Name of the Procedure:

Safety Enclosure Frame/Canopy for Use with Hospital Bed
HCPCS Code: E0316

Summary

The safety enclosure frame or canopy is a protective device used with hospital beds to prevent patients from falling out or leaving the bed unassisted. This enclosure provides a safe environment for patients who may be at risk due to mobility issues, cognitive impairments, or agitation, ensuring they remain secure and comfortable.

Purpose

The safety enclosure frame/canopy is used to prevent falls and wandering, ensuring patient safety, especially in those with high fall risk, cognitive impairments, or severe agitation. It is designed to:

• Reduce the risk of injuries from falling out of bed.
• Provide a secure space for patients who may be confused or disoriented.
• Allow healthcare providers to better manage patients who require close supervision.

Indications

• Patients with a high risk of falling out of bed due to frailty, age, or medical conditions.
• Individuals with cognitive impairments such as dementia or Alzheimer’s disease.
• Agitated or restless patients who might attempt to leave the bed unassisted.
• Patients under sedation or recovering from surgery who need restricted mobility for their safety.

Preparation

• No specific preparation is required for the patient.
• Healthcare providers should ensure the hospital bed and the enclosure frame/canopy are in good condition and properly set up.
• Inform the patient and their family about the use of the enclosure for safety purposes.

Procedure Description

1. Setup: The hospital bed is adjusted to accommodate the safety enclosure frame/canopy.
2. Installation: The enclosure frame is mounted around the bed. A canopy of mesh or fabric is then attached, creating a confined yet comfortable space.
3. Securing: The enclosure is securely fastened to prevent any movement or collapsing.
4. Monitoring: Healthcare providers ensure the patient is comfortable within the enclosure and continually monitor for any signs of distress.

Tools used include:

• Hospital bed
• Safety enclosure frame
• Mesh or fabric canopy
• Fastening equipment

Anesthesia or sedation is not typically required for the installation of the safety enclosure frame/canopy.

Duration

The installation procedure typically takes about 15-30 minutes. The duration of use varies depending on the patient’s condition and medical recommendations.

Setting

This procedure is primarily performed in hospitals, including patient rooms and intensive care units.

Personnel

• Nurses
• Patient care technicians
• Occupational therapists (if customization is needed)

Risks and Complications

• Common Risks: General discomfort, feelings of confinement.
• Rare Risks: Skin irritation, pressure sores from the enclosure.
• Management includes regular monitoring and adjusting the enclosure to ensure comfort and safety.

Benefits

• Immediate reduction in risk of falls and associated injuries.
• Increased safety and security for patients with cognitive impairments.
• Peace of mind for healthcare providers and families.
• Potential for quicker overall recovery due to reduced fall-related complications.

Recovery

• Post-procedure care includes regular monitoring of the patient’s skin and comfort.
• Expected recovery time can vary based on the patient's underlying condition.
• Follow-up appointments as needed for overall health assessment.

Alternatives

• Bed alarms to alert caregivers when patients try to leave the bed.
• Floor mats placed next to the bed to cushion any falls.
• Use of side rails on the hospital bed.
• Personal sitters or 24-hour surveillance by healthcare staff.

Pros and cons compared to alternatives:

• Pros: Provides a physical barrier, reduces need for constant surveillance, enhances patient safety.
• Cons: May cause feelings of confinement or restriction for the patient.

Patient Experience

Patients might feel a sense of confinement initially but typically understand it’s for their safety. Healthcare providers aim to ensure comfort by adjusting the enclosure as needed. Pain management is generally not an issue, but measures are in place to alleviate any discomfort.