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SKILL 9 – SLIDING BOARD TRANSFER
SKILL 10 – ASSISTED LATERAL TRANSFER
SKILL 11 – VISUAL IMPAIRED ASSIST
Skills Sheet – Sliding Board Transfer
Completes Successfully?
Step
Yes
No
1. Informs the patient of the procedure; Places wheelchair at 90 degree
angle with chair.
2. Sets brakes and removes arms and legrests from wheelchair.
3. Bridges both chairs with sliding board insuring that approximately one
quarter of the board is under the patient.
4. Insures chairs don’t move and patient does not fall. Assists patient to
slide if necessary.
Instructor Signature: _________________________________________ Date: _____________
Skills Sheet – Two Arm Assist
Completes Successfully?
Step
Yes
No
1. Informs the patient of the procedure; Removes arm
and leg rests from wheelchair; Stands with one foot
behind each chair.
2. Has patient cross arms and lock hands tightly
3. Places arms under patient’s shoulders and grasps
patient’s forearms.
4. Lifts patient from one chair to another while keeping
back straight.
Instructor Signature: _________________________________________ Date: _____________
Skills Sheet – Visually Impaired Assist
Completes Successfully?
Step
Yes
No
1. Informs the patient of the procedure
2. Positions body one step ahead of patient on side
opposite of white cane
3. Describes ground surface, changes in elevation, and
objects in path as he/she walks
4. Touches patient’s hand to seat, door frame, and top of
door when seating patient into vehicle
7. Protects patient’s head as he/she enters vehicle
Instructor Signature: _________________________________________ Date: _____________