Ft Worth Southwest Nursing Center

not used with transfers was injuries such as broken bones due to falls. In an interview on 09/24/2025 at 12:49PM with the DON revealed that his expectation was that staff used a gait belt with all transfers. He stated that the risk to the resident was fall, injury to the resident and the staff and skin issues. He stated that staff had been in-serviced on safe transfers and the use of gait belts with all transfers unless contraindicated. He stated that Resident#1 had no restrictions for gait belt use.

Record review of the facility's policy, revised 06/2020, and Titled Transfer of Residents Reflected: To provide the form of transfer best suited to the residents' needs and to maintain resident safety during the procedure. i. A Licensed Nurse and/or the Director of Rehabilitation Services assess and determine lifting and transfer requirements, and the procedure used for each resident. the procedure is recorded in the residents ‘s care plan. ii.

Residents must be lifted or transferred according to the determined procedure. iii.

Residents who require assistance in transferring will be transferred using a gait/transfer belt or with a lift. iv.

Member of the Nursing Staff are trained to use good body mechanics, knowing the proper procedures and properly operating assistive devices. v.

Mechanical lift procedures are used on any resident unable to independently pivot or transfer. B.

Two-Person Assisted Transfer i.

Place the chair on the convenient side of the bed with the back of the chair parallel to the foot of the bed and facing the head of the bed. ii. If using a wheelchair, make sure footrests are not in the way and wheels are locked. iii.

Place appropriate pressure-reducing devices into chairs. iv.

Turn residents onto their side and pivot the residents to sitting positions, with legs dangling over the side of bed. v.

Assist residents in daily attire as requested. vi.

May apply gait belt (unless contraindicate) around residents' waist securely enough to prevent sliding up over ribs. vii.

Each person will stand facing the resident with one on either side of the resident. viii.

Provide a broad base of support by spreading feet and placing foot farthest from the resident slightly in front of the other. ix.

Each person will extend their arm closest to the resident forward between the resident side and elbow.

With fingers pointing downward, grasp the gait belt firmly. x.

Instruct the residents to place their hand between your body and your arm grasping the gait belt holding onto the back of your upper arm, if used. xi. On a verbal command, draw the resident gently but firmly forward and upward to a standing position, brace his knee with yours to prevent buckling. xii.

Pivot or turn the resident so that their back is towards the chair. xiii.

Remove gait belt, if used xiv.

Make sure the resident is comfortable. xv.

Utilize Postural support and/or positioning devices per attending Physician order and resident need. xvi.

Make sure the call bell is within residents reach before leaving.

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