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Manufacturer
Model
What This Guide Helps With
Stretcher difficult to roll, wheels not tracking properly, or loading system not engaging due to brakes, alignment, or external mechanical issues.
Step-by-Step Troubleshooting
Ensure Patient Safety First
- Remove the stretcher from active patient use before troubleshooting.
- Expected: Patient safely transferred to another device.
Verify the Reported Issue
- Attempt to roll the stretcher and operate the loading system (if applicable).
- Expected: Confirmed difficulty rolling, dragging, or failure to load/unload properly.
- Why it matters: Confirms true mechanical issue vs normal resistance or user technique.
Check Brake Status
- Ensure all brakes are fully disengaged. Cycle brakes on and off to confirm proper function.
- Expected: Wheels roll freely when brakes are off.
- Why it matters: Partially engaged brakes are the most common cause of wheel resistance.
- If corrected and movement returns → stop troubleshooting.
Inspect Wheels for Obstructions or Debris
- Check all casters for hair, tape, debris, or foreign objects wrapped around axles.
- Spin each wheel individually.
- Expected: Wheels spin freely without resistance.
- Why it matters: Debris buildup can restrict movement and mimic mechanical failure.
- If cleared and function returns → stop troubleshooting.
Check Wheel Alignment and Tracking
- Push stretcher forward and observe if it tracks straight.
- Inspect for bent caster forks or uneven wheel positioning.
- Expected: Smooth, straight movement.
- Why it matters: Misalignment can cause dragging or poor maneuverability.
Inspect Steering/Directional Lock Mechanism
- Verify steering mode (if equipped) is properly engaged or disengaged.
- Operate steering controls and observe wheel response.
- Expected: Steering engages and releases correctly.
- Why it matters: Incorrect steering mode can make the stretcher difficult to move.
Inspect Loading System Components (If Equipped)
- Check loading wheels, guide rails, and engagement points for damage, debris, or misalignment.
- Operate loading mechanism without a patient if safe to do so.
- Expected: Smooth engagement and release during loading/unloading.
- Why it matters: Misalignment or obstruction can prevent proper loading system function.
- If obstruction is removed and function returns → stop troubleshooting.
Check for Structural Damage or Bent Components
- Visually inspect frame, undercarriage, and wheel mounts for signs of impact damage.
- Expected: No visible bending, cracks, or deformation.
- Why it matters: Structural issues will affect both wheel function and loading system performance.
If the Problem Persists
If all external causes have been ruled out, the issue is likely internal (wheel bearings, linkage, or loading mechanism failure).
Remove the stretcher from service, label Out of Service, and send for repair or bench evaluation.
Knowing when to stop prevents unnecessary risk and improper repairs.
Clinical Use Tip
Do not attempt to troubleshoot wheel or loading issues with a patient on the stretcher. Always transfer the patient first to ensure safety.
Work Order Documentation (CCR Method)
CCR = Complaint, Cause, Resolution
Complaint
What was reported by the clinical staff.
Example:
"Stretcher difficult to roll and not loading smoothly into ambulance mount."
Cause
What was observed during troubleshooting.
Example:
"Debris wrapped around rear caster axle restricting wheel rotation."
Resolution
What action was taken.
Example:
"Removed debris, verified smooth wheel rotation and proper loading function."
Helpful Details to Include (If Known)
- Brakes tested and functioning
- Wheels inspected and spun individually
- Steering mode verified
- Loading system engagement behavior observed
- Presence of debris or damage noted
- Any unusual noise during movement
- Final device status (returned to service or removed)
Final Thought
Wheel and loading issues are often caused by simple external factors like brakes or debris. A structured approach prevents unnecessary repairs and ensures safe patient transport. Escalate when structural or internal faults are suspected, and always document clearly.
That is successful troubleshooting.