Nursing Home Design Guide
2006
For Staff Assistants
Stand with feet apart and securely
Residents are transferred by either
bend in the floor area, free of
one or two assistants, who should be
encumbrances from base cabinets,
able to assist weight bearing
floor mounted rails, projections from
residents with transfer and safe lift
the toilet, or obstacles from walls,
use.
rails, vanity tops or other fixtures;
Door Operation and Entry
Get by the resident and/or device in
Staff should be able to open the door
order to perform personal care;
in a safe and efficient manner and
Use sanitary products, hand-wash,
close it prior to toileting a resident.
bag and dispose waste, and operate
The entry should be wide enough to
the door with minimal repositioning
allow staff to push the resident in,
of the resident, lift or wheelchair.
move around beside the resident in
(See Figure 3.7)
the wheelchair, and close the door
before providing transfer assistance.
Assisted Transfer of Weight-Bearing
Residents
Open space should accommodate a
safe initial wheelchair position in
preparation for transfer, sufficient
area for both the resident and staff to
safely stand, and open floor area for
the resident to pivot onto the toilet.
Staff should be able to assist
residents onto the toilet, unimpeded.
Floor area should allow the chair to
be wheeled diagonally to the toilet,
Figure 3.7
permitting sufficient floor space to
stand.
Assisted Toilet Transfer Challenges
Accommodating Mechanical Lift
Action
6. Materials Management
Use of lifts in closed and open
Necessary cleaning supplies should be
positions and space for staff
conveniently stored in secure areas.
footwork must be accommodated
Staff or residents should be able to
within the closed bathroom space.
appropriately dispose of soiled items,
The lift should be within easy reach
such as in plastic bags, without placing
while the resident uses the toilet.
goods or matter directly onto any
Staff should not be required to hoist
surface. Soiled items should be stored
or lift the backs of wheelchairs.
in appropriately covered containers in
areas off the main corridor.
5. Staff Assisted Transfers
During lift or wheelchair use for each
3.2.3 Design Considerations
type needed, staff should be able to do
the following:
Many authorities and regulators are
familiar with ADAAG and ANSI A117.1,
which focus on self-toileting. A number
Office of Facilities Management
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