Name of the Procedure:

Hospital Bed, Variable Height, Hi-Lo, with Any Type Side Rails, with Mattress (HCPCS E0255)

Summary

A hospital bed with height adjustment capabilities, equipped with side rails for safety and an included mattress, designed to provide comfort and convenience for patients with varying medical needs.

Purpose

Medical Conditions:

Used primarily for patients with mobility issues, those needing frequent adjustments in bed height, or those at risk of falling.

Goals/Outcomes:

To enhance patient comfort, assist caregivers in managing the patient’s positioning, and ensure safety through side rails.

Indications

Symptoms:

Patients who are bedridden, have limited mobility, or are at fall risk.

Criteria:

Individuals needing frequent repositioning, those recovering from surgery, the elderly, or patients with chronic illnesses requiring prolonged bed rest.

Preparation

• Pre-procedure Instructions: No specific preparation required.
• Diagnostic Tests: Assessment by a healthcare provider to determine the need for a specialized hospital bed based on the patient’s condition.

Procedure Description

• Steps:
  1. Initial Setup: Delivery and assembly of the bed by medical equipment providers.
  2. Adjustment: Bed height and side rails are adjusted to meet patient needs, ensuring safety and comfort.
  3. Usage Instruction: Caregivers/patients are trained on how to operate the bed.
• Tools/Equipment: Variable height hospital bed with electronic controls, side rails, and a mattress.
• Anesthesia/Sedation: Not applicable.

Duration

The setup and initial adjustment typically take 1-2 hours.

Setting

The setup can be performed in the patient’s home, a hospital, or a care facility.

Personnel

Medical equipment delivery personnel, possibly supervised or followed up by a nurse or healthcare provider.

Risks and Complications

• Common Risks: Electrical malfunction, improper height adjustment, entrapment risks associated with side rails.
• Rare Risks: Mattress hygiene issues, mechanical failure of bed components.
• Complications Management: Regular maintenance, training on proper use, and frequent safety checks.

Benefits

• Expected Benefits: Enhanced safety, improved comfort, easier patient positioning, reduced caregiver strain.
• Realization Timeframe: Immediate upon proper setup and adjustment.

Recovery

• Post-procedure Care: Regular bed maintenance, periodic safety checks.
• Recovery Time: Not applicable.
• Restrictions/Follow-up: Occasional follow-up by health providers to ensure proper functionality and continued appropriateness for the patient.

Alternatives

• Other Options: Standard hospital bed, recliner bed, air mattress systems.
• Pros/Cons:
  • Standard Bed: Less customizable; may not meet all specific medical needs.
  • Recliner Bed: Offers mobility but may lack side rail safety.
  • Air Mattress Systems: Superior pressure relief but often at higher cost and maintenance.

Patient Experience

• During Procedure: Minimal discomfort as the procedure involves bed setup rather than direct patient intervention.
• Post-procedure: Increased comfort and safety; caregivers will notice ease in managing patient positioning.
• Pain Management: Not applicable, but the bed's adjustability can aid in alleviating discomfort associated with prolonged bed rest.

This comprehensive setup ensures patients receive the necessary support and comfort tailored to their specific medical needs.