CNA Skills # 5 : Prepare to Stand the Resident Using a Gait Belt

1. Perform "opening procedure" (includes hand hygiene).
2. Gather belt and place chair close enough to side of bed before resident sits up/dangles.
3. Apply belt and make all belt adjustments while resident seated on bed or lying on bed.
4. Raise HOB fully to assist resident to a sitting position.
5. Lower side rail nearest to chair.
6. To Dangle : place one arm behind resident's back and the other arm under the thighs.
7. Encourage resident to assist in turning to a dangling position, verifying feet flat on the floor.
8. Assist resident with robe and non-skid shoes (never leave bedside while resident dangling).
9. Securely fasten belt snugly around resident's waist. Ask resident if dizzy prior to transfer.
10. Place your knee, (further from chair), between resident's knees.
11. Maintain a secure, underhand (palms-up) grasp to hold belt, using 2 hands at all times.
12. May instruct resident to assist (to stand) by having resident press hands on mattress.
13. On the count of "three", assist resident to stand up, maintaining palms-up grasp on belt.
14. If belt losses upon standing, assist resident to sit on the bed for all belt adjustments.
15. Assist resident to turn/pivot while moving feet along with resident, until right in front of chair.
16. Lower resident into chair, then release your 2-handed grasp. Leave gait belt on.
17. Provide a lap blanket.
18. Perform "closing procedure" (includes hand hygiene).