What are the steps for performing a stand-pivot transfer?

A stand-pivot transfer begins by placing the chair on the person's strong side, locking the wheels, and lowering the bed so the feet can rest flat. With a transfer belt applied, the person leans forward and pushes off the mattress on the count of three while the nursing assistant blocks the weaker leg and pulls the person to a standing position. The person is then pivoted so the legs touch the chair and he or she can grasp the far arm before being seated.

The evidence describes the stand-pivot transfer through general safety steps and the procedure for moving a person from bed to a wheelchair. First, follow the care plan, use a gait/transfer belt with handles, and place the chair near the head of the bed on the person's strong side, with the chair facing the foot of the bed and the chair arm almost touching the bed. Lock the wheelchair wheels, raise the footplates, move the front rigging out of the way, lower the bed to its lowest position, and lock the bed wheels. Help the person sit at the edge of the bed with footwear on and feet flat on the floor, then apply the transfer belt. Stand in front of the person and have the person hold the mattress and lean forward. Prevent the person from sliding or falling by blocking the knees and feet, using one leg to block the weak leg or foot, or straddling the weak leg. Explain that you will count to three and the move will happen on three. On three, the person pushes down on the mattress and stands while you pull on the transfer belt and straighten your knees. Support the person in the standing position, then turn or pivot the person so he or she can grasp the far arm of the chair and so the legs touch the edge of the chair, positioning the person for sitting. The evidence also notes that if no transfer belt is used, which is only done when the nurse and care plan direct it, you place your hands under the person's arms and around the shoulder blades and use the same standing and pivot steps.