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2

Safe Lifting, Moving, and Positioning

This safety-critical module covers the essential techniques for safely moving and positioning an elderly person. Incorrect technique is the leading cause of caregiver back injuries and client falls.

5-6 hours CORE - Safety-Critical Safety-Critical Not Started

Learning Objectives

1
Demonstrate correct body mechanics for lifting (wide base, bent knees, straight back, load close to body)
2
Perform a one-person bed-to-chair transfer safely, narrating each step
3
Perform a chair-to-standing assist using proper hand placement and body positioning
4
Demonstrate the floor recovery technique (helping someone who has fallen get up safely)
5
Explain why dragging, pulling from arms, or bending at the waist causes injury
6
Identify at least 3 situations where you should NOT attempt a transfer alone
7
Demonstrate adapted transfer techniques using locally available items

Educational content only. This training material is for informational purposes. Always follow your employer's specific protocols and consult qualified medical professionals for clinical guidance.

Module 2 Learning Material

Why Safe Moving Matters

Transfers and repositioning are the most physically demanding part of caregiving. Done incorrectly, they cause two kinds of harm: back injuries to the caregiver, and falls or injuries to the person being moved. Every technique in this module exists to protect both of you.

Body Mechanics - The Foundation

Before learning any transfer technique, you must understand how to protect your own body:

  • Wide base of support - feet shoulder-width apart, one foot slightly ahead
  • Bend your knees, not your back - your legs are much stronger than your back
  • Keep the person close to your body - the further away the load, the greater the strain
  • Tighten your core muscles - this protects your spine
  • Never twist while lifting - move your feet to turn, not your spine

Bed-to-Chair Transfer

  1. Tell the person what you are about to do. Get their agreement and cooperation.
  2. Position the chair at a slight angle to the bed, as close as possible.
  3. Help the person sit up on the edge of the bed with feet flat on the floor.
  4. Stand facing the person. Place your feet either side of their feet.
  5. Bend your knees. Place your hands on their waist or use a transfer belt.
  6. On the count of three, help them stand by straightening your legs (not your back).
  7. Once standing, pivot slowly toward the chair.
  8. Lower them gently by bending your knees as they sit.

Floor Recovery After a Fall

If someone has fallen, do NOT rush to lift them. First, check for injury. If they are in pain, do not move them - call for medical help. If they are uninjured:

  1. Place a sturdy chair nearby.
  2. Help them roll onto their hands and knees.
  3. Guide them to place their hands on the chair seat.
  4. Help them bring one foot forward, then push up using the chair for support.
  5. Guide them to turn and sit in the chair.

When NOT to Transfer Alone

Never attempt a solo transfer when:

  • The person is much larger or heavier than you
  • The person cannot bear any weight on their legs
  • The person is confused, agitated, or uncooperative
  • You are feeling unwell, tired, or in pain
  • The floor is wet or the environment is unsafe

Local Adaptations

When specialised equipment is not available:

  • A folded chitenge cloth (at least 10cm wide) can serve as an improvised transfer belt
  • A sturdy wooden or plastic chair with armrests provides good support for transfers
  • Ensure the floor is dry and the path is clear before any transfer
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