How to use a Sara Stedy step by step: A comprehensive guide

According to mobility experts, using a mechanical aid is critical for reducing caregiver strain and preventing patient falls. Learning how to use a Sara Stedy step by step correctly is essential for performing safe and dignified sit-to-stand transfers in any care setting.

Quick Summary

Using a Sara Stedy requires positioning the device's chassis around the patient, having them place their feet on the footplate, locking the brakes, assisting them to stand using the central handle, pivoting the seat pads, and then guiding them to a destination.

Key Points

• Pre-assess the patient: Confirm the patient has adequate upper body and lower limb strength to bear some weight before using the Sara Stedy.

• Always lock the brakes: Engage the wheel brakes completely before the patient stands up or sits down to prevent accidental movement and ensure stability.

• Position feet on the footplate: Place the patient's feet firmly and flat on the footplate to ensure proper alignment and prevent dragging during the transfer.

• Use clear verbal cues: Use a simple, standardized command like "ready, steady, stand" to guide the patient and improve coordination.

• Pivot the seat pads: After the patient stands, pivot the seat pads under their bottom smoothly to provide a secure seating surface before they lower themselves down.

• Avoid using on carpets: Use the Sara Stedy on hard, flat flooring for easier and safer maneuverability, as carpet can create friction.

Understanding the Sara Stedy

The Sara Stedy is a non-powered, sit-to-stand aid designed to help individuals with some weight-bearing ability transfer from one seated surface to another. It significantly reduces the physical strain on caregivers and promotes patient engagement, independence, and dignity during transfers. It is particularly effective for moving patients from a bed to a chair, toilet, or wheelchair.

Step 1: Pre-Transfer Preparation and Safety Checks

Before initiating any transfer, thorough preparation is key to ensuring the safety of both the patient and the caregiver. This phase involves both equipment and patient readiness.

Equipment Readiness

• Inspect the device: Perform a visual inspection of the Sara Stedy. Check for any obvious signs of damage, wear and tear on components, or loose fittings. Ensure all instruction labels are clear and readable.
• Test the brakes: Check that the castor brakes engage and disengage effectively. All wheels must be free of debris and able to swivel freely when unlocked.
• Clear the path: Ensure the transfer route is clear of any obstacles, rugs, or electrical cords. The floor should be dry and non-slip.

Patient Readiness

• Assess the patient: Confirm that the patient is suitable for a Sara Stedy transfer. They must have adequate upper body strength to grasp the handrail and lower limb strength to bear some weight. They should also be able to follow one-step instructions.
• Explain the process: Verbally walk the patient through the entire process, explaining what you will do and what you will ask them to do. This reduces anxiety and encourages cooperation.
• Check clothing: Ensure the patient's clothing is not restrictive and that their footwear is secure and non-slip.

Step 2: Positioning the Sara Stedy

Proper positioning is critical for a smooth and safe transfer. It ensures the patient is correctly aligned with the device.

1. Unlock the chassis: Unlock the wheel brakes and, if necessary, use the foot pedal to widen the chassis legs for optimal access around furniture like a wheelchair or bed.
2. Approach the patient: Roll the Sara Stedy towards the patient's legs, approaching them head-on. Ensure the seat pads are pivoted up and out of the way.
3. Position the feet: Instruct the patient to lift their feet and place them securely onto the device's footplate. Make sure their feet are flat and centered.
4. Engage the knee support: Roll the Sara Stedy closer until the patient's knees are comfortably and firmly against the knee pad. This provides essential support and prevents their legs from slipping.
5. Apply the brakes: Once the device is in the perfect position, press down on both wheel brakes to lock the Sara Stedy securely in place.

Step 3: Performing the Sit-to-Stand Transfer

This is the core of the process, and it requires clear communication and coordinated movements.

1. Patient grasps the handle: Prompt the patient to grasp the horizontal handrail firmly with both hands.
2. Verbal cue: Use a clear, simple command like, "On three, ready, steady, stand." This gives the patient a clear signal to begin.
3. Assist to stand: As the patient pulls themselves up, the caregiver can provide minimal assistance by supporting the patient's back or using a gait belt if necessary. The patient should lean forward, bringing their abdomen toward the handle.
4. Pivot the seat pads: While the patient is standing, pivot the split seat pads down into the seated position. Ensure they lock into place securely.
5. Instruct to sit: Ask the patient to slowly lower themselves back onto the seat pads. The knee support will help stabilize them as they descend.

Step 4: Transferring to the Destination

With the patient now securely on the Sara Stedy, the transfer to the new location can begin.

1. Unlock the brakes: Release the wheel brakes.
2. Maneuver the device: Use the handle bars to steer and push the Sara Stedy to the destination, such as a wheelchair, toilet, or commode. Remember that this is a transfer aid, not a transport device, so limit the distance of travel.
3. Position at destination: Carefully position the Sara Stedy so the patient is directly in front of the new seat. Lock the wheel brakes again.

Step 5: Transferring from the Sara Stedy

To complete the process, the patient must be safely seated at their final destination.

1. Patient stands again: Repeat the standing process from Step 3, asking the patient to pull themselves to a standing position.
2. Pivot the seat pads: With the patient standing, pivot the seat pads up and out of the way.
3. Instruct to sit: Guide the patient to slowly lower themselves onto the new seat. Provide any necessary physical support as they sit.
4. Remove the Sara Stedy: Once the patient is safely seated, unlock the brakes and wheel the Sara Stedy away, ensuring the patient lifts their feet to clear the footplate.

Comparison: Sara Stedy vs. Powered Stand-Aid Lift

Feature	Sara Stedy (Manual Stand-Aid)	Powered Stand-Aid Lift
Patient Participation	High; requires active effort from the patient.	Lower; less effort required from the patient.
Power Source	Manual (requires no batteries or electricity).	Electric (requires regular charging and maintenance).
Transfer Speed	Generally quicker for simple transfers.	Can be slower due to hydraulic or electrical movement.
Suitability	Patients with some weight-bearing ability, mobility, and core strength.	Patients with less strength or more significant mobility issues.
Cost	Typically more affordable upfront.	Higher initial and maintenance costs.
Maneuverability	Highly maneuverable in tight spaces, especially with adjustable chassis.	Often larger and heavier, can be less nimble in tight quarters.
Caregiver Strain	Minimal, assists the patient rather than lifting them entirely.	Virtually eliminates manual lifting and strain.

Advanced Tips and Best Practices

• Clear Communication: Always maintain clear and positive communication with the patient throughout the transfer. Reassure them and provide constant feedback.
• Use the Ready, Steady, Stand prompt: This cue is a standard in healthcare for a reason—it is clear and effective.
• Avoid using on carpets: For easier maneuvering, the Sara Stedy is best used on hard, flat flooring. The friction from thick carpeting can make pushing the device difficult.
• Practice with a partner: If you are a new caregiver or unfamiliar with the device, practice the steps with another trained individual before attempting a patient transfer.
• Regular maintenance: Ensure the device is regularly cleaned and inspected. Pay special attention to the wheels and brakes.
• When in doubt, don't: Never attempt a transfer with the Sara Stedy if you are uncertain about the patient's capability or the safety of the situation. Always err on the side of caution.

Conclusion

Mastering how to use a Sara Stedy step by step is a valuable skill for any caregiver. By following these clear instructions, you can ensure patient transfers are conducted safely, efficiently, and with the utmost respect for the patient's dignity and independence. This non-powered aid is a powerful tool for promoting mobility while protecting both the patient and the caregiver from injury. Remember that every transfer is an opportunity to empower the patient and improve their quality of life, making proper technique paramount.

For more detailed information on Arjo products, you can visit their official site: Arjo Global

Frequently Asked Questions

What kind of patient is suitable for a Sara Stedy?

A patient suitable for a Sara Stedy must have some upper body strength to pull themselves up and the ability to bear some weight on their legs. They should also be able to follow simple instructions.

Can I use the Sara Stedy by myself with a patient?

This can depend on facility policy and patient capabilities. While some transfers with very mobile patients can be managed by a single trained caregiver, it is often recommended to have two staff members present for safety, especially with less predictable patients.

Can I use a Sara Stedy on carpet?

Using a Sara Stedy on carpet is not recommended. The friction can make maneuvering difficult and potentially unsafe. It is best used on hard, flat floors to ensure smooth and easy movement.

How do I clean and maintain the Sara Stedy?

The Sara Stedy should be regularly cleaned with a damp cloth and a mild, disinfectant cleaner. Always inspect the brakes, wheels, and seat components for wear and tear. Regular professional inspections are also recommended.

Can the Sara Stedy be used to transport a patient from room to room?

No, the Sara Stedy is a transfer aid, not a transport device. It is not designed for moving a patient over long distances. For room-to-room transport, a wheelchair or commode chair is more appropriate.

What is the weight capacity for a Sara Stedy?

The weight capacity can vary depending on the specific model. Always check the manufacturer's manual and the labels on your device. Standard Sara Stedy models typically have a safe working load of up to 400 lbs (182 kg).

How do I adjust the chassis legs of the Sara Stedy?

The legs of the Sara Stedy can be widened or narrowed using a foot pedal located on the base of the equipment. This allows for optimal access around furniture and improves stability during transfers.