TRANSFERS: TOILET

It's the evening shift and your patient has just arrived on the unit. They are still in the wheelchair. You feel he/she is safe enough to transfer to the toilet. Not only that they hate bedpans. The patient would like to to use the toilet or the BSC commode. This is your chance to give your patient the... ta da.... first Toilet Transfer of his/her stay.  Follow the numbers below to see how they do. Remember it is not you doing a good job, but rather it is the burden of care we are assessing.

 How much help does your patient need to transfer to the toilet? 

TRANSFERS: TOILET: Transfers: Toilet includes safely getting on and off a standard toilet.

NO HELPER

 7 Complete Independence

If walking, patient approaches, sits down on a standard toilet, and gets up from a standard toilet. The patient performs the activity safely.

If in a wheelchair, patient approaches toilet, locks brakes, lifts foot rests, removes arm rests if necessary, and does either a standing pivot or sliding transfer (without a board) and returns. The patient performs the activity safely.

6 Modified Independence—The patient requires an adaptive or assistive device such as a sliding board, a lift, grab bars, or special seat; or takes more than a reasonable amount of time to complete the activity; or there are safety considerations. In this case, a prosthesis or orthosis is considered an assistive device if used for the transfer.

HELPER

5 Supervision or Setup—The patient requires supervision (e.g., standing by, cueing, or coaxing) or setup (positioning sliding board, moving foot rests, etc.).

4 Minimal Contact Assistance—The patient requires no more help than touching and performs 75% or more of transferring tasks.

3 Moderate Assistance—The patient requires more help than touching or performs 50 to 74% of transferring tasks.

2 Maximal Assistance—The patient performs 25 to 49% of transferring tasks.

1 Total Assistance—The patient performs less than 25% of transferring tasks.