To prevent shearing injury during patient transfer, what measure should be taken if the patient cannot transfer independently?

• A. Use a friction-reducing transfer sheet
• B. Lift the patient without any assistance
• C. Ask the patient to attempt to stand
• D. Restrict movement to avoid injury

Answer: (A)

Using a friction-reducing transfer sheet is the most effective measure to prevent shearing injuries during patient transfer when the patient is unable to transfer independently. These sheets are designed to minimize friction between the patient's skin and the transfer surface, such as a stretcher or bed, thereby decreasing the risk of skin tears or other shearing injuries during the transfer process.

When a patient cannot assist in their transfer, their skin may be more susceptible to damage, particularly in areas where there is less padding or where the skin might slide against surfaces. Friction-reducing sheets facilitate smoother movement while allowing caregivers to maintain better control and alignment, which is crucial for patient safety and comfort.

Options that involve lifting without assistance or encouraging the patient to attempt to stand could compromise the patient's safety, as they may not have the strength or balance to do so. These methods do not address the fundamental issue of shearing forces acting on the patient's skin during the transfer. Restricting movement entirely would hinder appropriate care and accessibility, and does not protect against shearing injuries inherently. Using a friction-reducing transfer sheet addresses the need for a safe, effective transfer method that prioritizes skin integrity and patient dignity.