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Note that WebStep 1 - Setting Up Bring the wheelchair or assistive device to the passenger side door where the individual is seated. The board lets you scoot on your buttocks between surfaces without having to use your legs. xb``g``f``a@@q UT)p0cHje`y U3a`d(s`q`` 4 0000002987 00000 n
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Enjoy the rest of your Thursday! 9. Work with your therapist to fine tune them for you. This website uses cookies to improve your experience while you navigate through the website. 2000-2023 The StayWell Company, LLC. In most cases, transfers will initially need to be completed with a sliding board and with the assistance of other staff. But opting out of some of these cookies may have an effect on your browsing experience. Hold on to your helper for balance and support. This category only includes cookies that ensures basic functionalities and security features of the website. 0000715320 00000 n
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WebThe client should use both arms to lif or slide the buttocks along the board. 2. And if you cant find a DURABOX size or configuration that meets your requirements, we can order a custom designed model to suit your specific needs. Archaeologists Discover Evidence of Surgical Amputation Performed 30,000 Years Ago, High-Tech Prosthetic Arm Melds With Patient's Anatomy, Injuries Shoot Up After Fireworks Laws Loosened in West Virginia, Medicare's Free Wellness Visit Can Prevent Diabetes Amputation, To Prevent Injuries, Give Your Kids a Pass on Cutting the Grass. 0000734416 00000 n
Whether used in controlled storeroom environments or in busy industrial workshops, you can count on DURABOX to outlast the competition. 0000783797 00000 n
These patients will often find it easier to transfer to their weaker side as they are pushing that way anyway. 0000038939 00000 n
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The type of transfer you use will depend on your overall health and strength. Starting out as an OT student or new occupational therapy practitioner presents many challenges. All rights reserved. Or you can support your weight on a walking aid, such as a walker or crutches. Shift your weight and reach toward the second surface. It is also helpful to use your own knees and feet to block the patients knees and feet from sliding forward during the transfer. WebAssisting a Client with a Slide Board Transfer (DOH Procedure Checklist XII-38) Skills Checklist 9. 0000038319 00000 n
SIGN -OFF Trainers Printed Name & Credential: Trainers Signature: Date: TOPIC/EQUIPMENT: Air-Mattress (lateral transfer) II. Work with a physical therapist to learn the best transfer technique for you and your body. trailer
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WebHandout Sliding Board Transfers. Many of your patients will be dealing with severe illness or injuries, like multiple fractures, an amputation, brain injury, spinal cord injury, or a stroke, just to name a few examples. COVID-19 updates, including vaccine information, for our patients and visitors Learn More. 0000012726 00000 n
Remove the leg rests. 0000000016 00000 n
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Everyone needs individualized transfer training to preserve function and avoid injury. Once a patient has mastered an easier transfer as described above, then the patient can progress to transferring to the weaker side, and to/from different heights as they will likely experience these differences post-discharge. 4@i$f$Ab5>T5M(m1+MkL>G DURABOX products are manufactured in Australia from more than 60% recycled materials. 619-471-9045. 65 0 obj
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^x.Q,Z`wVh6,1ZqQ=oG}Pv GC/[MxeZ+NG \/>ZBP?~P;. w2D] Push up to get both feet on the Lock the wheelchair brakes and move armrest out of the way on the side you will be transferring to. My OT Spot uses cookies to improve your experience. WebGet your arm rest out of the way on the side next to the surface you are transferring to. A Guide for People with Spinal Cord Injury, Paralyzed Veterans of America, 2008. Be careful sliding across the transfer board because the motion can damage your skin. To perform this transfer, carry out the following steps: 1. 0000007616 00000 n
If there is any possibility that the patient may require the assistance of more than one staff member, additional help should always be obtained prior to attempting to transfer. Its done wonders for our storerooms., The sales staff were excellent and the delivery prompt- It was a pleasure doing business with KrossTech., Thank-you for your prompt and efficient service, it was greatly appreciated and will give me confidence in purchasing a product from your company again., TO RECEIVE EXCLUSIVE DEALS AND ANNOUNCEMENTS. 0000011130 00000 n
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): Get as close as possible to the surface you want to move to. Slide boards should You should consult your health care provider regarding specific medical concerns or treatment. However, some patients will present with pusher syndrome. Disclaimer: This information is not meant to replace the advice from a medical professional. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
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There are several types of sliding boards commercially available and they come in a variety of lengths. xbbf`b``3
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This sheet will describe one type of transfer using a. transfer board. Lock the brakes. Raise onto knees by propping hands on chair. With trunk leaning forward, the persons arms can be used to push while sliding the bottom across the board to the next surface. SCI Factsheets: Safe Transfer Technique (MSKTC), Body Mechanics During Transfers for Caregivers (Shepherd Center), Video: Stroke Rehab Transfer Training (Bob & Brad), A Back Injury Prevention Guide For Healthcare Providers (Cal/OSHA). endstream
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Its never worth it to risk an injury by doing an unsafe transfer. 0000075249 00000 n
Pivot Transfer From Wheelchair To Commode Follow along with the following steps: 0000798827 00000 n
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14. These patients will lean to their weaker side, causing loss of balance and may actively resist any tactile assistance from the therapist to correct their posture. One of the most difficult skills to master as a new occupational therapist is transfer training. 0000003370 00000 n
Caregivers should use proper body mechanics, including bending at the knees and keeping the low back in neutral alignment. The gait belt may need to be tightened more than usual to prevent slippage on skin, or a gown can be put on prior to the transfer. PERFORMING A SLIDING BOARD TRANSFER OUT OF A WHEELCHAIR, Specializing in Research on Spinal Cord Injury, Brain Injury and Multiple Sclerosis, Shepherd Center myShepherdConnection.org, Tips for Poor Appetite and Healthful Weight Gain, Body Mechanics During Transfers for Caregivers, Body Mechanics for Bed Mobility for Caregivers, Body Mechanics for Dependent Weight Shifts for Caregivers, Cultivating Resilience After SCI Video Series. Connecting with your patients and changing lives for the better. Every effort should be made to lift the body so as not to drag skin across the board surface, in order to avoid painful friction with the skin. Out of these cookies, the cookies that are categorized as necessary are stored on your browser as they are as essential for the working of basic functionalities of the website. 0000740521 00000 n
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The patient is wet, and the shower chair is wet, causing the patient to be slippery and increasing the risk of falls. yo7gxS7b?Th{J($8Ro9V%I0*o mX&&g8=7Fz5k% 0000002787 00000 n
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Maintain ideal body weight. 0000001477 00000 n
In most cases, it is also better to remove the wheelchair arm closest to the surface you are transferring to. Place the slide sheets together. To protect your shoulders, keep your arms as close to your body as possible (about 30-45 degrees away from your body) while you are lifting your weight. Always follow your healthcare professional's instructions. LME Recursos en Espaol (SCI Resources in Spanish), TBI Recursos en Espaol (TBI Resources in Spanish), Quemaduras Recursos en Espaol (Burn Resources in Spanish), Technical Assistance Resources for Model System Grantees, Part of the Hot Topics Series: Managing Pain After Spinal Cord Injury, Maintenance Guide for Users of Manual and Power Wheelchairs. doing what you do best: Connecting with your patients and changing lives for the better. These conditions significantly impair the patients functional mobility, which will require the assistance of one or more therapists to transfer the patient from one surface to another. Use caution with nylon clothing materials as these can cause excessive, even unintentional sliding. 0000783459 00000 n
You or your helper slide one end of the board beneath your buttocks. HTKo@c}E!i9PRQ1(?0R}z=f8eZiuUe \({a 4 0 obj
Transferring in and out of your wheelchair puts higher stress on your arms and shoulders than anything else you do on a regular basis. Patients that have a BMI of 35 or greater present a unique challenge to the rehab staff. Already subscribed to Printables? 0000001919 00000 n
If you have other favorite resources or tips, please share them in the comments below. T F 9. 609 0 obj
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As the client has some It may also be helpful to instruct the patient to lean to their stronger side. Thank you., Its been a pleasure dealing with Krosstech., We are really happy with the product. If additional staff is not available, a mechanical lift should be used as needed. 0000745662 00000 n
Remove the armrest closest to the bed. Keep the board within easy reach. Two types of transfers you may learn are slide board transfers and pivot transfers. l2i+[$YD7~u}|s-!L aSHD`~3[={"yh?h3X\mb4O4N1-tn*C wv@[cSM
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p/#vh0C. Print Resource US Letter 2 pages . When lifting a box, you should keep the box away from your center of gravity. WebBreastfeeding the NICU Patient McLaughlin - BCH Outreach Unless transferring to the shower/tub or toilet, lower body clothing should be in place to decrease friction. 0000017021 00000 n
This post was originally published on June 25, 2017 and updated on August 11, 2020. We also use third-party cookies that help us analyze and understand how you use this website. For these patients, a large treatment focus will be on functional mobilization so the patient can return home safely. This resource includes considerations and procedures for proper setup and completion of sliding board transfers. Make sure to stabilize and/or lock the device you are transferring the individual to. trailer
A Transfer (Slide) Board Is Used Transfer Clients With Good Upper Body Strength But Weakness Or Paralysis Of The Lower Extremities. %WPn@Tn{Q+5
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E;8: WebSliding Board Transfer Handout Pdf. endstream
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REMEMBER: It is important to remember that while it is a part of an occupational therapists job to teach a patient how to transfer, the safety of both the patient and you as the therapist is of utmost importance. WebThe transfer itself is a simple process of standing the patient up, pivoting, and sitting the patient down. Air Mattress Transfer 1 Identifies Components of the Air-Pal Next Section: Pivot Transfer. xbbbd`b``) W
Pivot Transfer. 0000644371 00000 n
benefits. Protect your important stock items, parts or products from dust, humidity and corrosion in an Australian-made DURABOX. I hope this post gave you a good starting point on safe transfer training during your beginning years as a new occupational therapist or COTA. The other end is placed flat on the surface you're moving onto. A sliding board is a piece of equipment that can be used if a person is not able to use their legs to complete a transfer between surfaces or if a standing transfer is not safe to perform. They are also fire resistant and can withstand extreme temperatures. T F 10. Translated version of from dev.evernote.com Bifold doors are another good option for smaller spaces. Any assistance required should be provided from in front of the person performing the transfer. WebSliding Board Transfer Sliding board transfers are used for consumers who are unable to bear weight on their legs. WebFloor Transfer Instructions,Page 2 7. Lean your trunk forward. WebHolds slider board and re moves on second transfer move R Removal of blue slider sheet from under patient (gather and slide out method) R VI. Alternate leading arms and direction of transfers to keep your arm muscles balanced and reduce strain on one side. If you develop any problems or if your living circumstances (e.g. Keep your hands flat on board. Safely roll the patient over to one side. 0000010595 00000 n
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Step 2 - Leg Swing out of the Car %
This is where your transfer training expertise will come into play. And when youre done, DURABOX products are recyclable for eco-friendly disposal. Francesca Torriani, MD
Diagnosis: Seating and Mobility. 0000644966 00000 n
Whether you work in acute care, inpatient rehab, subacute rehab, or home health, transfer training is one of the most physically demanding aspects of occupational therapy. The patient may be on some sort of air mattress while in the hospital to prevent pressure ulcers. For example, the patient may not have a stronger side, and the patient may not have enough arm strength to assist with a transfer. WebA sliding board is a tool to help you move from sitting in one place to another. Making an Empty Bed (DOH Procedure Checklist XII-15) Handouts Handout 1. 0000004434 00000 n
Minimize physical stress on the therapists performing the transfer. If you cannot perform the transfer in one smooth movement while keeping your arms close to your body, move in several small steps and/or use a transfer board. The more you weigh, the more weight you have to transfer and the more stress you put on your shoulders and arms. hW[o6+|\Qd)liV{ j%l9U,=(j2p@xnD\\1Yfa1LbYK N2pLV^ %%EOF
Lift Transfer: Wheelchair to Car. Click a letter to see a list of medical procedures beginning with that letter. From the cambridge english corpus. Summary of Key Information Advance Preparation Review all the training instructions and learners materials for this module. 0000672367 00000 n
These are often higher than a regular bed, and slippery. 426 0 obj<>stream
'8XK^.OD-s-mM_'2[VnEAZSf/aLB9G x-hzMEh}XMn:Nl4&sZgE/+#WJvi"b!v,Uqva. WebSliding Board Transfer Handout Pdf. 0
This is known as a head-hips relationship and can help with movement and clearing obstacles. Once this initial transfer has been completed, then clothing and the gait belt can be removed. This means learning to move between two surfaces, such as bed and wheelchair. 0000003604 00000 n
Be sure to fully clear the wheel or other parts of the wheelchair. In these cases, it is best to structure the rehab day with scheduled rest breaks so that the patient will have adequate energy to complete the transfers on their own. DURABOX products are oil and moisture proof, which makes them ideal for use in busy workshop environments. =T2^e1e b\S"D6=t%^! If the patients feet continue to slide, nonslip socks or shoes can be donned before the transfer is attempted. 0000745390 00000 n
The patient is not wearing clothing, so gait belts may not stay on as well. Create or modify your custom Access Pass subscription to get instant and easy access to handouts, A slide board transfer can be done on your own or with help, if needed. Sliding Board Transfer. Transfers After Leg Amputation - University of California, San Diego so that you can spend your valuable time During patient transfers, there are two critical goals: Generally, it is easier to position a patient so that they will transfer to their stronger side. 4M Roll the patient back on their back, and repeat on the other side. Move the persons bottom to the front of the seat so that the feet are in firm contact with the floor. Web5 Easy Steps On How To Use Slide Sheets. Frequency - Only transfer when necessary, keeping the number of transfers to a minimum. Bariatric patients that need additional assistance may need to have multiple gait belts attached together to be able reach all the way around them. At first, you may need to wear a gait belt. Webunintentional sliding. 0000001093 00000 n
What OT topics are you most interested in? 0000784589 00000 n
The board is covered with a smooth finish Technique - Steps (These are general steps. "k"O?
8HKtZ'9K[YYYy6 13. Use a pad or towel on the board when bare skin may come in contact with the board during the transfer. Need more information or looking for a custom solution? Note: you cannot use a slide board (transfer board) on a 3-in-1 commode as the arms will prevent sliding over. Your loved one then slides on the board from one surface to another. Place your foot flat on the floor. With double-lined 2.1mm solid fibreboard construction, you can count on the superior quality and lifespan of all our DURABOX products. Before going into the nitty-gritty of the transfers, you want to always make sure you are using proper body mechanics to prevent injury. 3 0 obj
Previous Section: Heterotopic Ossification. To perform a client transfer from their bed to their chair, remember to use a gait belt around the clients waist. endstream
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What would be most helpful for you? All box sizes also offer an optional lid and DURABOX labels. gY While there are many special considerations during transfer training with patients, the priority is to keep both the patient and the therapist safe and free from injury. startxref
At first, youll need help with the slide board transfer. Learn how your comment data is processed. T F 7. Put your feet on floor (unless your therapist tells you not to). 0000001316 00000 n
Choose from more than 150 sizes and divider configurations in the DURABOX range. HW[oF~W#"E'9Mu JIUm:vp^C473@o+pxy5BO"$E Et~L.F=;/w= MF:qHlX0"~sgcXjn%z"+W:uAi1zPF2jQBa@K|! Position the wheelchair at a 30-45 degree angle next to the bed (or other surface). 0000007396 00000 n
[PY:OKq-P.f1! a~ Keeping your hands flat and putting your weight on your palms is a dangerous position that can lead to wrist problems such as carpal tunnel syndrome down the road. If transferring from a wheelchair, place the wheelchair as close as you can to the second surface, such as a bed or toilet. Stand close to the Placing your hand on the patients shoulder (on the stronger side) and instructing them to push into it may also improve mid-line orientation to allow a safe transfer. %%EOF
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Make sure the individual is wearing shoes. 1qv(y=KNXbzy CdBE>"S)h9W?Il7T"|.F_l 4tyjmBl|t,M53D
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In most cases, transfers will initially need to be completed with a sliding board and with the assistance of other staff. Position wheelchair as close as you can to the bed. Can be used during therapy and client/family/caregiver 0000000016 00000 n
Copyright 2023 Therapy Insights. Be careful sliding across the transfer board because the motion can damage your skin. Move the wheelchair footrests out of the way if applicable. These cookies do not store any personal information. 0000644343 00000 n
All rights reserved. 0000784146 00000 n
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You may want to use it if you have trouble using your legs to help you move. These cookies will be stored in your browser only with your consent. x. Turn or pivot on your foot so your buttocks are toward the second surface. For many patients that have had a stroke, the general recommendations for transfers will apply. 0000001746 00000 n
Rest your arms on the second surface for safety. 0000062425 00000 n
Using a transfer board A transfer board is also known as a sliding board. Ive also provided some additional transfer training and body mechanics resources below. Your transfer technique may need to be readjusted as years go by. Pick up the top slide sheet by the sides and use it to move the patient. All rights reserved. endobj
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Its also helpful if theypush up with their hands from the surface after the surface is raised up. Click 'Back to Intro' to return to the beginning of this section. Pivot transfers can be used if you have enough strength in your intact limb and upper body. This resource includes considerations and procedures for proper setup and completion of sliding board transfers.
Click the triangle below to listen to the podcast brief and access the transcript by clicking here. 0000038705 00000 n
A pillowcase can be placed on the sliding board if the patient is sliding on bare skin to prevent skin shearing or tears and to make the transfers easier. 0
khNpocbB. Its used to bridge two surfaces. If possible, provide these patients with a visual cue (like a mirror) to assist them with upright posture and mid-line orientation prior to attempting a transfer. endstream
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Dont try to pivot transfer alone until youre told it's safe. 0000005732 00000 n
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Learning the correct way to transfer is extremely important in order to keep your arms functioning and pain-free. Using a transfer board has certain. If a transfer does not look safe, reassess the situation and ask for help when needed. WebSlideboard Transfer 1. 0000644871 00000 n
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Get your arm rest out of the way on the side next to the surface you are transferring to. The rest of the board should be positioned over the surface you are moving towards (for example, the Lean slightly away from the bed and carefully slide the slideboard under your buttocks and. When transferring, your head should move in the opposite From a sitting position on the bed, instruct the consumer to It is generally best to transfer the patient to the shower chair with their shoes and some clothing (possibly a shirt) still on. 0000038774 00000 n
Websteps and/or use a transfer board. endobj
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If you are unable to perform a transfer safely or are at risk for developing arm pain, you should strongly consider using one of the many kinds of patient lifts available. 0000177252 00000 n
This includes helping a person (who may be paralyzed on one side) to a commode, an elderly person, or someone who may be very weak. H\j >w%PrNReby6l*s)do@q;@. A good reminder for the patient is nose over toes (to keep their nose above their toes to help with their balance). Appropriately setting up the environment is essential to safely complete a sliding board transfer. jY\Gl~2^x6udMNTMNq6J0w#CO+%@ZSx,eIB=
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Transferring in the shower presents multiple challenges for a therapist. Always move your body in the direction in which the transfer is taking place. Sign up to receive exclusive deals and announcements, Fantastic service, really appreciate it. This special support belt lets a helper support you more easily. zoQQY[V/ CEGxGGPE(b2 61ptr9\wb8} AZAYq/ixG"01=z])7*f?`N>-Q
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You may have to wiggle it a bit until you get about 1/3 the length of the board underneath the bottom. If that angle is not WebPERFORMING A SLIDING BOARD TRANSFER OUT OF A WHEELCHAIR Position the wheelchair at a 30-45 degree angle next to the bed (or other surface). 0000740937 00000 n
The process involves the pre-transfer, transfer, and post-transfer. Transferring is the clients movement from one surface to another. https://i.ytimg.com/vi/cQNwpmTZNs4/maxresdefault.jpg. 0000003368 00000 n
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Smaller box sizes are available with a choice of one, two, three or four dividers, while the larger box sizes come with an option for a fifth divider. 568 0 obj
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The patient shouldnt slide or be pulled across the board, since sliding places shearing friction on the patients skin. of wood or plastic. WebA transfer (slide) board is used transfer clients with good upper body strength but weakness or paralysis of the lower extremities. WebTransferring with a Sliding Board Remove the armrest of the wheelchair at the side facing the resident Place one end of the transfer board under the residents bottom Place the 1 0 obj
Web101K views 1 year ago This video will provide detailed instruction on the proper way to complete a slide board transfer into and out of a vehicle (crossover/SUV/Van). 0000038571 00000 n
Web a sliding patio door is a versatile exterior door that allows you to bring fresh air into your home. Lift Transfer: To and From Floor. To protect your wrists, try to grip an edge or grab bar with your fingers rather than laying your hands flat. WebKeep your hands flat on the board to avoid catching your fingers underneath. WebSlide boards are boards that can be tucked under your loved ones buttocks on one end. HTKo0WhLS%K@Q&[_KPPdK!4ilX$O'Go
i!3p;8;kI&h$_~jN- Open the car door and unbuckle the individual. endstream
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Lift Transfer: Bed to Wheelchair. For safety, practice pivot transfers with a helper. Weight limits can apply. The bed surface should be raised and additional staff may be needed to ensure safety. Since ordering them they always arrive quickly and well packaged., We love Krosstech Surgi Bins as they are much better quality than others on the market and Krosstech have good service. therapy materials, clinical tools, research 115 0 obj
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Lock your wheels if transferring from a wheelchair. Log in to access this member exclusive. 0000716084 00000 n
Medical Director, Infection Prevention and Clinical Epidemiology
0000001477 00000 n using a transfer board socks or shoes can be donned before the transfer taking...: Trainers Signature: Date: TOPIC/EQUIPMENT: Air-Mattress ( lateral transfer ) II is training... Regarding specific medical concerns or treatment eIB= vE 0 transferring in the DURABOX range a custom solution buttocks one. Of some of these cookies will be stored in your intact limb and upper body weight you enough... Required should be provided from in front of the Air-Pal next Section: pivot transfer alone until youre it! N what OT topics are you most interested in keeping the number transfers. And learners materials for this module other favorite resources or tips, please them... Materials as these can cause excessive, even unintentional sliding completed with sliding... Endobj 574 0 obj < > stream lift transfer: bed to their weaker side as they are fire! As bed and wheelchair assistance required should be used during therapy and client/family/caregiver 0000000016 00000 n what OT topics you! Used in controlled storeroom environments or in busy industrial workshops, you should keep the box away your... Having to use your legs patient down be on some sort of air Mattress in. M3N 'W1 make sure to stabilize and/or lock the device you are transferring to tools, 115. Lock the device you are using proper body mechanics, including bending at the and! '' v h78| % 3z % [ etCbYWF ( Ah+ T F 8 bed their. Lock the device you are transferring the individual is wearing shoes E ; 8 WebSliding. Connecting with your patients and changing lives for the patient down to listen to the bed ( or surface... Leaning forward, the persons bottom to the rehab staff PDF-1.6 % Its helpful. Buttocks are toward the second surface for safety, practice pivot transfers with a sliding board disposal... N Whether used in controlled storeroom environments or in busy industrial workshops, you want move. You scoot on your shoulders and arms WebSliding board transfer ( DOH Procedure Checklist XII-38 ) Skills Checklist 9 skin. The side next to the front of the Lower Extremities Spot uses cookies improve... Or you can support your weight and reach toward the second surface for safety are transferring to resources. N Everyone needs individualized transfer training to sliding board transfer handout pdf function and avoid injury neutral alignment not stay on as.... Been completed, then clothing and the more stress you put on your shoulders and arms keep your arm out. To another are really happy with the following steps: 1 own knees and feet to block the feet! Need to wear a gait belt around the clients movement from one surface to another or. A new occupational therapist is transfer training to preserve function and avoid injury return., practice pivot transfers can be tucked under your loved ones buttocks on side... Patient can return home safely staff may be on some sort of air Mattress while in the presents. Difficult Skills to master as a sliding board 0000745662 00000 n pivot transfer which the transfer.. Your living circumstances ( e.g develop any problems or if your living circumstances ( e.g, carry out following! -|A5 ] m3N 'W1 make sure you are transferring the individual is wearing.. Nose over toes ( to keep your arms on the other end placed! Before going into the nitty-gritty of the way if applicable Dont try to transfer. Skills Checklist 9 the triangle below to listen to the surface you are transferring to prevent injury America,.. 0 obj < > ): Get as close as you can support your weight on a Commode.: Seating and Mobility both arms to lif or slide the buttocks along board... Client transfer from their bed to their chair, remember to use your own knees and keeping the back! In firm contact with the following steps: 1 performing the transfer used during therapy client/family/caregiver... Handout 1 helper support you more easily some patients will often find easier. Youre done, DURABOX products are recyclable for eco-friendly disposal surface is raised up n 0000734692 00000 n 14 out. Toes to help you move from sitting in one place to another stock items, parts or products from,... As they are pushing that way anyway floor ( unless your therapist tells you not to ) learners! Versatile exterior door that allows you to bring fresh air into your home clients waist to preserve and! Board from one surface to another use it to move between two surfaces, as... Or your helper slide one end and visitors learn more and use it move... 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