Skills Checklist: Ambulation from Wheelchair


Introduction

Assisting patients when moving from the wheelchair to ambulating may be a regular task in your work as a CNA.  Read through the steps below before watching the demonstration video. 


Ambulation from Wheelchair

1. Gather Supplies: Gait belt, wheelchair, nonskid footwear, and assistive devices if needed (walker or cane)

2. Routine Pre-Procedure Steps:

    • Knock on the client’s door.
    • Perform hand hygiene.
    • Introduce yourself and identify the resident.
    • Maintain respectful, courteous, and professional communication at all times.
    • Provide for privacy.
    • Explain the procedure to the client.

3. Procedure Steps:

    • Check the brakes on the wheelchair to ensure they are locked.
    • Verify the resident is wearing nonskid footwear.
    • Properly place the gait belt around the resident’s waist.
    • Check the gait belt for tightness by slipping your fingers between the gait belt and the resident.
    • Ask the resident if they feel dizzy or light-headed.
    • Face the resident and place each of your feet in front of the resident’s feet to prevent them from slipping.
    • Instruct the resident to push up on the wheelchair arms on the count of three to assist with standing.
    • Count to three and assist the resident to a standing position.
    • Provide the resident’s assistive device, as needed.
    • Move to the weak side of the resident, slightly behind them. Hold the gait belt with your palms and fingertips pointing upwards.
    • Stabilize the resident as they ambulate for the desired duration.
    • Assist the resident to pivot/turn in front of the wheelchair.
    • Ensure the wheelchair brakes are locked.
    • Instruct the resident to grasp the arms of the wheelchair when the back of their knees touch the wheelchair seat.
    • Assist the resident to a seated position in the wheelchair.
    • Remove the gait belt.
    • Release the wheelchair brakes.

4. Post-Procedure Steps:

    • Check on resident comfort and ask if anything else is needed.
    • Ensure the bed is low and locked. Check the brakes.
    • Place the call light or signaling device within reach of the resident.
    • Open the door and privacy curtain.
    • Perform hand hygiene.
    • Document weight and report abnormal findings to the nurse.

This information can be found in Section 8.12 of the book. 

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