Functional Transfer Record (FTR)

Quick Reference Poster

START 1. Review Falls Risk Management information

YES 2. Review Mobilization Precautions/Contraindications
3. Determine bilateral strength of hands and arms
Gather initial 4. Evaluate ability to raise hips with knees bent and feet on bed while supine
client information 5. Consider physical and mental performance
YES
Can the client roll side to side in bed? NO Obtain assistance then continue
YES
Can the client get into a sitting position at the side of
the bed and maintain sitting position for 15 seconds?
NO

YES
Can the client straighten at least one leg and hold for 3 seconds? NO
YES
Put transfer belt on client

YES
Can the client get into a standing position? NO Can the client follow directions? NO
YES YES
Is the client able to bear body weight for 15 seconds? Does the client have the ability
to partially bear weight? NO
Is the client cooperative, predictable and reliable in
physical and mental performance? YES
YES Can the client keep at least one
arm outside the harness? NO
Can the client maintain balance when shifting weight
side to side, walking/shuffling feet, and/or pivoting? NO YES
YES
Does the client require hands-on assistance to move?

OR
NO OR YES

Independent Minimum One-Person Two-Person

Sit/Stand Lift Total Lift
Transfer Assistance Transfer Transfer with Belt Transfer with Belt

Last revised September 2016 by the WHS Ergonomics & Safe Client Handling Team http://insite.albertahealthservices.ca/whs-itsyourmove.asp