In pivot transfer from bed to wheelchair, which action is correct?

• A. Keep wheelchair brakes unlocked during transfer
• B. Position wheelchair close to bed on resident's strong side
• C. Grasp the gait belt at the front
• D. Transfer to the weak side by pivoting away from the wheelchair

Answer: (B)

Positioning the wheelchair close to the bed on the resident’s strong side makes pivot transfers safer and easier. When the chair is within easy reach on the strong side, you can help the resident pivot toward the chair with minimal reaching or twisting, and you can use your own stronger muscles to support the transfer. This setup also helps you control the motion more effectively and reduces the risk of losing balance or causing a fall, since the chair is ready to support the resident once they are seated.

Brakes should be engaged during the transfer to prevent the chair from moving. Grasping the gait belt from the front can limit your control and increase the risk of slipping or injuring the resident. Pivoting away from the chair toward the weak side moves the resident away from the safe, supported position and can make the transfer unstable.