Which step should be done before standing the resident for a pivot transfer with a gait belt?

• A. Place wheelchair near residents bed before assisting resident to sit at edge of bed.
• B. Move wheelchair into position after standing.
• C. Stand beside the resident without giving any cue.
• D. Begin transfer by standing without using a gait belt.

Answer: (A)

Preparing the environment is essential for a safe pivot transfer. Placing the wheelchair close to the bed before helping the resident sit at the edge creates a ready, reachable destination and reduces how far the resident must pivot or reach once upright. This positioning also allows you to maintain control with the gait belt and guide the resident smoothly into the chair. Waiting to move the wheelchair after standing or starting the transfer without a gait belt would remove your secure point of control and increase the risk of a loss of balance or a fall. So, getting the chair into position first gives the safest, most controlled path for the transfer.