Name of the Procedure:

Hospital Bed, Semi-Electric (Head and Foot Adjustment), Without Side Rails, with Mattress (HCPCS E0294)

Summary

A semi-electric hospital bed is designed to allow patients to adjust the positioning of their head and foot sections for comfort and medical necessity with the help of an electric motor. Unlike a full electric bed, the height adjustment of the bed frame is done manually. This model does not include side rails but comes with a mattress.

Purpose

The purpose of a semi-electric hospital bed is to improve patient comfort and assist in medical care by allowing adjustments to the head and foot sections. It is particularly beneficial for patients with mobility issues, chronic conditions requiring specific resting postures, or those recovering from surgery.

Indications

Semi-electric hospital beds are indicated for patients who:

• Have difficulty getting in and out of bed.
• Suffer from conditions requiring elevated head or foot positioning, such as congestive heart failure, chronic obstructive pulmonary disease (COPD), or deep vein thrombosis (DVT).
• Are bedridden and at risk of bedsores (pressure ulcers).
• Require frequent repositioning for comfort or medical reasons.

Preparation

No specific preparation is required by the patient. However, caregivers should ensure:

• The environment is suitable for bed delivery and installation.
• Adequate electrical outlets are available for the semi-electric functions.
• Evaluation by a healthcare provider to determine the need and benefit of the semi-electric bed.

Procedure Description

1. Ordering and Delivery: A healthcare provider assesses the patient’s need and prescribes the bed. The bed is ordered through a medical supply company and delivered to the patient's residence.
2. Setup: The delivery team assembles the bed and mattress, ensuring all electrical components are functional and safe.
3. Operation: The patient or caregiver uses the control pendant to adjust the head and foot sections to the desired position. Height adjustments are performed manually if needed.
4. Usage: The bed is used as per the patient’s comfort and medical requirements, offering flexibility in positioning to aid in recovery and comfort.

Duration

The setup of the semi-electric hospital bed typically takes about 1-2 hours. The bed is used indefinitely as needed for patient care.

Setting

The semi-electric hospital bed is usually set up in the patient’s home or a long-term care facility.

Personnel

• Homecare Equipment Technicians for delivery and setup.
• Healthcare providers (e.g., doctors, nurses) to assess initial need and provide usage instructions.

Risks and Complications

• Electrical Malfunctions: Although rare, there can be motor or control malfunctions.

• Manual Handling Injuries: Risk for caregivers while adjusting the bed height manually.

  Benefits

• Improved Comfort: Adjustments help in finding optimal resting and sleeping positions.
• Enhanced Mobility: Easier for patients to get in and out of bed.
• Medical Benefits: Helps manage symptoms of chronic conditions and prevents bedsores.

Recovery

There is no recovery period associated with using the bed itself, but it provides ongoing care support following medical events or surgeries. Regular checks on the equipment’s function and maintenance are advised.

Alternatives

• Full Electric Hospital Bed: Offers all adjustments electrically, no manual intervention required. However, it is typically more expensive.
• Manual Hospital Bed: All adjustments are done manually, leading to increased physical strain for caregivers.
• Standard Bed with Bed Wedges: Less expensive but may not provide the same level of adjustment and comfort.

Patient Experience

Patients may initially need instructions to operate the bed but typically find it intuitive to use. The bed enhances comfort and care, reducing the need for frequent physical assistance. Pain and discomfort are minimized due to better rest positions.