Advanced Health Equipment Loan Program Manual

Transcription

1 Advanced Health Equipment Loan Program Manual Page 2 Page 3 Page 4 Page 6 Page 7 Page 8 Page 9 Page 10 Page 12 Page 14 TABLE OF CONTENTS Contact Phone Numbers Ordering Protocol Access to Advanced Equipment The Delivery/Pick up Program Delivery & Pick up Charges Equipment Information Southern Gulf Islands Loan Procedures Advanced Equipment in Inventory Advanced Mattresses & Overlays Fax Order Form 1

2 Contacts Please Fax All Advanced Equipment Requests to: Victoria Red Cross FAX # If it is an emergency order or you would like to further discuss your order please call your contact number T.I.M.E. DESK Saanich East Health Unit Peninsula Health Unit Saanich West Health Unit Southern Gulf Islands Transportation and Installation of Medical Equipment Program All Hospital Staff RJH, VGH, SPH, GRH, Hospice, PRT, Queen Alexandra QRT Private Therapists Victoria North Health Unit Victoria South Health Unit Esquimalt/Westshore Health Unit Gordon Head/Oak Bay Health Unit 2

3 Ordering Protocol All the Health Units, Agencies and Facilities are divided between advanced program staff in consideration of other work responsibilities; as such, please ONLY call your designated contact. We will always get back to you as soon as we can. Please wait to place an order until you have all the required client, equipment and delivery information (see page 7 for Equipment Information and page 5&6 for delivery information) Place your advanced equipment order by fax, completing ALL necessary information (your first & last name, your designation, i.e. PT, OT, Homecare Nurse and contact number and complete client information & detailed equipment request.) You will receive a confirmation call when the order is completed. If you come in person to the Red Cross house to place an advanced equipment order, you will be asked to complete an order form. Please note orders are filled in chronological order and we may not be able to fill your request immediately. If your client is 200 lbs or more please provide their weight. If you are ordering basic equipment only (ex. cane, crutches...), contact the basic program at If any part of your order is advanced equipment, fax your whole order to the advanced health equipment loan program fax line. Please be aware of what equipment access you have for the advanced program (see page 3). Do not send client, family or friends to come and pick up an order until you have spoken to us or received a message from us to confirm that we have the equipment you are looking for and when the order will be ready. Identify if your client is Palliative (if they are registered with the Palliative Benefits Program) or a Hospital Discharge. Palliative client loans have no time limit; clients can keep the equipment for as long as they need it. Additionally, we no longer are able to provide incontinence supplies. Please NOTE we do not loan into INTERMEDIATE or EXTENDED care facilities. 3

4 Access to Advanced Equipment Health Care Professional VIHA Home & Community Care (HCC) Therapists Advanced Health Equipment Access FULL ACCESS Private Community Therapists FULL ACCESS except for Bath Lifts, Patient Lifts & Pressure Redistribution Mattresses/Overlays for which a VIHA Home & Community Care Therapist must be involved. (Must agree to do an assessment and to provide appropriate training when accessing Power Mobility Equipment. If not, contact Home & Community Care Central Intake, , and refer to VIHA HCC Community Rehab) Hospital Therapists FULL ACCESS under the following conditions: Power mobility & patient lifts home visit by a therapist required prior to delivery to assess suitability of equipment to home environment Floor to ceiling poles home visit by a therapist required prior to delivery to determine exact size and location for installation Powered mattresses requires a home visit by a therapist post delivery to ensure equipment settings meet the client s need ROHO cushions must be checked by a therapist to ensure proper inflation for the client...continued on next page 4

5 HCC Nurses, PRT Nurses, Hospital Nurses, Hospital Liaison Nurses & Hospital Case Managers LIMITED ACCESS: Electric Beds, Pressure Reduction Mattresses & Overlays, Nebulisers, Slider sheets, Walker Trays, Baby Monitors, Lock Boxes and any basic equipment. In addition, if the client is palliative, Wheelchairs, Foam Cushions, Lift Chairs, Slider Sheets and Four Wheeled Walkers. HOWEVER, it is recommended that a Community Therapist be involved as soon as possible when ordering these items. Can also place an order on behalf of a Hospital Therapist as long as the Hospital Therapist s name is provided. Case Managers, Rehab Assistants, & Licensed Practical Nurses Case Managers and Rehab Assistants can place orders on behalf of a Hospital therapist only. Licensed Practical Nurses can place orders on behalf of HCC Nurses after consultation with the RN. Dieticians LIMITED ACCESS Humidifiers, Blenders & Vaporizers only. Respiratory Therapists LIMITED ACCESS Suction Machines, Nebulisers, Vaporizers & Humidifiers only. 5

6 The T.I.M.E. Program (Transportation & Installation of Medical Equipment) Request delivery of an order through your advanced program contact Deliveries will normally get booked in within a couple days. Pick ups, depending on how busy Deliveries are, could have to wait 3 to 5 business days to get booked in. All attempts will be made to accommodate urgent same day requests, especially palliative clients. There are two delivery/pick up slots in a day: AM (sometime between 9am and Noon) or PM (sometime between 1pm and 4pm) If an appointment time is needed please state that at the time of placing your order. Appointment times are either at 9:30am or 1:30pm and there is a $20 added charge. The T.I.M.E. Program will always contact the client/family to arrange a convenient day and time for delivery or pick up. Delivery will always include installation of equipment as long as there are no barriers to installation (ex. mattress not being installed because client can t get out of bed.) The T.I.M.E. Technicians & Volunteers move Red Cross equipment ONLY. The only situation where other furniture will be moved is to make room for our equipment, and even then, only to the nearest and safest place (e.g. against a wall or to an adjacent room). Phone if you have any inquiries about how a delivery went, to request pick up of equipment, or to change the payment status of a client. There is always a charge for delivery & pick up with the following two exceptions: For any client registered with the Palliative Benefits Program all delivery and pick up costs are covered by VIHA (effective July 1, 2007 onwards). Home & Community Care Therapists or Registered Nurses or RJH, VGH, GRH or pain clinic therapists who deem a client in need can authorize the T.I.M.E. program to bill VIHA for any delivery or pick up charges There is a price associated with each piece of equipment dependent on the amount of installation required and what area of the city (see page 7 for listing.) The charge for a pick up or delivery is the amount associated with the highest priced. There will be a No Show fee of $20 billed to the client if no one is home. Please indicate if you require a call back as to when the delivery of an order has been scheduled. When requesting delivery, please identify any pertinent information that would affect our ability to deliver and install the equipment (ex. client hard of hearing, 40 steps to the front door, etc...) The following equipment must be delivered and installed by the T.I.M.E. program: Electric Beds, Lift Chairs, Patient Lifts, Air & Gel Mattresses, and Floor to Ceiling Poles. It is recommended that bariatric Wheelchairs also be delivered by T.I.M.E. 6

7 TIME Delivery and Pickup charges Zone 1 - Victoria (up until Admirals Rd. and Mackenzie Ave) Zone 2 - Saanich (Admirals Rd. to Six Mile Rd. & Mackenzie Ave. to Mt. Newton X Rd.) Zone 3 - Western Communities & The Peninsula (West of Six Mile Rd. & North of Mt. Newton X Rd.) Equipment Zone 1 Zone 2 Zone 3 Air cushion $15 $20 $25 Bath board $20 $25 $30 Bath grab bar $20 $25 $30 Bath stool $20 $25 $30 Bath transfer bench $20 $25 $30 Bed - Bariatric $100 $105 $110 Bed - electric $60 $65 $70 Bed - manual $50 $55 $60 Bed cradle $20 $25 $30 Bed Assist handle $20 $25 $30 Bed Rails $25 $30 $35 Cane $15 $20 $25 Commode $15 $20 $25 Crutches $15 $20 $25 Floor to ceiling pole $25 $30 $35 Furniture blocks $30 $35 $40 IV Pole $15 $20 $25 Lift chair $40 $45 $50 Mattress - Regular, Air & Overlays $25 $30 $35 Overbed Table $15 $20 $25 Patient lift $40 $45 $50 Raised toilet seat $20 $25 $30 Scooter $30 $35 $40 Toilet safety frame - attachable $35 $40 $45 Toilet safety frame - free standing $20 $25 $30 Transfer Belt $15 $20 $25 Trapeze $25 $30 $35 Tub lift $25 $30 $35 Walker - four wheel $15 $20 $25 Walker - rigid $15 $20 $25 Weigh-Ins (does not include an appt. tim $40 $40 $40 Wheelchair - electric $30 $35 $40 Wheelchair - manual $15 $20 $25 Wheelchair ramps $25 $30 $35 Additional charge of $20 applicable on all orders exceeding 6 pieces of equpment Additional charge of $20 applicable for an appointment time Service Call fee - $50 7

8 Equipment Information (See page 10 & 11 for a list of Advanced Equipment in Inventory) If your client is 200 lbs or more please provide their weight. The following equipment must be delivered and installed by the T.I.M.E. program: Electric Beds, Lift Chairs, Patient Lifts, Air & Gel Mattresses, and Floor to Ceiling Poles. It is recommended that bariatric Wheelchairs also be delivered by T.I.M.E. When loaning Electric Beds please indicate if rails are required. If so, please specify full or half. Please also note we will not loan a Bed Assist Handle for use on hospital beds. When ordering Floor-to-Ceiling Poles or Super Poles, please give the actual floor to ceiling measurement. Also, please indicate where the pole is supposed to go in the house as well as marking the spot on the floor if possible. When ordering 2 or 4 Wheeled Walkers, please give the height to which you d like the handles set at. When ordering Transfer Benches, please indicate what side the taps are on in the client s bathtub, left or right. When ordering Wheelchairs or Cushions, please indicate the desired seat width, depth & height. If applicable, please indicate the desired finished floor to seat height. When ordering a Roho Cushion, indicate High Profile (4 high) or Low Profile (2 high). When ordering a Mattress or Overlay, please indicate what number on the Braden Scale is needed for your client. Please see page 9 & 10 for a listing of our mattresses and overlays keeping in mind what restrictions if any you may have in ordering Pressure Relief Mattresses and Overlays. We will then phone you back with what Mattresses or Overlays we have available within that Braden category. Mattresses may only be installed on hospital style beds. When loaning Patient Lifts please indicate the sling model preference and size required (ex. quick fit, hammock or hygiene small, medium, large or x-large). When loaning Easy Track Lifts please make sure that 1) the ceiling is solid to support the pressure of the floor-to-ceiling poles that support the track lift 2) there is room for the floorto-ceiling poles at the start point and end point of the track lift (i.e. will not work in a bathroom that has a tub against the wall) 3) the ceiling is a minimum of 7 feet and a maximum of 9 feet. When loaning a Scooter for a client to use with Public Transport please keep in mind the following Public Transport requirements when you are indicating what specifics you need for a scooter: Public Transport Bus: Handi Dart Bus: Requires Tie Down Loops Does not require Tie Down Loops Max Length of wheel base = 30 Max Length of wheel base = 47 Max Width of wheel base = 29 Max Width of wheel base = 39 8

9 Southern Gulf Islands Galiano, Mayne, Pender, Salt Spring, Saturna Equipment Loan Procedures and Policy 1. Intermediate/advanced equipment is available with these exceptions: power mobility equipment, easy track lift systems. 2. To place an order, please follow the ordering guidelines on pages 3 and 4 above. 3. When the order is ready for shipment, Red Cross personnel will contact the shipping company to arrange delivery to the respective island. 4. Red Cross personnel will contact the respective island volunteer group to arrange pickup from the shipping company for delivery and installation for the client. 5. Red Cross personnel will provide the health care professional with confirmation of the order and expected delivery date. 6. When the equipment is no longer required, contact the Victoria Red Cross TIME desk at Red Cross personnel will arrange for pick-up. 7. There is no cost to the client for shipping of equipment to and from the respective island. 9

10 Advanced Equipment in Inventory The equipment listed here is unique to the advanced program and does not list all of the basic equipment that is also available (ex. crutches, canes, commodes etc...) Aids to Daily Living Air Cast Baby Monitor Blender Electric Recliner Lift Chair (2 way & 3 way position) Elbow & Heel Protectors Furniture Blocks Lap/Book Tray Lock Box Overbed Table Pedex Ramp Trifold Ramp Threshold Ramp Wheelchair (or Split) Shampoo Tray Spenco Booties Tea Trolley Perching Stool Bathroom Safety Equipment Aquatec Bathlift Elan (standard tub size; no reclining back) Aquatec Bathlift Fortuna (standard tub size with reclining back) I.N.C. Versa Frame Shower Commode with foot pedals Aquatec Tilt-In-Space Shower Commode with foot pedals and head rest Bed Products Full and Semi Electric Beds ( Length 6 8, Width 36 and Max Height 30 ) Bariatric Bed Pressure Reduction & Pressure Relief Overlays (see page 8 for Overlay listings) Pressure Reduction & Pressure Relief Mattresses (see page 8 & 9 for Mattress listings) Biomedical Equipment Arterial Assist Humidifier Lymphedema Pump Nebuliser Suction Machine Tens Machine Vaporizer 10

11 Positioning & Transfer Aids Floor to Ceiling Poles Super Poles (floor to ceiling pole with horizontal bar) Free Standing Trapeze Patient Lift & Slings Bariatric Patient Lift & Slings Sit-to-Stand Lift & Bands Uplift Seat Transfer Belts One Way Slider Transfer Board Transfer Disc Bed Ladder Knee Bolster Bed Wedge Sliding Sheet Power Mobility Equipment Power Wheelchair Scooter Three & Four Wheeled Seating Systems Acton Gel Pad Acton Gel Pad with Commode Cut-out Foam Cushion Foam Cushion with Board in Base Jay2 Cushion (high density foam with gel in coccyx area) Nexus Cushion (high density foam with Roho in coccyx area) only ONE in inventory Roho High Profile (4 high) Cushion & Low Profile (2 high) Cushion Roho Quadtro (four valve) Cushion Spenco Chair Pad Veralite Cushion only TWO in inventory Walking Aids Bariatric Four Wheeled Walker Four Wheeled Walker Four Wheeled Walker with Gutters Bariatric Two Wheeled Walker Bariatric Two Wheeled Walker Tray Two Wheeled Walker Tray (only fits on rigid 2 wheeled walkers) Wheelchairs Regular Wheelchair (widths ranging from ) Hemi Height Wheelchair Wheelchair with a Personal Back Wheelchair with a Reclining Back Tilt-in-Space Wheelchair Full & Half Trays that attach to Wheelchair 11

12 Advanced Equipment Overlays, Pressure Reduction Mattresses and Pressure Relief Mattresses Braden Scale: = At Risk, = Moderate Risk, = High Risk, 9-0 = Very High Risk Name (Type) Woolrest (Overlay) Spenco (Overlay) Gel pad (Overlay) RIK Fluid (Overlay) Sofflex (Overlay) Roho (Overlay) Geomatt (Overlay ) Greenie (Mattress) KCI Therarest Reduction) Sunrise Viscovery Reduction) BFF mattress LTC 2000 Reduction) Bariatric Reduction) Braden Score Indications Sheepskin overlay provides warmth- no pressure reduction provided Fibres absorb and spread the forces of pressure, friction and shear- Pressure reduction ½ inch gel pad single bed size- provides friction and shear relief (Action brand) Non powered pressure and shear relief, 3 pieces. with cover Promotes healing and prevention of ulcersdrainage holes draw moisture away from client-low friction surface reduces skin shear Friction and Shear relief- Helps heal advanced stage ischemic ulcers Stage 3 & 4 Proven effective as an aid in the prevention and treatment of pressure ulcers through stage 11- Pressure reduction Staph check mattress For early intervention and prevention of pressure ulcers on low-risk patients or for patient seeking improved comfort. Is a foam mattresses with firm side perimeter and sloped heel section Provides top of the line wound prevention with superior weight distribution and total body envelopment cover has exceptional moisture barrier Designed for Palliative care level clients with bony prominences and high risk of tissue breakdown-extra thick high resiliency super soft topper maximises comfort, increases immersion into mattress therefore maximising pressure relief High-density Foam (80"L x 7"H x 42"W) Comments More for comfort and warmth Yellow side goes against mattress 3 section form full mattress- choose appropriate combination of Sofflex & foam sections. Clean with soap and water No special sheeting required- 4 sections to make standard bed clean with soap and water Minimises effects of pressure, shear and heat build up Basic spring mattress with waterproof cover Wipe cover to clean Fluid proof cover reduces shear and friction Vinyl anti-bacterial and waterproof cover (latex-free) Weight Limits none none 250 lbs 300 lbs No Max 250 lbs 225 lbs 350 lbs 300 lbs 225 lbs 600 lbs...continued on next page 12

13 KCI Impressions KCI Atmos Air 9000 Sunrise APM 480 Invacare Debonair KCI First Step Product is intended to help treat and reduce the incidence of pressure ulcers while optimising patient comfort Maximises body weight displacement and minimises tissue interface pressure- nine horizontal static air cylinders allow finer adjustments for enhanced dynamic pressure relief- firm perimeter and sloped heel section. For prevention or treatment of skin breakdown. Support cells alternately inflate and deflate to redistribute skin pressure Low air loss mattress-deep and continuous floatation assuring patients do not bottom out- Air flow keeps patients skin naturally dry reducing skin friction and shear Mattress replacement is deigned to suspend patient on low air loss support surface providing effective pressure relief and early intervention for patients with skin breakdown Independently deflatable heel cushions, Firm foam perimeter Cover reduces shear and friction Breathable low shear cover Must use quilted therapy pad that comes with mattress. A cotton sheet can be placed between client and therapy pad- may increase skin friction and shear if the sheet is taunt Must use the Gore-Tex sheets- do not use plastic backed incontinent padsmust use Dri-flo breathable underpads 350 lbs 500 lbs 300 lbs 350 lbs 250 lbs Select 300 lbs Excel 250 lbs Air Rail KCI ProfiCare Rik KCI TheraKair KCI TheraKair VISIO Pressure Guard APM Alternating Air fully automatic mattress replacement designed for a hospital bed frame. Utilises an auto-control system which self adjusts the mattress air pressure dependent on patient weight and posture. Non powered fluid therapy mattress. Designed to provide a high degree of pressure relief, low shear, comfort and stability. Provides Pulsation Therapy. Multiple High Air Loss bladders with a variable-speed Blower and a Warmer to provide air flow at variable pressures and temperatures, adjustable for patient comfort Combination of Low Air Loss, Pulsation Therapy and Goretex Medical Fabric (has intuitive touch screen) Distributing air cylinders with electric pump, anti shearing Geomatt topper, firm perimeter to facilitate transfers & heel slope to reduce heel pressures Easy to maintain and clean. Use only Rik fluid mattress cover-it is made of soft nylon and designed to fit loosely- any other sheet will adversely affect performance Must use the Gore-Tex sheets- do not use plastic backed incontinent padsmust use Dri-flo breathable underpads Must use the Gore-Tex sheets- do not use plastic backed incontinent padsmust use Dri-flo breathable underpads Fluid proof nylon cover 400 lbs 500 lbs 285 lbs 285 lbs 350 lbs 13

14 909 Fairfield, Victoria, BC Front Desk (MELS) (250) Version 2.1 ADVANCED PROGRAM REQUEST - Fax to **ALL STEPS MANDATORY** Obtained informed consent from client to submit this request by fax STEP 1: Therapist Information: Health Care Designation Today's Date: Full Name: Phone: STEP 2: Select Your Unit Group: (please select & circle) ALL HOSPITAL STAFF, QRT, H&CC ESQ/WESTSHORE, GORDON HEAD/OAK BAY, PRIVATE H&CC PENINSULA, ROYAL OAK, VICTORIA NORTH/SOUTH, SALTSPRING STEP 3: Equipment is for: Pickup at Red Cross Delivery to client - Select Payment Type: Client Invoice Client VIHA (all palliative clients) STEP 4: Client information: PALLIATIVE (client is registered with B.C. Palliative Benefits) Name: Phone: Address: Postal Code: Alternate Contact Name: Phone: Weight: lbs/kg Height: inches/meters STEP 5: Raised Toilet Seat (please circle) 2" / 4" / 6" 2 wheel walker height: inches/meters Tub Grab Bar Toilet Safety Frame (please circle) Versa / INC Bath Seat (please circle) no back / with back Bath Board Transfer Bench (please circle) Taps L or R Bed Assist Handle Commode Four wheel walker - height: inches/meters Client has been assessed & trained in use Hospital Bed Rails (please circle) Half or Full Mattress Make and Model: Braden Scale: Floor to Ceiling Pole - ceiling height: inches/meters Location Other Equipment: Please specify dimensions or sizes for wheelchairs, cushions, slings etc. Item Equipment Particulars (dimensions W x D x H, etc.) Special Instructions: (i.e.-client is heavy smoker, third floor apartment without elevator access, etc) 14