Assisting the patient from going up and down the curb with an add on of types and parts of the wheelchair.

1. Prepared by: Jessica M. Saldana MAN., RN.,
BSN
Types and parts of wheel chair

2. Transport chair Electric wheel chair
Accessible wheel chair

3. Parts of the wheel chair

4. Prepared by: Jessica M. Saldana MAN., RN.,
BSN
Assist patient up and down the
curb (One Step)

5. Important Things to consider:
Use only for Standard Manual Wheel chair
NEVER ATTEMPT TO USE ON
Transport chair
Electric wheel chair
Accessible wheel chair

6. 1. Balancing the patient
a. Tell the patient that you will tilt him backwards.
b. Unlock the breaks and use the tip bar and bring them to a
point were they are perfectly balanced.
2. Assist the patient up the curb.
a. Patient facing the curb.
b. Roll the patient up about the bottom of the curb.
c. Inform the patient that you are going to tip him/her back
and using the tip bar, balance him/her on the rear wheels.
d. Roll the wheelchair forward until the rear wheels touch the
curb.
e. Slowly lower the front wheels on top of the curb.
f. The porter should stand sideways to the chair with the hip
underneath the chair and knees bend.
g. Patient should lean forward while the porter pushes the
wheelchair up.
h. Once on the curb, lock the wheelchair brakes.
GOING UP THE CURB

7. 1. Position the patient backwards.
2. Lock the wheel chairs brakes.
3. Turn the Anti tippers up if applicable.
4. Hold on the pushing handles.
5. Unlock the brakes.
6. Backup at the edge of the curb and ask the patient to lean
forward.
7. Porter lean sideways to the chair and put hip underneath.
8. Roll the chair backwards into the hips using your leg to slowly descent the chair.
9. Once down, turn the wheelchair to side and put the anti tripping back down (if
applicable)
GOING DOWN THE CURB

8. Assist patient up and down the
ramp

9. Goal: Learn how to correctly assist an individual on wheelchair to go up and down the
ramp.
RATIONAL: Wheelchairs are used to transport people who have trouble walking. Using
proper technique helps to keep both you and the person safe during the transfer from
bed to wheelchair.

10. ASSIST A PERSON UP THE RAMP
1. Always be behind the patient in going up the ramp.
2. Give an ample space between you and the patient to facilitate
easy pushing. (NEVER take a passenger backwards up the ramp.)
3. Hold on the push handles and push the patient up the ramp.
If the ramp is too steep, push the patient in zigzag motion.

11. ASSIST A PERSON DOWN THE RAMP
1. Position yourself at the back of the patients wheel chair
2. In pushing the patient down the ramp, the patient should
face backwards. (NEVER take the patient face first down
the ramp)
3. The porter should hold on the push handles and guide the
wheel chair backwards in going down the ramp.