5.2 Body Mechanics, Transfers, and Gait Belt
Key Takeaways
- Good body mechanics protect both the resident and the CNA.
- Use a wide base of support, bend at the knees, keep the resident close, and avoid twisting.
- Lock bed and wheelchair brakes before transfers.
- A gait belt supports the resident at the waist; it is not a lifting handle for dragging.
- If a resident starts to fall, ease the resident to the floor and call for help.
Safe Movement
Transfers are high-risk because the resident and CNA are both moving. The care plan determines the correct assistance level: independent, standby assist, one-person assist, two-person assist, mechanical lift, or no transfer without nurse direction.
Body Mechanics Basics
Use these rules:
- Keep feet apart for a wide base.
- Bend knees, not the waist.
- Keep your back aligned.
- Hold the resident close to your center of gravity.
- Pivot with your feet instead of twisting.
- Push, pull, or slide instead of lifting when safe and allowed.
- Ask for help before the move becomes unsafe.
Gait Belt Steps
A gait belt is commonly used for standing, pivoting, and ambulation.
| Step | Reason |
|---|---|
| Explain the transfer | Reduces fear and improves cooperation |
| Apply non-skid footwear | Prevents slipping |
| Lock bed and wheelchair | Prevents rolling |
| Ensure feet are flat | Improves stability |
| Apply belt snugly over clothing | Provides control without skin injury |
| Stand in front or slightly to weak side | Supports balance |
| Use upward grasp | Helps stabilize trunk |
If A Resident Begins To Fall
Do not try to hold the resident upright by force. Protect your back and the resident by widening your stance, supporting the resident close to you, and easing them to the floor if possible.
Call the nurse and stay with the resident.
Common Exam Traps
Wrong answers include pulling under the arms, transferring with unlocked wheels, twisting your back, ignoring dizziness, or using a lift without training.
The best answer follows the care plan and asks for help when needed.
Before transferring a resident from bed to wheelchair, what must the CNA do?
Where is a gait belt placed?