Transfert du lit au fauteuil roulant - Série Prévention des TMS centrée sur le soin

Introduction

This tutorial provides step-by-step guidance on safely transferring a person from a bed to a wheelchair, emphasizing the importance of using assistive devices to prevent musculoskeletal disorders (MSDs) for caregivers. This approach is essential for healthcare professionals working in home care and institutional settings, ensuring the safety and comfort of both caregivers and patients.

Step 1: Prepare the Environment

• Clear the Area: Ensure the path between the bed and wheelchair is free of obstacles.
• Position the Wheelchair: Place the wheelchair close to the bed, ideally at a 30-degree angle to facilitate the transfer.
• Lock the Wheels: Ensure the wheelchair brakes are engaged to prevent movement during the transfer.

Step 2: Communicate with the Patient

• Explain the Process: Inform the patient about what to expect during the transfer to alleviate anxiety.
• Gain Consent: Ensure the patient agrees to the transfer and is comfortable with the procedure.

Step 3: Use Proper Body Mechanics

• Stand Close to the Patient: Minimize reaching to reduce strain on your back.
• Bend Your Knees: Keep your back straight and use your legs to lift.
• Maintain a Stable Stance: Position your feet shoulder-width apart for better balance.

Step 4: Assist the Patient into a Sitting Position

• Help the Patient Swing Their Legs: Gently guide the patient's legs off the bed while supporting their upper body.
• Use a Transfer Belt: If necessary, place a transfer belt around the patient’s waist to provide additional support during the transfer.

Step 5: Transfer to the Wheelchair

• Assist the Patient to Stand: Help the patient shift their weight to stand, using the transfer belt for support.
• Pivot Towards the Wheelchair: Guide the patient to pivot on their feet, turning towards the wheelchair.
• Lower into the Wheelchair: Gently lower the patient into the seat, ensuring they are positioned comfortably and securely.

Step 6: Secure the Patient in the Wheelchair

• Adjust the Position: Ensure the patient is seated correctly, with their back against the wheelchair and feet flat on the footrests.
• Fasten Seatbelt if Available: Use any available safety belts to secure the patient during transportation.

Conclusion

Transferring a patient from a bed to a wheelchair requires careful planning, effective communication, and proper body mechanics. By following these steps and utilizing assistive devices, caregivers can minimize the risk of injury to themselves and their patients. Always assess the situation and modify your approach based on the individual needs of the patient. For further training and resources, consider reviewing other videos in the series focused on prevention of TMS in caregiving.