Transfer from bed to wheelchair using a gait belt: CNA skills test steps

Steps

KEYmarks 9 steps that candidate handbooks commonly treat as critical. Missing a critical step usually fails the skill.

1. 1Knock, introduce yourself by name and title, and greet the resident by name.
2. 2Identify the resident (for example, check the name band or ask the resident to state their name) per facility policy.
3. 3Explain the procedure in simple words and ask the resident to help as much as they are able.
4. 4Key step: Provide privacy: close the door and pull the curtain.KEY
5. 5Key step: Perform hand hygiene before touching the resident.KEY
6. 6Key step: Place the wheelchair next to the bed, angled toward the bed on the resident's stronger side; fold back or remove the footrests.KEY
7. 7Key step: Lock the wheelchair brakes and the bed wheels.KEY
8. 8Lower the bed so the resident's feet will rest flat on the floor when sitting on the edge.
9. 9Help the resident sit on the edge of the bed and pause to check for dizziness.
10. 10Key step: Put nonskid footwear on the resident.KEY
11. 11Key step: Apply the gait belt snugly over clothing at the waist; you should be able to slide flat fingers under it.KEY
12. 12Key step: Stand facing the resident, feet apart, knees bent, and grasp the belt from underneath with both hands.KEY
13. 13Brace the resident's weaker knee if needed, and agree on a count (for example, on three) to stand.
14. 14Help the resident stand, then pivot together toward the chair until the backs of their legs touch the seat.
15. 15Have the resident reach for the armrests and lower them gently into the chair, keeping your back straight.
16. 16Make sure the resident is positioned well back in the seat, aligned and comfortable; replace footrests and place feet on them.
17. 17Remove the gait belt.
18. 18Key step: Place the call light and personal items within the resident's reach.KEY
19. 19Key step: Open the privacy curtain, perform hand hygiene, and report anything unusual to the nurse.KEY