Transfer Belt

What Is a Transfer Belt?

A transfer belt and a gait belt are the same device, used for the same purposes. The term "transfer belt" emphasizes its use during patient transfers (bed to wheelchair, wheelchair to toilet, etc.), while "gait belt" emphasizes its use during walking (ambulation). The resident must be assessed for the appropriate device, weight-bearing ability and required staffing.

Common Transfer Types Using a Transfer Belt

Steps for a Bed-to-Wheelchair Transfer

1. Check the transfer plan, weight-bearing ability and required staff/equipment; explain the procedure
2. Position the wheelchair at a 45-degree angle to the bed, on the patient's stronger side; lock the wheels; fold up footrests
3. Apply the transfer belt over clothing, snug at the waist, buckle off-center
4. Assist patient to sitting position on edge of bed; allow time to prevent orthostatic hypotension
5. Patient places feet flat on floor with non-skid footwear
6. CNA stands facing the patient, feet shoulder-width apart, knees slightly bent
7. Grip the belt from underneath (underhand grasp) on both sides
8. On the count of three: Patient pushes up from the bed while CNA assists to standing using the belt
9. Patient pivots toward the wheelchair (turning toward their stronger side)
10. CNA guides patient down into the wheelchair using the belt
11. Position patient properly in wheelchair; apply footrests
12. Remove the transfer belt

Safety During Transfers

• ALWAYS lock wheelchair wheels before a transfer
• Fold up footrests to prevent tripping
• Use non-skid footwear on the patient
• Transfer toward the patient's stronger side when possible
• Use proper body mechanics: wide base of support, bend knees, keep patient close
• Never pull the patient by the arms or clothing (use the belt)
• If patient starts to fall: bend your knees, widen your base, ease them to the nearest safe surface

Exam Alert

Transfer belt = gait belt (same device). Lock wheelchair wheels and fold footrests before every transfer. Apply belt snugly over clothing, grip from underneath. Transfer toward the patient's stronger side. Use proper body mechanics. If patient begins to fall, guide them safely to the nearest surface. NEVER grab the patient by their arms or clothing.

A gait belt is not a substitute for a mechanical lift in a dependent transfer and is not used to lift the full body weight. Check abdominal wounds, devices and other contraindications with the nurse. Official guidance.