Restorative CareQuestion 113 of 200

A CNA is preparing to perform a sit-to-stand transfer with a resident who has mild left leg weakness. Which action BEST promotes safety and resident independence?

a.Perform the transfer without a gait belt, holding the resident under both arms and lifting on the count of three so the transfer goes faster
b.Apply a gait belt, position the resident's feet flat, and have the resident push up from the bed with both hands on count of three
c.Lift the resident under the arms while telling her to relax her legs and let you work
d.Have the resident hold onto the CNA's neck and pull herself up on the count of three

Explanation

Per Title 22 CCR §72315, transfers must protect both resident and staff. The correct technique: apply a gait belt at the waist, position feet flat and shoulder-width apart, have resident lean forward (nose-over-toes), and rise on a counted cue using their own leg strength. Lifting under the arms (c) can cause shoulder dislocation and removes the active component. Grabbing the CNA's neck (d) risks cervical injury to staff. Skipping the gait belt (a) violates safe-handling policies under 42 CFR §483.25(d) (accident prevention).

Law Reference: Title 22 CCR §72315; 42 CFR §483.25(d)

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