PROCEDURAL STEPS 1. Performed hand hygiene. 2, Reviewed medical record for patient’s weight, height, strength, cognition, pain level, and balance during previous transfer; performed assessment if necessary. 3. Explained steps of transfer to patient. 4. Transferred patient from a wheelchair to bed if Patient is cooperative and weight bearing using pivot technique: g- Stood in front of patien during transfer. h. Instructed patient to ste placed hands under knees. i, Allowed patient to sta sured he or she can bala patient, had patient sit on j. Placed one arm under supported head and neck, under patient’s knees, ly.5. Transferred patient from a wheelchair to bed if patient is non-weight bearing but cooperative using transfer board: a. Positioned wheelchair properly next to bed. b. Removed armrest nearest bed. transfer belt, ha slide board and