Which step should be done first when transferring a resident from bed to a wheelchair using a transfer belt?

• A. Place wheelchair on the side of the bed and lock wheels
• B. Remove transfer belt
• C. Assist client to sit and apply shoes
• D. Provide instruction to stand

Answer: (A)

Positioning the wheelchair close to the bed and locking its wheels is the first move. This creates a stable, reachable target for the transfer and prevents the chair from moving during the process, which is essential for maintaining the resident’s balance and safety as you begin the transfer. Once the chair is secured, you would proceed with assisting the resident to sit up, ensuring footwear is on, and then guiding them to stand with support while keeping the transfer belt in place as needed. Removing the belt before the transfer is complete would remove an important safety control that helps you steady the resident.