When transferring a resident from bed to chair which muscle should you use to maintain proper body mechanics?

General Considerations

• Allow the patient to help as much as possible.
• Estimate the patient’s weight and mentally practice. 
• Make sure that the floor is free of any obstacles or liquids.
• Keep your feet shoulder width apart. 
• Keep the person (or object) as close to your body as possible.
• Tighten your stomach muscles.
• Bend knees and hips, and keep your back straight throughout the movement. 
• Lift with your legs, NOT your back. 
• Do not twist your back as you lift. To turn when lifting, pivot your feet.
• If you have doubts, ASK FOR HELP! 

Key Points for Body Mechanics During Transfers

•  Use proper body mechanics
  • The preferred position for assisting during depression or sliding board transfers is to kneel, using a pillow or towel roll under the knee for comfort.
• Keep your back straight throughout the transfer to avoid bending or straining your back. 
  • Get as close to the person as possible while still allowing him/her to lean forward as needed to assist with the transfer.

FULLY DEPENDENT TRANSFERS:

(Caregiver is standing)

•  Position patient appropriately for transfer
• While standing in front of patient, maintain proper posture with your back straight and knees bent. Hold a strong abdominal contraction.
• Position your body close to your loved one to decrease strain on your back.
• Before movement, contract your abdominal muscles to protect your back.
• Use your knees and your lower body during transfer to decrease strain on your back.

 ASSISTED TRANSFERS:

(Caregiver is kneeling)

• This is an alternative position that can be assumed when your loved one is able to assist.
• While kneeling, maintain proper body mechanics, including keeping your back straight and keeping your loved one close to your body. Avoid twisting your back throughout the motion.

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