During patient transport, what is the correct practice regarding the vehicle brakes?

• A. Keep brakes unlocked to allow easy maneuvering.
• B. Release all wheels to adjust height.
• C. Use a walker instead of a wheelchair.
• D. Brakes should be locked during transport to prevent movement.

Answer: (D)

Stability during patient transport depends on keeping the transport device brakes locked. Locking the brakes prevents the wheelchair or gurney from rolling or shifting as you move the patient, load into a vehicle, or ride to the destination. This reduces the risk of the patient sliding out, tipping, or being injured if the vehicle stops suddenly or you encounter an uneven surface. Leaving brakes unlocked would allow movement, which is unsafe during transfer; releasing all wheels to adjust height removes necessary stability; and using a walker instead of a wheelchair doesn’t address securing the patient during transport. After positioning, always ensure brakes are engaged and the patient is secured with the appropriate restraints or seat belts.