Bed-to-Stretcher Transfer

When & Why?

Move a resident between a bed and stretcher when they cannot safely transfer independently.

Before You Start

• Verify care plan, transfer restrictions, and required staff.
• Select approved transfer equipment.
• Position bed and stretcher as directed.
• Lock applicable brakes and clear obstacles.
• Check IV lines, catheters, and other attached equipment.
• Assign roles and identify who will coordinate movement.

Steps

1. Prepare the resident and receiving surface.
2. Position the approved transfer device or sheet.
3. Arrange staff according to the transfer plan.
4. Coordinate movement using a shared count.
5. Transfer the resident while maintaining body alignment.
6. Secure the resident and reassess equipment, lines, and comfort.

Safety & Observations

• Use the approved lateral transfer device and technique.
• Avoid unnecessary manual lifting and shearing.
• Protect the head, limbs, lines, and attached devices.
• Obtain specialized assistance for spinal precautions or complex transfers.

What Should I Remember?

• Prepare all equipment before moving.
• Communication and coordination prevent injury.
• The number of assistants depends on the procedure and transfer equipment.

Related

• Safe Patient Transfers
• Using a Mechanical Lift
• Body Mechanics & Injury Prevention

Practice

• Studied
• Observed
• Practiced
• Passed checkoff

Sources

• CNA Module 5 — Body Mechanics, Transfers & Ambulation
• OSHA — Guidelines for Nursing Homes: Ergonomics
• OSHA — Safe Patient Handling
• Facility lateral-transfer procedure and competency checklist (verify at clinical site)
• Manufacturer’s instructions for the specific transfer device used

Flashcards

What must be confirmed before a bed-to-stretcher transfer?03-application / clinical-skills

Answer

Staffing, transfer method, equipment stability, and restrictions.