Name of the Procedure:

• Common Name(s): Over-Bed Table
• Technical/Medical Term: HCPCS Code E0274

Summary

An over-bed table is a portable, adjustable platform used to provide a surface for patients to eat, read, write, or place personal items while in bed. This piece of equipment is especially helpful for individuals with limited mobility or those confined to bed for extended periods.

Purpose

• Medical Conditions or Problems Addressed: Provides a stable surface for activities while bed-bound due to medical conditions or post-surgery recovery.
• Goals or Expected Outcomes: Enhance patient comfort and independence, improve hospital or home care efficiency, and facilitate activity and engagement for bedridden individuals.

Indications

• Specific Symptoms or Conditions: Limited mobility, prolonged bed confinement, post-surgical recovery, chronic illnesses.
• Patient Criteria: Patients who are unable to leave their bed or who spend a significant amount of time in bed.

Preparation

• Pre-Procedure Instructions: No specific preparation is required for the use of an over-bed table.
• Diagnostic Tests/Assessments: None required.

Procedure Description

• Step-by-Step Explanation:
  1. Adjust the table height and angle to fit the patient's needs and comfort.
  2. Position the table over the bed, ensuring that it is stable and securely locked in place.
  3. Place items such as meals, books, or medical equipment on the table for easy patient access.
• Tools/Equipment Used: Over-bed table with adjustable features.
• Anesthesia or Sedation Details: Not applicable.

Duration

• How Long It Takes: The setup and adjustment of an over-bed table typically takes a few minutes.

Setting

• Where Performed: Can be used in various settings including hospitals, outpatient clinics, nursing homes, and private residences.

Personnel

• Healthcare Professionals Involved: Nurses, caregivers, or family members may assist in setting up and adjusting the table.

Risks and Complications

• Common and Rare Risks: Minimal risks; potential minor risks include pinch injuries during adjustment or the table becoming unstable if not properly secured.
• Possible Complications and Management: Ensuring the table is correctly assembled and adjusted minimizes any risk of instability. Regular equipment checks by healthcare staff help prevent issues.

Benefits

• Expected Benefits: Improved patient independence, ease of access to personal items, and increased comfort and convenience.
• Realization Time: Benefits are immediate as soon as the table is properly set up.

Recovery

• Post-Procedure Care/Instructions: Not applicable.
• Expected Recovery Time: Not applicable.
• Restrictions/Follow-up Appointments: None required specific to the use of the over-bed table.

Alternatives

• Other Treatment Options: Bed trays, bedside tables, lap desks.
• Pros and Cons of Alternatives:
  • Bed Trays: Portable but lack adjustable height and angles.
  • Bedside Tables: Provide nearby surface area but are not as accessible for items when the patient is confined to bed.
  • Lap Desks: Convenient for short-term use but can be uncomfortable for extended periods and lack stability.

Patient Experience

• What the Patient Might Feel/Experience: Patients will likely find the over-bed table convenient and helpful for daily activities while confined to bed.
• Pain Management and Comfort Measures: There is no pain associated with this device; ensuring the table is adjusted to the correct height and angle will maximize comfort.