Name of the Procedure:

Common Name: Total Electric Hospital Bed
Technical/Medical Term: Hospital Bed, Total Electric, (Head, Foot, and Height Adjustments), with Any Type Side Rails, with Mattress (HCPCS Code E0265)

Summary

A Total Electric Hospital Bed allows for full electronic adjustment of the head, foot, and height sections, designed to enhance patient comfort and safety. It includes side rails and a mattress to help prevent falls and provide additional support.

Purpose

• Medical Conditions: Designed for patients with medical conditions requiring frequent positional changes, aid in respiratory therapy, or those who need enhanced care due to mobility limitations.
• Goals: To improve patient comfort, facilitate easy transfer and repositioning, and reduce the efforts of caregivers.

Indications

• Patients experiencing severe mobility issues.
• Patients with chronic conditions like heart disease, respiratory conditions, or severe arthritis.
• Patients recovering from surgery or those needing long-term care.
• Situations where frequent position adjustments are crucial for health or comfort.

Preparation

• Pre-Procedure Instructions: No specific instructions required for patients.
• Diagnostics/Assessments: An assessment by a healthcare provider to determine the necessity of an electric hospital bed based on the patient's condition.

Procedure Description

1. Assessment: Healthcare provider assesses the patient's need for the bed.
2. Prescription: A bed is prescribed and arranged through a medical supply company.
3. Delivery: The bed is delivered and set up in the patient's home or room.
4. Operation: Caregivers and patients are instructed on how to operate the bed including adjustments for head, foot, and height positions.

Tools/Equipment: Hospital bed with electric controls, side rails, and mattress.
Sedation/Anesthesia: Not applicable.

Duration

• Setup Time: Usually takes 1-2 hours for delivery and setup.
• Long-term Use: The bed is typically intended for long-term use as needed.

Setting

• Typically installed in the patient's home, nursing home, or assisted living facility.

Personnel

• Delivery person and technician for bed setup.
• Healthcare providers (nurses or therapists) for initial training on the use of the bed.

Risks and Complications

• Common Risks: Mechanical failure, improper use leading to injury.
• Rare Risks: Electrical malfunctions causing shocks or bed fires.
• Management: Regular maintenance and prompt reporting of any issues to the bed supplier.

Benefits

• Comfort: Significantly enhances comfort for patients needing frequent position adjustments.
• Safety: The side rails help prevent falls and reduce the risk of bed-related injuries.
• Convenience: Makes it easier for caregivers to assist in patient repositioning and transfer.

Recovery

• No recovery time needed for the bed, but patient comfort and mobility may improve significantly over continuous use.
• Regular bed maintenance and occasional adjustments may be required.

Alternatives

• Manual Hospital Beds: Less expensive but require manual effort for adjustments, not suitable for all patients.
• Semi-electric Beds: Require manual height adjustment, partially effective.
• Regular Beds with Adjustable Bed Wedges: Less comprehensive but may suffice for short-term or less critical needs.

Pros and Cons:

• Manual Beds: Cost-effective but high physical effort.
• Semi-electric Beds: Intermediate solution requiring some physical effort.
• Adjustable Bed Wedges: Less expensive but limited in functionality.

Patient Experience

• During: No procedure pain.
• After: Improved comfort and ease of movement.
• Pain Management: Pain from conditions alleviated by better positioning, use pillows and mattress overlays for added comfort. Regular reassessment by healthcare providers to ensure bed settings remain optimal for patient comfort.