Which statement best describes the risk of not engaging wheelchair brakes before a transfer?

• A. It can cause wheels to move, risking a fall or injury.
• B. It helps the patient to learn balance.
• C. It is not necessary.
• D. It has no impact.

Answer: (A)

Engaging the wheelchair brakes before a transfer creates a stable, fixed base. When the brakes are locked, the chair won’t roll as you or the patient shift, which is essential for preventing slips, tipping, or falls during the transfer. If the brakes aren’t engaged, the wheels can move unexpectedly, increasing the risk of a fall or injury to the patient or caregiver. This safety step isn’t about teaching balance during the transfer; it’s about providing a secure environment so the transfer can be done safely. Statements that say the brakes aren’t necessary or that they have no impact ignore the real risk of movement and aren’t accurate.