Dwellness • Accessible Van Procedures

Accessible Van Procedures

Dwellness customization for:

Your Patient

General Principles

[NOTE: Before you undertake this routine, please study and practice the principles of Safe Body Dynamics for your patient’s transfers and ambulation.]

→ Breathe! Never hold your breath and bear down when exerting yourself ←
→ Stretching helps prevent injury… stretch before work, and stretch every day ←
→ Keep a low center of gravity during transferring or lifting ←
→ When not transferring or lifting, stand and walk fully erect with abdominals engaged ←
→ Think carefully about each move you make ←
→ Prompt your patient's movements, prepare, and wait for a response before moving yourself ←
→ When in doubt, pause and reconsider your next move ←
→ If your patient decides to go down to the floor, do not resist; gently lower your patient ←

[NOTE: Whenever there is extreme weather and you are going out in the van, use remote start to prepare the internal environment of the van. Start the van remotely, but be aware that the van will automatically stop again after 15 minutes. Plan accordingly.]

[NOTE: The van has a function called “kneeling”. When kneeling is turned on, the van tilts downward toward the ramp, which keeps the ramp angle to a minimum and makes it easier to move the wheelchair up or down the ramp. Whenever you open the van in ramp mode, be aware of the surface conditions within ten feet of the right side of the van. If the right side of the van is next to a curb, turn off the kneeling function before opening the door and deploying the ramp.]


Transfering into the van
  • Be sure the interior of the van is a healthy temperature before entering
  • Check the surface conditions on the right side of the van
  • Enter and secure in the van
  1. Press the right sliding–door button on the key fob twice to open in ramp mode
  2. When the ramp is all the way out, back up the wheelchair to the edge of the ramp
  3. Step up on the ramp and tilt the wheelchair all the way upright
  4. Pull the wheelchair backward up the ramp, holding about midway up the rear handle uprights (for better leverage)
  5. As the rear wheels enter the van, turn them toward the rear seat
  6. Position the wheelchair on the right side of the van, and bump up against the front passenger seat
  7. Engage both rear hooks to the loops on the wheelchair
  8. Pull the wheelchair back close to the rear seat and engage the brake
  9. Tilt the wheelchair back for comfort (25° - 30°)
  10. Tighten the rear tie–downs
  11. Engage and tighten the front tie–downs

→ CAUTION: Whenever you are driving with your patient, it is necessary to have a trained passenger riding in the rear seat next to your patient. Do not drive if there is nobody available to ride along. ←

Transfer out of the van
  • Check the surface conditions on the right side of the van
  • Prepare and exit the van
  1. Unlock the doors with the button on the driver’s door
  2. Release the front tie–downs
  3. Disconnect the rear tie–downs
  4. Press the ramp button next to the right sliding door
  5. When the ramp is fully deployed, release the brake
  6. Tilt the wheelchair all the way upright
  7. Hold onto the rear handle uprights about halfway up (for better leverage) and carefully steer down the middle of the ramp
  8. When you are clear of the ramp, tilt the wheelchair back to the comfort position
  9. Ensure that the ramp retracts correctly, and the door is closed before locking the van

HPCA Input

Dwellness input from HPCA and family caregivers can serve to improve the ongoing support system. Feel free to speak up!