ASSIST TO AMBULATE

1. Explains procedure, speaking clearly, slowly and directly, maintaining face-to-face contact whenever possible
2. Before assisting to stand, candidate ensures client is wearing shoes
3. Before assisting to stand, bed is at a safe level
4. Before assisting to stand, checks and/or locks bed wheels
5. Before assisting to stand, client is assisted to sitting position with feet flat on the floor
6. Before assisting to stand, applies transfer belt securely over clothing/gown
7. Before assisting to stand, provides instructions to enable client to assist in standing including prearranged signal to alert client to begin standing
8. Stands facing client positioning self to ensure safety of candidate and client during transfer. Counts to three (or says other prearranged signal) to alert client to begin standing
9. On signal, gradually assists client to stand by grasping transfer belt on both sides with an upward grasp (candidate’s hands are in upward position) and maintaining stability of client’s legs
10. Walks slightly behind and to one side of client for a distance of ten (10) feet, while holding onto the belt
11. After ambulation, assists client to bed and removes transfer belt
12. Signaling device is within reach and bed is in low position
13. Washes hands