Name of the Procedure:

Transfer Device, Any Type, Each (HCPCS Code: E0705)

Common name(s): Transfer device, transfer aid
Technical/medical term: Patient transfer device

Summary

A transfer device helps patients move from one location to another, such as from a bed to a wheelchair, with minimal effort. These devices can be manual or motorized and are designed to assist individuals with limited mobility.

Purpose

The procedure addresses mobility issues in patients due to various medical conditions such as paralysis, severe arthritis, and muscle weakness. The primary goal is to facilitate safe and efficient transfers, reducing the risk of injury to both patients and caregivers.

Indications

• Limited mobility due to medical conditions like paralysis, arthritis, or spinal injuries.
• Post-operative recovery requiring assistance with movement.
• Chronic conditions that impair movement, such as multiple sclerosis or muscular dystrophy.
• Elderly patients with significant weakness or balance issues.

Preparation

• No specific fasting or medication adjustments are typically required.
• Evaluation by a healthcare provider to determine the most suitable type of transfer device.
• Training sessions for both the patient and caregiver on how to use the device safely.

Procedure Description

1. Assessment: Healthcare provider assesses the patient's mobility needs and selects an appropriate transfer device.
2. Introduction: The transfer device is brought to the patient's location, usually where they need to be moved from and to.
3. Positioning: The patient is carefully positioned for the transfer, ensuring comfort and safety.
4. Usage:
   • If manual, a caregiver may use a transfer belt or board to assist the patient in moving.
   • If motorized, the device is securely attached to the patient, and the controls are operated to move the patient.
5. Transfer: The patient is gently moved from the starting position to the target location with the caregiver's or device's assistance.
6. Completion: The device is removed, and the patient is positioned comfortably in their new location.

Tools and Equipment: Transfer belts, transfer boards, motorized lifts, slings.

Anesthesia or Sedation: Not applicable to this procedure.

Duration

Typically takes 5-20 minutes, depending on the patient's condition and the type of device used.

Setting

Performed in hospitals, outpatient clinics, nursing homes, or private residences.

Personnel

• Nurses
• Physical therapists
• Caregivers
• Certified medical assistants

Risks and Complications

• Minor: Skin abrasions, discomfort during transfer
• Rare: Falls, strain injuries for caregivers

Benefits

• Increased safety during transfers.
• Improved mobility and independence for the patient.
• Decreased risk of injury for both patient and caregiver.
• Benefits are usually immediate once the device is used correctly.

Recovery

• Immediate effectiveness with minimal post-procedure recovery time.
• Instruction on regular exercise and movement to maintain mobility.
• Follow-up appointments to reassess the need for the transfer device and make any necessary adjustments.

Alternatives

• Manual assistance without a transfer device, which might pose higher risk.
• Home modifications, such as installing mobility aids like grab bars and lift chairs.
• Long-term physical therapy to improve patient strength and mobility.

Patient Experience

Patients may feel more secure and confident during transfers. Some might experience initial anxiety, which usually decreases with familiarity and proper training. Pain management is generally not needed, but measures include ensuring comfort and proper positioning during transfer.