8.12 Skills Checklist: Ambulation From Wheelchair

1. Gather Supplies: Gait belt, wheelchair, nonskid footwear, and assistive devices if needed (walker or cane)

2. Routine Pre-Procedure Steps:

• • Knock on the client’s door.
  • Perform hand hygiene.
  • Introduce yourself and identify the resident.
  • Maintain respectful, courteous, and professional communication at all times. Provide for privacy.
  • Provide for privacy. Explain the procedure to the client.
  • Explain the procedure to the client.

3. Procedure Steps:

• • Check the brakes on the wheelchair to ensure they are locked.
  • Verify the resident is wearing nonskid footwear.
  • Properly place the gait belt around the resident’s waist.
  • Check the gait belt for tightness by slipping your fingers between the gait belt and the resident.
  • Ask the resident if they feel dizzy or light-headed.
  • Face the resident and place each of your feet in front of the resident’s feet to prevent them from slipping.
  • Instruct the resident to push up on the wheelchair arms on the count of three to assist with standing.
  • Count to three and assist the resident to a standing position.
  • Provide the resident’s assistive device, as needed.
  • Move to the weak side of the resident, slightly behind them. Hold the gait belt with your palms and fingertips pointing upwards.
  • Stabilize the resident as they ambulate for the desired duration.
  • Assist the resident to pivot/turn in front of the wheelchair.
  • Ensure the wheelchair brakes are locked.
  • Instruct the resident to grasp the arms of the wheelchair when the back of their knees touch the wheelchair seat.
  • Assist the resident to a seated position in the wheelchair.
  • Remove the gait belt.
  • Release the wheelchair brakes.

4. Post-Procedure Steps:

• • Check on resident comfort and ask if anything else is needed.
  • Ensure the bed is low and locked. Check the brakes.
  • Place the call light or signaling device within reach of the resident.
  • Open the door and privacy curtain.
  • Perform hand hygiene.
  • Document and report any skin issues, pain with movement, or any other changes noted with the resident.