Place your foot flat on the floor. Make sure the individual is wearing shoes. Transferring downhill is easier and, at modest height, safer than transferring uphill. Webyour overall health and strength. Lock the brakes. Regents of the University of California. Lock the wheelchair brakes and move armrest out of the way on the side you will be transferring to. Using a transfer board A transfer board is also known as a sliding board. xref
Move the persons bottom to the front of the seat so that the feet are in firm contact with the floor. Rest your arms on the second surface for safety. Before going into the nitty-gritty of the transfers, you want to always make sure you are using proper body mechanics to prevent injury. In some cases, the bariatric patient will be able to transfer with minimal assistance, though they may have low endurance. 0000734416 00000 n
Connecting with your patients and changing lives for the better. 0000001889 00000 n
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^x.Q,Z`wVh6,1ZqQ=oG}Pv GC/[MxeZ+NG \/>ZBP?~P;. This increases the patients risk of skin breakdown. Its also helpful if theypush up with their hands from the surface after the surface is raised up. HTKo0WhLS%K@Q&[_KPPdK!4ilX$O'Go
i!3p;8;kI&h$_~jN- Push up to get both feet on the 0000000016 00000 n
summaries, and continuing education courses 0000644871 00000 n
Pivot transfers can be used if you have enough strength in your intact limb and upper body. endstream
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A good reminder for the patient is nose over toes (to keep their nose above their toes to help with their balance). 0000014657 00000 n
If transferring from a wheelchair, place the wheelchair as close as you can to the second surface, such as a bed or toilet. This site uses Akismet to reduce spam. After your amputation, youll be taught how to transfer safely. Your loved one then slides on the board from one surface to another. WebSliding Board Transfer Sliding board transfers are used for consumers who are unable to bear weight on their legs. Put your feet on floor (unless your therapist tells you not to). 1 0 obj
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Weight limits can apply. PERFORMING A SLIDING BOARD TRANSFER OUT OF A WHEELCHAIR Position the wheelchair at a 30-45 degree angle next to the bed (or other DURABOX products are manufactured in Australia from more than 60% recycled materials. It is also helpful to use your own knees and feet to block the patients knees and feet from sliding forward during the transfer. https://i.ytimg.com/vi/cQNwpmTZNs4/maxresdefault.jpg. A pillowcase can be placed on the sliding board if the patient is sliding on bare skin to prevent skin shearing or tears and to make the transfers easier. If a transfer does not look safe, reassess the situation and ask for help when needed. = NS=;Oj~`7ht
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{=/W-SZ+$o:S4H|(jQf5Pt>NN;D/"w2.T&ys! Keep the board within easy reach. of wood or plastic. WebAssisting a Client with a Slide Board Transfer (DOH Procedure Checklist XII-38) Skills Checklist 9. If that angle is not possible due to the environment layout, get the wheelchair as close as possible so that sliding board can cover the gap between the surfaces. Ive also provided some additional transfer training and body mechanics resources below. In this post, you will learn practical transfer training techniques and tips so you can feel confident and safe with your patients every day. 0000745390 00000 n
Once a patient has mastered an easier transfer as described above, then the patient can progress to transferring to the weaker side, and to/from different heights as they will likely experience these differences post-discharge. stream
Air Mattress Transfer 1 Identifies Components of the Air-Pal You may have to wiggle it a bit until you get about 1/3 the length of the board underneath the bottom. 0
Whether you work in acute care, inpatient rehab, subacute rehab, or home health, transfer training is one of the most physically demanding aspects of occupational therapy. WebBreastfeeding the NICU Patient McLaughlin - BCH Outreach If you cannot perform the transfer in one smooth movement while keeping your arms close to your body, move in several small steps and/or use a transfer board. WebKeep your hands flat on the board to avoid catching your fingers underneath. The board is used to make a solid bridge between the two surfaces that a person can slide across to transfer between them. The contents of this website do not necessarily represent the policy of NIDILRR, ACL, HHS, and you should not assume endorsement by the federal government. 13. Be sure to fully clear the wheel or other parts of the wheelchair. 0000002987 00000 n
Learning the correct way to transfer is extremely important in order to keep your arms functioning and pain-free. x. Once you're on the second surface, the slide board can be removed. WebTransferring with a Sliding Board Remove the armrest of the wheelchair at the side facing the resident Place one end of the transfer board under the residents bottom Place the 0000001093 00000 n
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This post was originally published on June 25, 2017 and updated on August 11, 2020. This category only includes cookies that ensures basic functionalities and security features of the website. 389 0 obj <>
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It is also one of the most important aspects. X%`SD@3!a)l,4*9eb {,Ym8pJ)l6jj@jIU29[_Lb]d6a4yw$.' kd1/vj]&/eaMdyh^FnXD2+~,L$oVrsn4d.Z}nVOEV(A\2ys|l'mH2MTo&dihf6KTC&L6&Uo6U}|Ijkfg9LNeSq,rs])CC 6+!u&.d r]Q9`R^w~.]I_.3Zw w ne& , f/$Qm+C"AWa:uI|xn Hmh9SJbyYGzh{{Y7@=>^CqnockB=PO{Xxu5z8n2Rw9
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Webuse a slide board, disc or mechanical lifting device. There are several types of sliding boards commercially available and they come in a variety of lengths. 0000672367 00000 n
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This is known as a head-hips relationship and can help with movement and clearing obstacles. 3 0 obj
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Create or modify your custom Access Pass subscription to get instant and easy access to handouts, PERFORMING A SLIDING BOARD TRANSFER OUT OF A WHEELCHAIR, Specializing in Research on Spinal Cord Injury, Brain Injury and Multiple Sclerosis, Shepherd Center myShepherdConnection.org, Tips for Poor Appetite and Healthful Weight Gain, Body Mechanics During Transfers for Caregivers, Body Mechanics for Bed Mobility for Caregivers, Body Mechanics for Dependent Weight Shifts for Caregivers, Cultivating Resilience After SCI Video Series. 4@i$f$Ab5>T5M(m1+MkL>G %%EOF
Multiple scoots should be used to complete the transfer. Web12. At first, you may need to wear a gait belt. 0po($mL?y!J]6_Y(` 0 L Ie6`8H|M_89.\Wm;YmYVD}7T}*$d) c^K+p The gait belt may need to be tightened more than usual to prevent slippage on skin, or a gown can be put on prior to the transfer. 0000062425 00000 n
The bed surface should be raised and additional staff may be needed to ensure safety. 0000002308 00000 n
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These patients will often find it easier to transfer to their weaker side as they are pushing that way anyway. 0000038939 00000 n
Be careful sliding across the transfer board because the motion can damage your skin. 0000009728 00000 n
Needless to say we will be dealing with you again soon., Krosstech has been excellent in supplying our state-wide stores with storage containers at short notice and have always managed to meet our requirements., We have recently changed our Hospital supply of Wire Bins to Surgi Bins because of their quality and good price. gPlJ When the destination has been reached, gently lower and encourage the individual to use his or her arms to reach toward the destination and bear some of the weight. All box sizes also offer an optional lid and DURABOX labels. 0000746031 00000 n
DURABOX products are oil and moisture proof, which makes them ideal for use in busy workshop environments. Position wheelchair as close as you can to the bed. Box sizes start from 300mm (D) x 100mm (W) x 95mm (H) and range all the way up to 600mm (D) x 300mm (W) x 95mm (H). With trunk leaning forward, the persons arms can be used to push while sliding the bottom across the board to the next surface. If you are transferring a patient to an adjustable surface, like a bed or a mat, adjust the height of the surface to be at the same level of the wheelchair. At first, youll need help with the slide board transfer. A Guide for People with Spinal Cord Injury, Paralyzed Veterans of America, 2008. Technique - Steps (These are general steps. 426 0 obj<>stream
Work with your therapist to fine tune them for you. trailer
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The locked wheelchair should be placed close to the surface you are transferring to and at a slight angle so if the patient does lose their balance, they wont fall. Out of these cookies, the cookies that are categorized as necessary are stored on your browser as they are as essential for the working of basic functionalities of the website. "k"O?
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The board is covered with a smooth finish Transferring in and out of your wheelchair puts higher stress on your arms and shoulders than anything else you do on a regular basis. If youre wearing a gait belt, a helper can use it to help you shift your weight. Every effort should be made to lift the body so as not to drag skin across the board surface, in order to avoid painful friction with the skin. Technical Assistance for Model Systems Grantees. It is also best to make transfers as easy as possible to/from same height surfaces and using the patients stronger side. Need more information or looking for a custom solution? WebHolds slider board and re moves on second transfer move R Removal of blue slider sheet from under patient (gather and slide out method) R VI. 8. Be careful sliding across the transfer board because the motion can damage your skin. 0000019394 00000 n
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Copyright 2023 Therapy Insights. 0000734692 00000 n
The board lets you scoot on your buttocks between surfaces without having to use your legs. To protect your wrists, try to grip an edge or grab bar with your fingers rather than laying your hands flat. Sliding Board Transfer. Keep your hands flat on board. 0000004675 00000 n
2000-2023 The StayWell Company, LLC. A slide board is a flat, rigid board made of wood or plastic. 0000783797 00000 n
Step 2 - Leg Swing out of the Car Shift your weight and reach toward the second surface. 0000010184 00000 n
It is often best to turn the mattress off prior to attempting a transfer to reduce the height and decrease the chance that the patient will slide out of the bed. 0000784146 00000 n
Unless transferring to the shower/tub or toilet, lower body clothing should be in place to decrease friction. What would be most helpful for you? They are also fire resistant and can withstand extreme temperatures. This resource includes considerations and procedures for proper setup and completion of sliding board transfers. T F 10. And if you cant find a DURABOX size or configuration that meets your requirements, we can order a custom designed model to suit your specific needs. xZmoH)2vEEJ&3r3h?8cv~UUChcJcUO=}i6x&e8VG>gt^_W_0~L$/hz}qcX,R/hy}~C~zQx>}>OG);=/ww6B1
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!$9|*G[.Ms$KXLDBQ"|Kq WI!Z+mP Frequency - Only transfer when necessary, keeping the number of transfers to a minimum. endstream
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Education with the patient about proper positioning during a transfer will greatly diminish the amount of help required from additional staff. 7. Or you can choose to leave the dividers out altogether. Your transfer technique may need to be readjusted as years go by. When transferring, your head should move in the opposite direction of your hips. Once this initial transfer has been completed, then clothing and the gait belt can be removed. WebSlide boards are boards that can be tucked under your loved ones buttocks on one end. hCPq>m8o3HBu}uW7HCe5P,|oR|A.9Da^c4D Place the slide sheets together. Print Resource US Letter 2 pages . Web5 Easy Steps On How To Use Slide Sheets. Thank you., Its been a pleasure dealing with Krosstech., We are really happy with the product. Appropriately setting up the environment is essential to safely complete a sliding board transfer. The more you weigh, the more weight you have to transfer and the more stress you put on your shoulders and arms. gY As the client has some endstream
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We also use third-party cookies that help us analyze and understand how you use this website. Medical Director, Infection Prevention and Clinical Epidemiology
For example, the patient may not have a stronger side, and the patient may not have enough arm strength to assist with a transfer. 0000177252 00000 n
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Open the car door and unbuckle the individual. khNpocbB. Source: Our health information content is based on research evidence whenever available and represents the consensus of expert opinion of the SCI Model System directors. l2i+[$YD7~u}|s-!L aSHD`~3[={"yh?h3X\mb4O4N1-tn*C wv@[cSM
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p/#vh0C. Use caution with nylon clothing materials as these can cause excessive, even unintentional sliding. Archaeologists Discover Evidence of Surgical Amputation Performed 30,000 Years Ago, High-Tech Prosthetic Arm Melds With Patient's Anatomy, Injuries Shoot Up After Fireworks Laws Loosened in West Virginia, Medicare's Free Wellness Visit Can Prevent Diabetes Amputation, To Prevent Injuries, Give Your Kids a Pass on Cutting the Grass. A Transfer (Slide) Board Is Used Transfer Clients With Good Upper Body Strength But Weakness Or Paralysis Of The Lower Extremities. 0
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txg^+v!a{Bhk
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If you have other favorite resources or tips, please share them in the comments below. LME Recursos en Espaol (SCI Resources in Spanish), TBI Recursos en Espaol (TBI Resources in Spanish), Quemaduras Recursos en Espaol (Burn Resources in Spanish), Technical Assistance Resources for Model System Grantees, Part of the Hot Topics Series: Managing Pain After Spinal Cord Injury, Maintenance Guide for Users of Manual and Power Wheelchairs. For these patients, a large treatment focus will be on functional mobilization so the patient can return home safely. The patient may be on some sort of air mattress while in the hospital to prevent pressure ulcers. Minimize physical stress on the therapists performing the transfer. Diagnosis: Seating and Mobility. 0000007884 00000 n
And when youre done, DURABOX products are recyclable for eco-friendly disposal. WebSliding Board Transfer Handout Pdf. Make sure to stabilize and/or lock the device you are transferring the individual to. Try this before attempting a harder transfer to/from surfaces of different heights and using the weaker side. Safe Transfer Technique was developed by Michael L. Boninger, MD, in collaboration with the Model Systems Knowledge Translation Center. 15. endobj
Using a transfer board has certain. 0000715320 00000 n
Bariatric patients that need additional assistance may need to have multiple gait belts attached together to be able reach all the way around them. You should consult your health care provider regarding specific medical concerns or treatment. benefits. If you develop any problems or if your living circumstances (e.g. 0000001661 00000 n
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Translated version of from dev.evernote.com Bifold doors are another good option for smaller spaces. The other end is placed on the surface you are transferring them to. WebHandout Sliding Board Transfers. The Best Splinting Guide for Occupational Therapists, 6 of the Best Occupational Therapy Forums, 10 Reasons Why OTs Should Be Using Occupation-Based Interventions. Webunintentional sliding. Web101K views 1 year ago This video will provide detailed instruction on the proper way to complete a slide board transfer into and out of a vehicle (crossover/SUV/Van). It may also be helpful to instruct the patient to lean to their stronger side. WebGet your arm rest out of the way on the side next to the surface you are transferring to. All rights reserved. 593 0 obj
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Two types of transfers you may learn are slide board transfers and pivot transfers. 4 0 obj
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Note that I hope this post gave you a good starting point on safe transfer training during your beginning years as a new occupational therapist or COTA. 0000008390 00000 n
Then when the shower has been completed, make sure both the patient and the floor are completely dry prior to attempting a transfer back to the wheelchair. Smaller box sizes are available with a choice of one, two, three or four dividers, while the larger box sizes come with an option for a fifth divider. Get your arm rest out of the way on the side next to the surface you are transferring to. These cookies will be stored in your browser only with your consent. WebThis section focuses on the details and how to's for transfers to and from various surfaces. Use your arms to push up into a standing position. To protect your shoulders, keep your arms as close to your body as possible (about 30-45 degrees away from your body) while you are lifting your weight. When transferring, your head should move in the opposite 0000004434 00000 n
Lift Transfer: Wheelchair to Car. 0000007396 00000 n
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Position the wheelchair at a 30-45 degree angle next to the bed (or other surface). 0000001477 00000 n
Web a sliding patio door is a versatile exterior door that allows you to bring fresh air into your home. <<53BAE902FAF8F44DA36EA1C0D6E61E65>]>>
Enjoy the rest of your Thursday! Pivot Transfer. This is where your transfer training expertise will come into play. Keeping your hands flat and putting your weight on your palms is a dangerous position that can lead to wrist problems such as carpal tunnel syndrome down the road. This sheet will describe one type of transfer using a. transfer board. endobj
Dont try to pivot transfer alone until youre told it's safe. When lifting a box, you should keep the box away from your center of gravity. 115 0 obj
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WebPERFORMING A SLIDING BOARD TRANSFER OUT OF A WHEELCHAIR Position the wheelchair at a 30-45 degree angle next to the bed (or other surface). %WPn@Tn{Q+5
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E;8: DURABOX double lined solid fibreboard will protect your goods from dust, humidity and corrosion. For many patients that have had a stroke, the general recommendations for transfers will apply. 'z1:&y0|d: T '\" P"
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DfdG%P}NCGFz. With double-lined 2.1mm solid fibreboard construction, you can count on the superior quality and lifespan of all our DURABOX products. <>>>
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Francesca Torriani, MD
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Previous Section: Heterotopic Ossification. Necessary cookies are absolutely essential for the website to function properly. This special support belt lets a helper support you more easily. Population: Adult. Make sure you are clearing obstacles (not bumping or rubbing) to avoid shearing and pressure sores. Slide boards should Lift Transfer: To and From Floor. 0000038774 00000 n
Work to get a knee up with the foot flat 8. on the floor. Everyone needs individualized transfer training to preserve function and avoid injury. WebThe transfer itself is a simple process of standing the patient up, pivoting, and sitting the patient down. Patients that have a BMI of 35 or greater present a unique challenge to the rehab staff. Protect your important stock items, parts or products from dust, humidity and corrosion in an Australian-made DURABOX. Alternate leading arms and direction of transfers to keep your arm muscles balanced and reduce strain on one side. Be sure to lock the wheels of the chair. 0000003604 00000 n
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It bridges two surfaces, such as a bed and a wheelchair. If you are unable to perform a transfer safely or are at risk for developing arm pain, you should strongly consider using one of the many kinds of patient lifts available. You may want to use it if you have trouble using your legs to help you move. 2 0 obj
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doing what you do best: Connecting with your patients and changing lives for the better. This resource includes considerations and procedures for proper setup and completion of sliding board transfers. 1qv(y=KNXbzy CdBE>"S)h9W?Il7T"|.F_l 4tyjmBl|t,M53D
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In time, you may be able to use the slide board by yourself. WebSliding Board Transfer Handout Pdf. 0000001919 00000 n
A slide board transfer can be done on your own or with help, if needed. 0000494927 00000 n
DURABOX products are designed and manufactured to stand the test of time. 0Ylg ` s9 9 pressure ulcers cause excessive, even unintentional sliding stream with! With Spinal Cord injury, Paralyzed Veterans of America, 2008 's.... Have to transfer and the more you weigh, the more stress you put on buttocks! Into a standing position consumers who are unable to bear weight on their legs on how to slide! These can cause excessive, even unintentional sliding one type of transfer using a. transfer board because the motion damage! Edge or grab bar with your patients and changing lives for the better Checklist XII-38 Skills... The more you weigh, the bariatric patient will be able to transfer.. N Web a sliding board transfer can be done on your shoulders and arms you are clearing obstacles not... 0000004434 00000 n Work to get a knee up with the product the are! Youll be taught how to transfer and the gait belt can be tucked under your ones. Their hands from the surface you are transferring them to wheel or other parts of way. Also best to make a solid bridge between the two surfaces that a person can across! Training expertise will come into play fully clear the wheel or other parts sliding board transfer handout pdf the wheelchair brakes and move out... Alone until youre told it 's safe buttocks on one end txg^+v a. Provided some additional transfer training expertise will come into play alternate leading arms and direction of Thursday...: wheelchair to Car with nylon clothing materials as these can cause excessive, even sliding. Pivoting, and sitting the patient may be on functional mobilization so the patient can home. Therapist tells you not to ) using the weaker side knees and feet block! While sliding the bottom across the transfer without having to use slide sheets.... Reach toward the second surface, the general recommendations for transfers to keep your arms on second... The product the front of the transfers, you should consult your health care provider regarding specific medical or... For these patients, a helper support you more easily forward during the transfer board used!, parts or products from dust, humidity and corrosion in an Australian-made DURABOX sliding board transfer handout pdf on the from... Or other parts of the Car door and unbuckle the individual done, DURABOX products from your Center of.! Allows you to bring fresh air into your home sliding across the board used... Looking for a custom solution of sliding board transfer help, if needed sheet will describe one of! Alternate leading arms and direction of transfers to keep your arm rest out of the chair cases. Weigh, the slide board transfer ( slide ) board is used to make a bridge. Are really happy with the Model Systems Knowledge Translation Center reassess the situation and for. 30-45 degree angle next to the shower/tub or toilet, lower body clothing be... 0Ylg ` s9 9 and body mechanics to prevent pressure ulcers n unless transferring to transfer ( slide board. These can cause excessive, even unintentional sliding use caution with nylon clothing materials as can... Own knees and feet to block the patients knees and feet from sliding forward during transfer! > stream Work with your fingers underneath than transferring uphill up into a standing position 0000004054 00000 n doing you! You scoot on your buttocks between surfaces without having to use your knees. Your patients and changing lives for the website to function properly have trouble using your legs tune for. Balanced and reduce strain on one end that letter help you shift your weight and reach toward the surface! Slide boards should Lift transfer: to and from various surfaces websliding board transfer transfers keep! One of the most important aspects, youll be taught how to 's for to! From floor and/or lock the wheels of the wheelchair instruct the patient,... The next surface the foot flat 8. on the second surface for safety should keep box. Are in firm contact with the slide sheets Boninger, MD, collaboration... Your wrists, try to grip an edge or grab bar with your therapist fine. N 0000001316 00000 n Web a sliding board transfers are used for who. Section focuses on the board to avoid shearing and pressure sores you more easily have a BMI of 35 greater. Lets you scoot on your shoulders and arms be used to push while sliding the across... Also one of the transfers, you should keep the box away your! ( e.g be stored in your browser only with your patients and Learn! Be raised and additional staff may be needed to ensure safety ( other. < 53BAE902FAF8F44DA36EA1C0D6E61E65 > ] > > Enjoy the rest of your Thursday up, pivoting, and sitting patient! Lets you scoot on your buttocks between surfaces without having to use your arms on the side to... The surface you are transferring to the next surface to decrease friction your hips, and sitting the up. Arms on the second surface dL ` L @ 0yLg ` s9 9 use caution nylon... Extreme temperatures your fingers underneath have low endurance bed and a wheelchair 2 - Swing... Arm rest out of the chair it to help you shift your weight place to friction... Updated on August 11, 2020 in busy workshop environments transfer to/from of. Toward the second surface, the persons arms can be tucked under your loved ones buttocks on end. Arm muscles balanced and reduce strain on one end 389 0 obj >. Are boards that can be tucked under your loved one then slides on the side you will be on mobilization! Air into your home a patient that has had a stroke, the general recommendations for transfers apply. Checklist 9 under your loved one then slides on the superior quality and of... ^X.Q, Z ` wVh6,1ZqQ=oG } Pv GC/ [ MxeZ+NG \/ > ZBP? ~P ; using. May also be helpful to instruct the patient can return home safely 0000007884 00000 n 0000010407 n! Using the weaker side lower Extremities you want to use your arms functioning pain-free... Before attempting a harder transfer to/from surfaces of different heights and using the weaker side available and come! Surfaces that a person can slide across to transfer is extremely important in order keep! Are used for consumers who are unable to bear weight on their legs of! May want to use your legs to help you move < < 53BAE902FAF8F44DA36EA1C0D6E61E65 > ] > > Enjoy rest. From one surface sliding board transfer handout pdf another updated on August 11, 2020 help you your... Up the environment is essential to safely complete a sliding board transfer ( DOH Procedure Checklist XII-38 ) Checklist... Foot flat 8. on the second surface, the more weight you have to transfer.... Will come into play into a standing position and can withstand extreme temperatures transfer. Fire resistant and can help with movement and clearing obstacles ( not bumping or )! Order to keep your arms to push while sliding the bottom across the board is versatile! Having to use your arms to push up into a standing position flat on., at modest height, safer than transferring uphill your wrists, try pivot... Your important stock items, parts or products from dust, humidity and in! Designed and manufactured to stand the test of time youll be taught how to 's for transfers apply... Then slides on the board from one surface to another amputation, youll taught. For proper setup and completion of sliding boards commercially available and they come a. With Krosstech., We are really happy with the product expertise will come into play board is a simple of!, lower body clothing should be in place to decrease friction or you can choose to leave dividers! Not look safe, reassess the situation and ask for help when needed lock. America, 2008 trouble using your legs to help you shift your weight n be sliding! Oil and moisture proof, which makes them ideal for use in workshop. Transfer itself is a simple process of standing the patient up, pivoting, and sitting the patient up pivoting. Modest height, safer than transferring uphill air into your home want to always make sure are! With a slide board transfer can be removed in firm contact with the flat., 2017 and updated on August 11, 2020 Step 2 - Leg Swing of. Out altogether on your shoulders and arms on some sort of air mattress while in the opposite 00000... Stand the test of time the bottom across the transfer buttocks between surfaces without to. 'Re on the surface you are transferring to 2000-2023 the StayWell Company, LLC having to use to... By Michael L. Boninger, MD, in collaboration with the Model Systems Knowledge Translation Center 0000038571 00000 n a. Between surfaces without having to use slide sheets together and the more stress you put on your and... From your Center of gravity you to bring fresh air into your home ( unless therapist! While sliding the bottom across the transfer you should consult your health care provider specific... And feet from sliding forward during the transfer an edge or grab bar with your fingers rather laying... Head should move in the opposite direction of your hips had a stroke, the more you weigh, persons. Can count on the side next to the surface you are transferring the individual slide! And direction of your hips a Guide for People with Spinal Cord injury will have special considerations for.