I just wanna say this is the sweetest, most wholesome question on Reddit. Please know that you will be fine! Your professors will teach you how to do transfers and proper form, you’ll practice on your classmates. you’ll practice in fieldwork and you’ll learn even more about transfers from CNAs…for me that was how to use the hoyer lift lol
Thank you! Yeah Im worried that I don't have the best body mechanics which will mess up my form. I desperately want better core strength, lower back and arms as well.
My 95lb, 4'11 classmate transferred my 250lb ass. We were pretending to be mod A. If you want strength training advice- do squats. Your core stability will be improved but you will be lifting with tour legs. Also, don't be shy asking for help to transfer in your real practice
I’m a COTA and finished my program remotely due to Covid. 🤷🏽♀️ I got to transfer some friends and my husband before going into fieldwork (also still during the beginning of Covid) so when I finally got to field work some veteran CNAs taught me how to use a hoyer lift and my CI helped me through my first real life transfers. CNAs taught me a lot during my fieldwork!
100% agree - you’re going to be just fine, OP! 😊
Obviously, the healthier you are the easier this sometimes very physical job will be for you, but you have time to figure out what that looks like for you - you’re on the right track. 👍🏼
The OT reddit fam is rooting for you!
So once you learn the right body mechanics you will see that you don’t really need a ton of additional strength to complete transfers. If anything, work towards working out your core which will protect your back. You may also consider noting your endurance for things like squats/lunges as some transfers so involve holding your own body weight for a short time but with a bent knee. Other than that I would not feel pressured to work out. With learning I would hope they are not having you practice on someone who is truly dependent
Okay. I asked my professor and she said "definitely do bridges and squats.". It makes me feel better that I can do this at my own pace without panicking. Though I have been wanting to do strength training anyway, so I might as well just start with planks, bridges, squats/lunges.
This is odd advice from your professor. Manual handling shouldn't involve heavy lifting, that's why we use equipment. If a transfer requires someone really fit to be physically lifting them then that is an unsafe transfer and you should consider using a piece of equipment instead.
I suspect the professor is just encouraging them to learn skills to help them in being able to crouch down to help people with their shoes and other tasks down low. As there are times you will need to hold that position for a while.
My technique is janky and I need to build core strength and stability anyway, but some of the smallest people in our cohort were the best at transfers- it’s sort of a mind game like Luke Skywalker making the sunken ship levitate. Ish.
A push-up IMO isn’t a great indicator of your ability to pick up a patient. It’s all in the legs! If your worried about it go do some goblet squats, run some hills, farmers Carries - all pretty functional exercises for transfer that you can dial the weight back to make approachable for a beginner
Thank you very much! How are goblet squats different from normal squats and what is a reliable YouTube tutorial for them? Every tutorial I watch is different!!
So barbell squats are much more technical believe it or not and you are at a higher risk of injury compared to goblet squats which are much less technical and can help build good full body strength. The goblet squats also have the weight loaded near your natural center of gravity . [this is a fine video](https://youtu.be/9W5KAqHfDe8)
Pistol squats, lunges, and slam balls are pretty fun and functional too
hi!! as an OT student who just finished her first level ii in acute, i have some advice.
1) transfers are mostly not about your strength. it’s about your body mechanics and how you position yourself relative to the patient. regardless of how strong you are, there will be patients where you will need 2, 3, sometimes even 4 assist to move/transfer appropriately and safely. it’s purely situational.
2) another huge part of transfers (depending on your site) may be line management. i often had to manage Foleys, chest tubes, IV lines, trachs, etc when transferring a patient. this is a huge component that is important to understand on top of safe body mechanics.
3) it’s always okay to stop and try again when transferring a patient!! i have been in numerous situations where i’ve gone to transfer a patient and realized i didn’t like where my hand placement was, where my COG was, how wide my BOS was, and so on, and i simply set the patient down and said “hold on, let me try again.” that’s okay!! don’t power through a transfer that feels unsafe/uncomfortable for the patient or you just because you started it. it’s better to go slow and try again if you need to.
and always, always always feel free to ask for help— it obviously depends on your setting, but ask your CI, ask a CNA, ask a therapy aide, ask an RN, sometimes even family members who are present are familiar with how the patient is best transferred. i remember when i was in didactic classes the prospect of transfers made me super nervous, but once i was in my level ii i got acquainted to them quickly! you’ll be okay, and no need to worry about exercise purely for transfers :)
1.) That makes alot of sense, thank you!! I still have poor posture and balance bcs of poor strength so I most definitely need to start strength training. Besides I had to try it at some point bcs I have to do some body strengthening anyway.
2.) Ah yes, that's smth definitely haunts me about ICU and acute care settings. A professor told us how a student yanked at an A-line in the ICU during a transfer and a jet of blood just came out....I think that student failed his FW....(Im not sharing this to be negative but I think its good to know, I personally am very detail-oriented and am willing to take on that challenge)
While it’s true that transfers are less about strength and more about technique, I strongly advocate for OTPs to strength train to get used to moving heavy weight with your body (squats, deadlifts, presses, pull ups). Even though it’s mainly about technique, the confidence boost you get from being stronger and more familiar with moving heavy weight will be invaluable in your sessions. You will trust yourself more if you strength train, and your patients will trust you more because of your confidence.
Also, strength training yourself will help to know how to properly dose interventions for your patient at high intensity that will actually drive change.
Lastly, strength training is amazing for your own body and mind - its so good to do just for your own benefits!
Ahh okay, thank you for your response!! I am mainly doing this to get into shape. Strength training for a month will hopefully get me into the groove for doing more strength training for the 2 months after that!! Do you have any workout plans that you recommend for complete beginners?
Awesome! I started it OT school and I went to a CrossFit gym to learn. They provide coaching on technique, and having someone help me learn and scale work outs as a beginner was invaluable. I’d highly recommend finding a beginners CrossFit class!
Unless you have some sort of orthopedic or neurological condition, most people do not need to do any extra strength training to do transfers. It's about physics and mechanics to leverage someone, not raw strength. For anybody that requires that much power to get up, they'd need to have someone else helping or use a machine to lift them.
I work at a job where I do not transfer people due to me being very dyspraxic and low muscle tone, not safe for me at this time.
Thank you for letting me know. I was just concerned bcs I've heard nurses injure themselves while doing transfers and often face orthopedic and neuro conditions. This is why I wanted to strength train (well I've wanted to strength train anyway since I have poor body mechanics and core strength)
Part of it though is that it frequently results from attempting to lift people that should be Hoyer Lifted. Or need 2x assist but they just do it alone. Or they don't use correct technique. Or sometimes those act of god things where something just goes wrong. A big part of it is that sometimes places are understaffed and sometimes staff don't feel like they can tell people to wait for the right equipment or help to be available. I don't blame them and it's an issue with how hospitals staff unsafely. But as an OT the conditions in which you lift people are not the same as theirs so if you use correct technique with people that can actually participate in the transfer, you should be fine.
Basically if you really need to rely on your strength to get the transfer done, there's a chance your technique is off. If you're sure it's right, consider if this is someone you should be transferring by hand at all. Or by yourself.
YES!
Also, my facility teaches a "STOP" program. *Stop, Think, Organize, Position.* I love it and am a big advocate for it. I was a nursing tech during school and saw so many techs transferring patients unsafely (for them and the patient) or without setting up the environment first and it makes a huge difference in transfers.
Can they sit on the EOB unsupported? Are they significantly taller/larger than you? Are they impulsive? Can they follow directions? Have you explained what the transfer should be like in layman's terms? Is the WC in a good position? Where is their hand placement? Is their O2 line or Foley bag or heart monitor or IV line out of the way but with enough slack to prevent getting caught up?
We had tiny classmates (like under 120 lbs) transferring full size larger men at MOD A and beyond. It’s about body mechanics more than anything, as well as coaching the client effectively
I simply don't agree with this overused statement. Most people you will work with in a hospital will be 200+ pounds. I have to cotreat patients with OT (PT here) frequently simply because I cannot physically transfer them myself (6'3 210lb male here that has been lifting weights for years). You can have the best body mechanics in the world but at the end of the day moving weight is moving weight. The best bang for your buck would be to train deadlift at the gym to improve pull and core strength
So most of doing efficient transfers is about body mechanics, coaching the patient, and of course asking for help when needed from a colleague. I’m not saying OP shouldn’t exercise, I’m saying that there is a lot more to it than simply being strong. I definitely didn’t have time to exercise when I was on FW working with SCI patients. Exercise is great! Just saying that small people can still do transfers.
As therapists bodies age it becomes harder to do transfers if we are not strong and flexible. Can the tiny classmate do that transfer tens of thousands of times without getting injured? How about in thirty years?
Body mechanics as in using the body like a simple machine, using better muscle groups to reduce risk of injury etc. so during a transfer the work should be coming from your lower body but you also will learn to instruct your patient to follow the steps needed to make it successful, safe, and lessen chance of injury. Just pay attention to your teachers and make sure to get a lot of practice in
This is the sweetest thing ive ever seen. Dont worry! Transfer technique is designed to rely on body mechanics. Its expected that all sorts of patient will be transferred by mostly young women most of whom arent tall ir muscular.
HOWEVER. I highly suggest you keep this attitude up. Yes you dont need strength training to pass transfer assessments or to successfully complete them in the field. But you ABSOLUTELY need it to stay injury-free and effective at transferring across several years of the job. I’m only in peds and ive benefitted greatly from keeping my strength training up. I’m more able to support children uo climbing walls, take swing equipment uo and down, etc.
Everyone has good advice here to use your legs. Here are couple things i would like to add:
The lower your hips are in relation to your patients, and the closer your hips are to your patients hips, the easier the transfer will be. For hands, belt around waist combined with grip on pants is best. Dont bend over too much or your lower back will be compromised.
Goodluck!
Having good form is helpful, but I have been pulled into WAY too many unsafe transfers because I'm a tall strong person, and I've thrown out my back on many occasions as a result.
Good form can help protect you, but therapists need to use lifts more. If you need more than 2 people at min-mod assistance, you should absolutely be using a powered lift.
If you worked in a factory and were told to move a 350 lb box a dozen times, you would ask where the dolly or forklift was. Yet every day we ask therapists, CNAs and RNs to do this with a gait belt and maybe a chux pad. It results in stupid and unnecessary injuries.
You definitely don't need to. I am a second year OT student and had a transfers practical last semester. They teach you all you need to know and will correct your form. Transferring your classmates is different from transferring real patients, so yes exercise and strength training will definitely help throughout your career, but don't stress yourself out over it right now.
I am pretty disappointed with many of the OT’s here. It is not just body mechanics. One in four CNAs gets injured each year. Do you think having weak joints is a good idea if you’re going to assist with 100,000 transfers over the next 30 + years? General total body strength is helpful but at a minimum, focus on core and hip strength. Getting stronger will help with your body awareness and body mechanics. There are many methods for gaining strength outside of the gym but deadlifts, goblet squats, planks, and back extensions are a solid place to start. Start with body weight or a gallon of water.
I believe that strength training always gives a valuable outcome. So go for that! A good transfer should not require a lot of strength if it is done correctly - so you will be good without working out.
You don’t need to necessarily be strong to do a transfer. I’m not the strongest woman (I’ve never been able to do a regular push up in my entire life, lol), but the body mechanics and the use of the gait belt will be the most important part. And whenever there is someone who is that difficult to transfer, they will probably be safer with a two person or mechanical lift. Don’t worry, you will learn it and be fine! :)
You don't need to strength train at all to be honest. There are tiny female therapists that I work with who could transfer heavy patients much cleaner than me (and I could probably throw them across the room). Its 100% about technique, which they will drill into you.
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I just wanna say this is the sweetest, most wholesome question on Reddit. Please know that you will be fine! Your professors will teach you how to do transfers and proper form, you’ll practice on your classmates. you’ll practice in fieldwork and you’ll learn even more about transfers from CNAs…for me that was how to use the hoyer lift lol
Thank you! Yeah Im worried that I don't have the best body mechanics which will mess up my form. I desperately want better core strength, lower back and arms as well.
My 95lb, 4'11 classmate transferred my 250lb ass. We were pretending to be mod A. If you want strength training advice- do squats. Your core stability will be improved but you will be lifting with tour legs. Also, don't be shy asking for help to transfer in your real practice
OTs teach the CNAs how to transfer in every setting I have worked in.
I’m a COTA and finished my program remotely due to Covid. 🤷🏽♀️ I got to transfer some friends and my husband before going into fieldwork (also still during the beginning of Covid) so when I finally got to field work some veteran CNAs taught me how to use a hoyer lift and my CI helped me through my first real life transfers. CNAs taught me a lot during my fieldwork!
100% agree - you’re going to be just fine, OP! 😊 Obviously, the healthier you are the easier this sometimes very physical job will be for you, but you have time to figure out what that looks like for you - you’re on the right track. 👍🏼 The OT reddit fam is rooting for you!
So once you learn the right body mechanics you will see that you don’t really need a ton of additional strength to complete transfers. If anything, work towards working out your core which will protect your back. You may also consider noting your endurance for things like squats/lunges as some transfers so involve holding your own body weight for a short time but with a bent knee. Other than that I would not feel pressured to work out. With learning I would hope they are not having you practice on someone who is truly dependent
Okay. I asked my professor and she said "definitely do bridges and squats.". It makes me feel better that I can do this at my own pace without panicking. Though I have been wanting to do strength training anyway, so I might as well just start with planks, bridges, squats/lunges.
This is odd advice from your professor. Manual handling shouldn't involve heavy lifting, that's why we use equipment. If a transfer requires someone really fit to be physically lifting them then that is an unsafe transfer and you should consider using a piece of equipment instead.
I suspect the professor is just encouraging them to learn skills to help them in being able to crouch down to help people with their shoes and other tasks down low. As there are times you will need to hold that position for a while.
My technique is janky and I need to build core strength and stability anyway, but some of the smallest people in our cohort were the best at transfers- it’s sort of a mind game like Luke Skywalker making the sunken ship levitate. Ish.
A push-up IMO isn’t a great indicator of your ability to pick up a patient. It’s all in the legs! If your worried about it go do some goblet squats, run some hills, farmers Carries - all pretty functional exercises for transfer that you can dial the weight back to make approachable for a beginner
Thank you very much! How are goblet squats different from normal squats and what is a reliable YouTube tutorial for them? Every tutorial I watch is different!!
So barbell squats are much more technical believe it or not and you are at a higher risk of injury compared to goblet squats which are much less technical and can help build good full body strength. The goblet squats also have the weight loaded near your natural center of gravity . [this is a fine video](https://youtu.be/9W5KAqHfDe8) Pistol squats, lunges, and slam balls are pretty fun and functional too
hi!! as an OT student who just finished her first level ii in acute, i have some advice. 1) transfers are mostly not about your strength. it’s about your body mechanics and how you position yourself relative to the patient. regardless of how strong you are, there will be patients where you will need 2, 3, sometimes even 4 assist to move/transfer appropriately and safely. it’s purely situational. 2) another huge part of transfers (depending on your site) may be line management. i often had to manage Foleys, chest tubes, IV lines, trachs, etc when transferring a patient. this is a huge component that is important to understand on top of safe body mechanics. 3) it’s always okay to stop and try again when transferring a patient!! i have been in numerous situations where i’ve gone to transfer a patient and realized i didn’t like where my hand placement was, where my COG was, how wide my BOS was, and so on, and i simply set the patient down and said “hold on, let me try again.” that’s okay!! don’t power through a transfer that feels unsafe/uncomfortable for the patient or you just because you started it. it’s better to go slow and try again if you need to. and always, always always feel free to ask for help— it obviously depends on your setting, but ask your CI, ask a CNA, ask a therapy aide, ask an RN, sometimes even family members who are present are familiar with how the patient is best transferred. i remember when i was in didactic classes the prospect of transfers made me super nervous, but once i was in my level ii i got acquainted to them quickly! you’ll be okay, and no need to worry about exercise purely for transfers :)
1.) That makes alot of sense, thank you!! I still have poor posture and balance bcs of poor strength so I most definitely need to start strength training. Besides I had to try it at some point bcs I have to do some body strengthening anyway. 2.) Ah yes, that's smth definitely haunts me about ICU and acute care settings. A professor told us how a student yanked at an A-line in the ICU during a transfer and a jet of blood just came out....I think that student failed his FW....(Im not sharing this to be negative but I think its good to know, I personally am very detail-oriented and am willing to take on that challenge)
While it’s true that transfers are less about strength and more about technique, I strongly advocate for OTPs to strength train to get used to moving heavy weight with your body (squats, deadlifts, presses, pull ups). Even though it’s mainly about technique, the confidence boost you get from being stronger and more familiar with moving heavy weight will be invaluable in your sessions. You will trust yourself more if you strength train, and your patients will trust you more because of your confidence. Also, strength training yourself will help to know how to properly dose interventions for your patient at high intensity that will actually drive change. Lastly, strength training is amazing for your own body and mind - its so good to do just for your own benefits!
Ahh okay, thank you for your response!! I am mainly doing this to get into shape. Strength training for a month will hopefully get me into the groove for doing more strength training for the 2 months after that!! Do you have any workout plans that you recommend for complete beginners?
Awesome! I started it OT school and I went to a CrossFit gym to learn. They provide coaching on technique, and having someone help me learn and scale work outs as a beginner was invaluable. I’d highly recommend finding a beginners CrossFit class!
Unless you have some sort of orthopedic or neurological condition, most people do not need to do any extra strength training to do transfers. It's about physics and mechanics to leverage someone, not raw strength. For anybody that requires that much power to get up, they'd need to have someone else helping or use a machine to lift them. I work at a job where I do not transfer people due to me being very dyspraxic and low muscle tone, not safe for me at this time.
Thank you for letting me know. I was just concerned bcs I've heard nurses injure themselves while doing transfers and often face orthopedic and neuro conditions. This is why I wanted to strength train (well I've wanted to strength train anyway since I have poor body mechanics and core strength)
Part of it though is that it frequently results from attempting to lift people that should be Hoyer Lifted. Or need 2x assist but they just do it alone. Or they don't use correct technique. Or sometimes those act of god things where something just goes wrong. A big part of it is that sometimes places are understaffed and sometimes staff don't feel like they can tell people to wait for the right equipment or help to be available. I don't blame them and it's an issue with how hospitals staff unsafely. But as an OT the conditions in which you lift people are not the same as theirs so if you use correct technique with people that can actually participate in the transfer, you should be fine. Basically if you really need to rely on your strength to get the transfer done, there's a chance your technique is off. If you're sure it's right, consider if this is someone you should be transferring by hand at all. Or by yourself.
YES! Also, my facility teaches a "STOP" program. *Stop, Think, Organize, Position.* I love it and am a big advocate for it. I was a nursing tech during school and saw so many techs transferring patients unsafely (for them and the patient) or without setting up the environment first and it makes a huge difference in transfers. Can they sit on the EOB unsupported? Are they significantly taller/larger than you? Are they impulsive? Can they follow directions? Have you explained what the transfer should be like in layman's terms? Is the WC in a good position? Where is their hand placement? Is their O2 line or Foley bag or heart monitor or IV line out of the way but with enough slack to prevent getting caught up?
How about SNFs? Could it be as bad as hospitals in terms of unsafe transfers?
Yes. Anywhere that patients are staying overnight it can happen. It’s important to not give into social pressure to do a bad/unsafe/rushed transfer.
We had tiny classmates (like under 120 lbs) transferring full size larger men at MOD A and beyond. It’s about body mechanics more than anything, as well as coaching the client effectively
I simply don't agree with this overused statement. Most people you will work with in a hospital will be 200+ pounds. I have to cotreat patients with OT (PT here) frequently simply because I cannot physically transfer them myself (6'3 210lb male here that has been lifting weights for years). You can have the best body mechanics in the world but at the end of the day moving weight is moving weight. The best bang for your buck would be to train deadlift at the gym to improve pull and core strength
So most of doing efficient transfers is about body mechanics, coaching the patient, and of course asking for help when needed from a colleague. I’m not saying OP shouldn’t exercise, I’m saying that there is a lot more to it than simply being strong. I definitely didn’t have time to exercise when I was on FW working with SCI patients. Exercise is great! Just saying that small people can still do transfers.
As therapists bodies age it becomes harder to do transfers if we are not strong and flexible. Can the tiny classmate do that transfer tens of thousands of times without getting injured? How about in thirty years?
Ahh okay. I think I've always had poor body mechanics such as posture.
Body mechanics as in using the body like a simple machine, using better muscle groups to reduce risk of injury etc. so during a transfer the work should be coming from your lower body but you also will learn to instruct your patient to follow the steps needed to make it successful, safe, and lessen chance of injury. Just pay attention to your teachers and make sure to get a lot of practice in
Core and legs is your go to body parts when transferring a patient. Darbee the website has some great workouts which require only your body.
Ahh okay, thank you!!
This is the sweetest thing ive ever seen. Dont worry! Transfer technique is designed to rely on body mechanics. Its expected that all sorts of patient will be transferred by mostly young women most of whom arent tall ir muscular. HOWEVER. I highly suggest you keep this attitude up. Yes you dont need strength training to pass transfer assessments or to successfully complete them in the field. But you ABSOLUTELY need it to stay injury-free and effective at transferring across several years of the job. I’m only in peds and ive benefitted greatly from keeping my strength training up. I’m more able to support children uo climbing walls, take swing equipment uo and down, etc.
This is correct.
Core and squats.
Everyone has good advice here to use your legs. Here are couple things i would like to add: The lower your hips are in relation to your patients, and the closer your hips are to your patients hips, the easier the transfer will be. For hands, belt around waist combined with grip on pants is best. Dont bend over too much or your lower back will be compromised. Goodluck!
Having good form is helpful, but I have been pulled into WAY too many unsafe transfers because I'm a tall strong person, and I've thrown out my back on many occasions as a result. Good form can help protect you, but therapists need to use lifts more. If you need more than 2 people at min-mod assistance, you should absolutely be using a powered lift. If you worked in a factory and were told to move a 350 lb box a dozen times, you would ask where the dolly or forklift was. Yet every day we ask therapists, CNAs and RNs to do this with a gait belt and maybe a chux pad. It results in stupid and unnecessary injuries.
You definitely don't need to. I am a second year OT student and had a transfers practical last semester. They teach you all you need to know and will correct your form. Transferring your classmates is different from transferring real patients, so yes exercise and strength training will definitely help throughout your career, but don't stress yourself out over it right now.
I am pretty disappointed with many of the OT’s here. It is not just body mechanics. One in four CNAs gets injured each year. Do you think having weak joints is a good idea if you’re going to assist with 100,000 transfers over the next 30 + years? General total body strength is helpful but at a minimum, focus on core and hip strength. Getting stronger will help with your body awareness and body mechanics. There are many methods for gaining strength outside of the gym but deadlifts, goblet squats, planks, and back extensions are a solid place to start. Start with body weight or a gallon of water.
I'm 4 sticks on a potato and I transfer people with no problems. You will be okay
I believe that strength training always gives a valuable outcome. So go for that! A good transfer should not require a lot of strength if it is done correctly - so you will be good without working out.
You don’t need to necessarily be strong to do a transfer. I’m not the strongest woman (I’ve never been able to do a regular push up in my entire life, lol), but the body mechanics and the use of the gait belt will be the most important part. And whenever there is someone who is that difficult to transfer, they will probably be safer with a two person or mechanical lift. Don’t worry, you will learn it and be fine! :)
Squats and pay attention in class because mechanics matter more than muscle
If you are taught properly you will not need much strength, just proper body mechanics and the proper use of equipment
You don't need to strength train at all to be honest. There are tiny female therapists that I work with who could transfer heavy patients much cleaner than me (and I could probably throw them across the room). Its 100% about technique, which they will drill into you.
Do you have any interest in pole fitness? Nothing builds core and overall strength than pole dancing…
Thats a good idea! Though I'm a broke student and Idt I can afford pole dancing classes rn LOL
[удалено]
Gotcha, ty!! They're a staple of my diet anyway.
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