When & Why?
Safely transport and position residents using wheelchairs while maintaining comfort and independence.
Before You Start
- Check care plan and mobility restrictions.
- Inspect wheelchair condition, brakes, and footrests.
- Verify proper wheelchair fit.
- Explain the movement and destination.
Steps
- Position the resident with hips supported toward the chair back.
- Align the trunk and support arms and legs as required.
- Position feet on footrests or the floor as appropriate.
- Check required positioning devices.
- Release brakes before moving.
- Move smoothly and communicate before starting, stopping, or turning.
- At the destination, secure the wheelchair and check comfort and safety.
Safety & Observations
- Keep arms and elbows clear of doorways and obstacles.
- Watch for slipping, discomfort, and pressure points.
- Use appropriate techniques for ramps, thresholds, and slopes.
- Never use positioning devices as restraints unless legally authorized and indicated.
- Follow the care plan for footrests and self-propulsion.
What Should I Remember?
- Lock brakes during stationary transfers.
- Check feet and arm placement before moving.
- Communicate before movement.
- Ensure access to the call light when leaving a resident.
Related
Practice
- Studied
- Observed
- Practiced
- Passed checkoff
Sources
- CNA Module 5 — Wheelchair Transport & Positioning
- OSHA — Safe Patient Handling
- Facility wheelchair transport, positioning, and fall-prevention procedures (verify at clinical site)
- Wheelchair manufacturer’s operating and maintenance instructions
Flashcards
When should wheelchair brakes be locked?03-application / clinical-skills
Answer
During stationary transfers and positioning.
What must be checked before transporting a resident in a wheelchair?03-application / clinical-skills
Answer
Footrests, arms, alignment, brakes, and route safety.