Transfers are one of the most common — and most dangerous — tasks a PSW performs. Done wrong, they injure both you and the client. Done right, they protect everyone. This is heavily tested on the exam.
Before Any Transfer
- Check the care plan for the approved transfer method.
- Explain what you are doing and get the client's cooperation.
- Lock all wheels on beds, wheelchairs, and lifts.
- Lower the bed and clear the path.
- Wear non-slip footwear and keep a wide, stable stance.
Using a Transfer Belt
A transfer belt (gait belt) goes around the client's waist over clothing. You grip the belt — never the client's arms or under their arms — to guide them. It gives you control and protects the client's shoulders.
Using a Mechanical Lift
- Always use two staff members for a mechanical lift.
- Position the sling correctly under the client.
- Attach all sling loops securely before lifting.
- Raise slowly and watch the client's comfort and safety.
- Never leave a client unattended in a lift.
Protect Your Back
Bend at your knees, not your waist. Keep the client close to your body. Never twist while lifting — turn your whole body with your feet. Your back is the most common PSW injury, so good body mechanics protect your whole career.
🔑 Key Takeaways
- Always follow the care plan's approved transfer method.
- Grip the transfer belt, never the client's arms.
- Mechanical lifts need two staff and never leave a client unattended.
- Bend your knees, keep the load close, never twist.