During ambulation, how should the gait belt be properly held by the nurse?

The most effective way to hold a gait belt during ambulation is by securing it from the bottom under the back for support. This technique ensures that the caregiver has a firm grip on the belt, which allows them to provide stability and support while assisting the patient. Holding the belt in this manner minimizes the risk of injury to both the patient and the caregiver, as it provides better leverage and control.

When the gait belt is positioned under the back, the caregiver can effectively support the patient's center of gravity, making it easier to assist them in maintaining balance and preventing falls. This method also allows for easier adjustments based on the patient's movements and needs during ambulation.

While the other methods may seem reasonable, they do not provide the same level of support or security. For example, pulling from the top can create tension that might not be beneficial for the patient, and holding the belt at the side may not offer enough stability during movement. Similarly, using one hand in front and one in back could lead to uneven support, increasing the risk of losing balance. By using the bottom grip, the caregiver ensures a safer and more effective transport for the patient.