When transferring a resident from bed to chair using a gait belt, what is a critical action to perform first?

• A. Place chair close to bed and apply the gait belt around the resident's waist over clothing
• B. Stand on the far side of the bed
• C. Remove the resident's shoes
• D. Loosen the gait belt completely before transfer

Answer: (A)

The key idea is to prepare the transfer setup so you have a secure grip and a stable path for the move. Placing the chair close to the bed reduces how far you and the resident have to move, which lowers the risk of falls, and applying the gait belt around the resident’s waist over clothing gives you a firm, safe point to hold onto during the transfer. This belt should be snug but not tight, and it should sit over clothing to protect the skin and avoid grabbing bare skin. Standing on the far side would limit your control and increase danger, removing the shoes isn’t a necessary first step for safety during this transfer, and loosening the gait belt before moving would remove the essential support you need to guide and pivot the resident safely.