Transfer training, levels of assist, WB levels

What are the main purposes of transfers

Independence, mobility, environmental access, caregiver training.

What should be assessed before a transfer

Weight bearing, precautions, PLOF, current function, balance, cognition, cooperation, diagnosis.

What does PLOF mean

Prior level of function.

How is PLOF primarily determined

Patient interview and other resources.

What abilities are preferred for independent transfers

Cognition, sitting balance, 3+/5 strength.

What is weight-bearing STATUS

Physician-ordered restriction.

What is weight-bearing ABILITY

What the patient demonstrates.

What is FWB

Full weight bearing.

What is WBAT

Weight bearing as tolerated.

What is PWB

Prescribed percentage or pound limit.

What is TTWB

Foot down for balance; weight of leg.

What is TDWB

Minimal weight for balance.

What is NWB

No weight permitted.

What should you do if weight-bearing orders are unknown

Find out before treating.

What are the 9 levels of assistance

Independent, Mod I, Supervision, SBA, CGA, Min A, Mod A, Max A, Dependent.

What is Independent

Safe without help or devices.

What is Modified Independent (Mod I)

Independent with device or extra time.

What is Supervision

Verbal cues or setup; no physical help.

What is Stand-By Assist (SBA)

Within reach; no physical contact.

What is Contact Guard Assist (CGA)

Physical contact for balance; no lifting.

What is Minimal Assist (Min A)

Up to 25% assistance.

What is Moderate Assist (Mod A)

26–50% assistance.

What is Maximal Assist (Max A)

51–75% assistance.

What is Dependent/Total Assist

76–100% assistance.

Does the number of helpers determine the assistance level

No.

What determines Min, Mod, Max, or Total Assist

Percentage of assistance provided.

What equipment is mandatory for your transfer skills checks

Gait belt.

What footwear should a patient wear during transfers

Shoes or nonskid socks.

What should be done to wheelchair brakes before transferring

Lock them.

What should be moved out of the way on a wheelchair

Leg rests and armrests as needed.

What should be checked in the environment before transferring

Obstacles, tubing/lines, equipment, brakes.

What are key transfer body mechanics

Wide BOS, low COG, neutral back, stay close.

What movement should be avoided when lifting

Lifting and twisting.

Why use a wide base of support

Increase stability.

Why lower your center of gravity

Increase stability.

Where should your center of gravity be relative to the patient

Close to the patient.

What should you do before executing a transfer

Explain, instruct, demonstrate, answer questions.

What patient body parts should be positioned before transferring

Buttocks, hands, and feet.

What are key control points during transfers

Shoulder, trunk, hip, gait belt.

What should you do after completing a transfer

Reposition for safety, stability, comfort.

What is the sit-to-stand sequence

Scoot → feet back → lean forward → push → stand.

Where should the feet be for sit-to-stand

Behind knees and flat on floor.

Why does the patient lean forward during sit-to-stand

Shift COG over feet.

What is the stand-to-sit sequence

Legs touch surface → reach back → slowly lower.

What should touch the chair/bed before sitting

Back of the legs.

What is the main difference between squat and stand pivot

Squat = stays squatted; stand = stands.

Which side should a patient transfer toward first

Stronger side.

What is the cue for a pivot transfer

Stand → turn → reach → sit.

Why would you block a patient's knee

Prevent knee buckling.

What is a step pivot transfer

Pivot requiring 1–3 feet of walking.

What is another name for a transfer board

Sliding board.

What is the transfer-board sequence

Scoot → lean away → place board → scoot across → remove.

Where is the transfer board placed

Under buttocks/upper thigh.

What should the patient NOT do with their fingers on a transfer board

Grab underneath it.

Why shouldn't fingers go under a transfer board

They can be crushed.

What is a depression lift transfer

Arm push-up transfer without a board.

What does the patient use during a depression lift

Upper extremities.

How does the patient move during a depression lift

Push up and scoot sideways.

What surfaces are appropriate for a depression lift

Level or downhill surfaces.

A depression lift is often a progression from what

Sliding-board transfer.

What mechanical lifts are listed in the PowerPoint

Hoyer and sit-to-stand lift.

Mechanical lifts are commonly associated with what assistance level

Dependent/Total Assist.

What is the purpose of a sit-to-stand lift

Move a patient who cannot currently walk.