Moving someone from a bed to a wheelchair safely

Helping someone from bed to a wheelchair is one of the moves family caregivers do most, and one of the easiest ways for either person to get hurt. Done the same careful way every time, it becomes safe and routine. This note walks through the pivot transfer step by step.

First, is this the right move?

This pivot transfer works only if the person can stand on at least one leg; if they can’t, use a lift.¹ Get help if they can only take small steps or can’t support their weight.¹

Set up

Clear loose rugs, and put non-skid socks or shoes on the person if the floor is slippery.¹ Explain each step.¹ Park the wheelchair next to the bed, side by side or at a slight angle, set the brakes and swing the footrests out of the way.¹

Sit up first

Roll the person onto the side nearest the chair, then, with one arm under their shoulders and one behind their knees, swing their feet off the bed and help them sit up.¹ Let them sit a few moments in case they feel dizzy.¹ Lower the bed so their feet touch the floor.¹ If you have a gait belt, put it on now for a secure grip.¹

The pivot

Stand close, and hold the gait belt or lock your hands behind their back.¹ They can hold on to you or reach for the chair, but never around your head or neck.¹ Brace their outside leg between your knees.¹ Bend your knees and keep your back straight.¹ Count to three out loud and stand together while they push off the bed.¹ Pivot toward the chair, moving your feet so you don’t twist.¹ When the backs of their legs touch the seat, bend your knees and lower them as they reach for the armrest.¹

If they start to fall

Don’t try to hold them up. Lower them to the nearest flat surface: the bed, a chair or the floor.¹ Call their provider after any fall.¹

Help at home

A home health physical or occupational therapist can teach the safest transfer for your loved one and your home, and suggest equipment such as a gait belt or a lift.