Skill Checklists for Taylor's Clinical Nursing Skills: A Nursing Process Approach

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Copyright © 2011 by Wolters Kluwer Health | Lippincott Williams & Wilkins. Skill Checklists for Taylor's Clinical Nursing Skills:

Skill Checklists for Taylor's Clinical Nursing Skills:
A Nursing Process Approach, 3rd edition

Name Date

Unit Position

Instructor/Evaluator: Position

SKILL 9-3

Transferring a Patient From the

Bed to a Stretcher

Goal:The patient is transferred without injury to patient or nurse. Comments

1. Review the medical record and nursing plan of care for
   conditions that may influence the patient’s ability to move
   or to be positioned. Assess for tubes, IV lines, incisions, or
   equipment that may alter the positioning procedure. Iden-
   tify any movement limitations. Consult patient handling
   algorithm, if available, to plan appropriate approach to
   moving the patient.


2. Perform hand hygiene and put on PPE, if indicated.


3. Identify the patient. Explain the procedure to the patient.


4. Close curtains around bed and close the door to the room,
   if possible. Adjust the head of the bed to a flat position or
   as low as the patient can tolerate. Raise the bed to a height
   that is even with the transport stretcher (VISN 8 Patient
   Safety Center, 2009). Lower the side rails, if in place.


5. Place the bath blanket over the patient and remove the top
   covers from underneath.


6. If a friction-reducing transfer sheet is not in place under
   the patient, place one under the patient’s midsection. Have
   patient fold arms against chest and move chin to chest. Use
   the friction-reducing sheet to move the patient to the side
   of the bed where the stretcher will be placed. Alternately,
   place a lateral-assist device under the patient. Follow man-
   ufacturer’s directions for use.


7. Position the stretcher next to (and parallel) to the bed.
   Lock the wheels on the stretcher and the bed.


8. Two nurses should stand on the stretcher side of the bed.
   A third nurse should stand on the side of the bed without
   the stretcher.


9. Use the friction-reducing sheet to roll the patient away
   from the stretcher. Place the transfer board across the
   space between the stretcher and the bed, partially under
   the patient. Roll the patient onto his or her back, so that
   the patient is partially on the transfer board.

ExcellentSatisfactoryNeeds Practice