- Position client onto their side.
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Lie to sit transfer - SWI 008 2013
This information is a guide only for use by non-government organisations and service providers as a training tool (supplementary to training) and is not intended as medical or professional advice. Users must seek appropriate medical or professional service. The State Government of South Australia accepts no responsibility for the suitability or completeness of the information and expressly disclaims all liability for any loss or damage arising from reliance upon any of the information.
Stop, Think, Assess, Review
Stop before you begin, you must review the support plan of the client being assisted.
Think about the task, any equipment needed and the readiness of the client. Think about other options if this task cannot be done safely.
Assess the client by watching/talking to them to see if they are willing and able to participate in the task.
Review other options available if client not ready for task. Talk to supervisor/manager about other options.
- Muscular or soft-tissue injury to client from incorrect handling, movement or posture.
- Muscular, soft-tissue or skeletal injury to workers from incorrect movement, posture, over-reaching or lifting the weight of the client.
- Client falling from bed.
To prevent risk of injury to workers or clients during this manual task:
a. Follow all steps of this Safe Work Instruction (SWI).
b. Task as shown requires one worker to complete (refer to Client support plan).
c. Be aware of movements during task, do not exceed your ability.
d. Communicate with client and any other workers at every step of this task.
- Refer to client's support plan for specific information.
- Ensure handling is done with flat open hands (not grasping with opposing thumb and fingers).
- If bed has brakes, check these are on.
- Assist the client to roll on to their side, facing worker.
- Slide client's legs off bed.
- Move into position in front of client, to reassure them they will not fall out of bed.
- Place flat palm at front of client's hip joint (refer diagram).
- Use free hand to grasp underside of lower thigh, then slide client's legs forward toward worker's body, allowing lower legs to slide off the bed.
- Worker to reposition themselves in front of client.
- Facing client, now place hand nearest their knee onto the front of their hip joint, using a flat palm (refer diagram).
- Place other hand underneath client's neck and on upper shoulder, to support the client's head.
- Worker to prepare to move client.
- With hands still in place from Step 3, pivot your body so hips are facing down the bed.
- Feet should be facing towards the foot end of the bed.
- Adopt stance as in diagram.
- Worker to assist client into sitting position.
- Lunge forwards, leaning weight through the hand on client's hip to enable the effect of sitting up.
- Keep other hand and arm in place to support client's head and neck.
- Client can assist if possible using own hands/arms to sit up.
- Maintain sitting position for client.
- Assess client after sitting up.
- Make sure client is stable in sitting position before removing your hands.
- If client needs further assistance, leave hands in place to help them sit, and continue with the next task required.
- If client unable to be safe in the sitting position, lower back down and secure client back on bed.
- Safely conclude task.
- Make sure client is comfortable and safe.
- Document any incident and report to supervisor immediately.
Attribution: Department of Human Services, the Government of South Australia, "Lie to sit transfer - SWI 008 2013", Sourced on 9th Dec 2019, (https://dhs.sa.gov.au/about-us/publications/safe-work-instructions/lie-to-sit-transfer)'