When preparing for a transfer with a gait belt, which safety steps should you perform first?

• A. Lock the bed brakes, bring the resident to the edge of the bed, place the gait belt around the waist over clothing, check fit, and ensure you have a firm stance before assisting.
• B. Place the gait belt before locking bed brakes
• C. Stand back while you place the resident in a chair
• D. Check fit of gait belt after assisting transfer

Answer: (A)

The key is establishing a safe, stable setup before guiding the resident through the transfer. Locking the bed brakes first prevents any movement of the bed or chair, creating a fixed base so you won’t have to chase or catch a shifting surface during the transfer. Then bringing the resident to the edge of the bed positions them for a controlled, efficient move with less distance to cover. Placing the gait belt around the waist over clothing ensures you have a reliable grip without tugging on bare skin, and it helps keep the belt secure during the transfer. Checking the fit afterward guarantees the belt is snug enough to control movement without being restrictive, so you can safely assist. Finally, establishing a firm stance with proper body mechanics gives you a stable base and protects your back while you help the resident transfer. This sequence minimizes risk of slips, loss of balance, and injury for both of you.