIENT PRIVACY / 2 / 0 / 1 of 2 / 2 of 2
Assess patients desire for privacy
Close curtain
PATIENT SAFETY / 3 / 1 of 3 / 2 of 3 / 3 of 3
Wash hands prior
Identify patient
Call light in patient’s reach
PERSONAL SAFETY / 3 / 1 of 3 / 2 of 3 / 2 of 2
Side rail down
Wash hands after
HUMAN AWARENESS / 6 / 4 of 6 / 5 of 6 / 6 of 6
Provide quiet environment
Awareness of patient’s individual differences
Adjust approach to meet patient’s individuality
Conversation as appropriate
Ensure patient comfort
Maintain dignity of patient
ASSIST WITH TRANSFER FROM BED TO CHAIR / 18 / 14 of 18 / 15 of 18 / 18 of 18
Assess need for assistance with transfer
Assess need for transfer equipment
Position chair parallel to bed w/wheels locked
Assess patients ability to assist – encourage independence
Leave bed in down position
Roll patient onto side toward you
Raise head of bed
Pivot patient to dangling position at side of bed
Position gait bed snuggly at waist
Put slippers or shoes on patient
Assist patient to pivot to chair
  • Brace weaker knee with your knee
  • Brace weaker foot with your foot
  • Using gait belt, turn patient toward strong side
  • Back patient to chair until back of knees touch chair
  • Have patient grasp arms of chair
  • Lower patient to sitting position
Position for comfort

*A score of at least 70% is required to pass all skills. All items in bold are considered critical and must be performed to pass the skill regardless of total percent performed.

Results:PassFailDate:

Comments:

Evaluator(s): ______