Nursing Interview Questions
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Can you explain in detail how you would appropriately transfer a resident from a bed to a wheel chair?
User Submitted Interview Answers
Take the wheel chair near the bed side stand the pt and comfertabily shift the pt to bed.
It would depend on the patients neurological status, ability to ambulate, and if they were on fall precautions. If the patient was at risk for falls they may require one person, or two person assist. The most important aspect of transferring is to make sure that the wheel chair is locked, the bed is locked and in the lowest position, the head of the bed is raised, and their are no cords that would cause a patient to trip. Then I would move the legs to the edge of the bed, allowing time for the patient to adjust to the position change. This is because a patient may suffer from orthostatic hypotension. Next I would provide support under the arms for a patient and instruct them that I am going to help them into a wheel chair.
Explain to pt what and how I will transfer: Place wc next to the bed facing the pt, lock wheels, raise the head of the bed, ask the client to push off of the bed to help them sit up, ask pt if they can swing their legs over, if not provide assistance, put gait belt on, have pt put hands on top of my shoulders, grab gait belt, suggest on my count of 3 to stand, gently rock pt back and forth, stand, let pt know we will rotate with small steps until their back is to the chair, then back them up two steps, let them know when they feel the back of the chair on their knees to let me know, check to be sure, then assist them to sit down while still holding onto the gait belt.
First I should provide the comfort position side lying and then slowly slowly sitting position should provide and gave foot stool to support the patient.
You would introduce yourself and make sure you're with the right patient. You help them over the side of the bed and put a gait belt around their waist. You help them up and, depending on the patient's ability to bear weight, you either pivot them into the chair or have them walk at least ten steps to their chair. Make sure the bed and the wheelchair are locked and that you are right behind and beside them for safety.