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SKILL 12 – TILT POSITION
SKILL 13 – ASCENDING/DESCENDING A CURB (FORWARDS)
SKILL 14 – ASCENDING/DESCENDING A CURB (BACKWARDS)
Skills Sheet – Tilt Position
Completes Successfully?
Step
Yes
No
1. Informs the patient of the procedure
2. Places the chair directly in front of him/her
3. Places foot on tilt bar
4. Pushes on tilt bar and pulls on handles until chair is
balanced over rear wheel.
Instructor Signature: _________________________________________ Date: _____________
Skills Sheet – Ascending a Curb (Forwards)
Completes Successfully?
Step
Yes
No
1. Informs the patient of the procedure; positions chair directly in front of
curb
2. Places chair in tilt position
3. Pushes rear wheels up to curb and rests front casters on top of curb
4. Pushes rear wheels up the curb and wheels chair away from curb
REVERSE OPERATION
5. Lines rear wheels up with curb
6.. Gently rolls rear wheels down the curb
9. Rolls chair way from curb
10. Gently places front casters on ground
Instructor Signature: _________________________________________ Date: _____________
Skills Sheet – Ascending a Curb (Backwards)
Completes Successfully?
Step
Yes
No
1. Informs the patient of the procedure
2. Positions chair’s back in front of curb
3. Places chair in tilt position
4. Pulls the chair up the curb
5. Pulls chair back until he/she can see curb over patient’s feet
6. Gently places front wheels on ground using tilt bar.
REVERSE OPERATION
6. Lines chair up with curb
7. Places chair in the tilt position
8. Gently rolls chair down curb
9. Lays front casters down gently
Instructor Signature: _________________________________________ Date: _____________