Pressure Care Mattresses and Overlay Clinical Criteria
Contents
1. EAP area see website Equipment Allocation Program tab for a list of areas a stock item should be considered in the first instance Contracts in place State government contract 217A pressure care mattresses If the person does not live within the EAP catchment area or a stock item is not suitable items on NSW Health contract should be considered in the first instance as per the Premiers Memorandum Availability of equipment FlexEquip www flexequip com au please be aware these are short term under other services loans only Ineligible Groups People who are eligible for services and equipment to be provided under any of the following will not be eligible to receive equipment through EnableNSW see EnableNSW Policy e ADHC owned and operated supported accommodation facilities Respite or temporary care facilities Transitional Aged Care Package Federally funded Home Care Packages levels 1 4 Motor Accidents Authority Lifetime Care and Support Authority Dust Disease Board Pressure Care Mattresses Clinical Guidelines v1 May 2014 1 e Department of Veteran s Affairs Gold Card holder e Department of Veteran s Affairs White Card holder if the requested assistive technology is for an injury condition developed during or as a result of time in service e Third party Worker s Compensation other compensation related to the injury disease Equipment Eligibility Criteria A pressure mattress may be funded2. quality of sleep and how this may relate to daily activities and abilities cognitive and or psychosocial factors that may impact on pressure care needs contributing factors such as change in health condition prognosis impact of mattress on pain levels Confirmation that e The recommended mattress is matched with the person s current and future pressure care needs transfer technique and comfort levels have been considered to ensure compliance with mattress use e The person and or carer is able to identify equipment failure and organise repairs e There are no medical contra indications e g use of alternating air mattresses with unstable spinal fractures Social Carer criteria Provide e Information regarding carer factors including Physical abilities and or stress related to interrupted sleep when the device is recommended to reduce repositioning of the person e Confirmation that The carer is trained and able to use the equipment safely including set up care and identifying and arranging repairs Consider e Whether the prescribed mattress overlay will be compatible if a partner sleeps in the same bed Environmental and Equipment Factors Confirm e Person s weight is within the safe work load of the equipment requested e The size of the mattress is compatible with other bed equipment and accessories E g the height of the bed rails poles in relation to the height of the mattress the mattre
3. when e Someone is at risk of a pressure injury as evidenced by sound clinical reasoning documented on the Equipment Request Form and a validated risk assessment tool and e Their pressure injury risk is unlikely to significantly change and e The risk cannot be mitigated by other pressure management techniques and or equipment e The equipment prescribed will be required long term post acute treatment healing stage of existing pressure injury Key information to consider or include in the Equipment Request Form ERF Equipment Justification Provide History background of pressure care related to current condition including e Cause e Staging classification of injury Stage to be in line with the National Pressure Ulcer Advisory Panel NPUAP e Location s e Duration timeline of the current pressure injury s if applicable e Information on whether the pressure injury was related to the previous current pressure mattress e Any other pressure care equipment in place e g pressure cushions etc Results of a validated pressure area risk assessment tool including the score risk category low medium high very high at risk not at risk etc and how all of the risk factors relevant to the need for a pressure mattress are being addressed e Examples of risk assessment tools include Waterlow Braden Braden Q for children Norton Pressure Sore Prediction Score PSPS Ramstadius e Note For clinicians not famili
4. RAD Pressure Care Mattressses W Clinical Criteria HealthShare This criteria has been developed in consultation with expert clinicians and is based N W on available evidence at the time of development This document is designed to GOVERNMENT EnableNSW specify the criteria to access assistance through EnableNSW for this group of assistive technology and provide a basis for consistent and transparent decision making PRESSURE CARE MATTRESSES see separate guide for pressure care cushions and sleep positioning equipment Included Equipment Eligible Prescribers Group 1 Foam mattresses Occupational Therapist Registered Nurse Physiotherapist Foam overlays Group 2 Occupational Therapist Registered Nurse with alternating air mattress overlay gt 1 year experience alternating air mattress 3 previous prescriptions for group 2 equipment in this category replacement powered static air mattresses air flotation mattresses gel pads polymer mattress sections low air loss mattress Exclusions e Non disability specific mattresses e g innerspring latex Tempur foam mattresses e Non disability specific overlays eggshell sheepskin silicore fibre e Companion mattresses for a partner without a disability e Double and queen sized mattresses e Heel wedges boots elbow protectors etc Equipment Allocation If the person lives within the Equipment Allocation Program EAP catchment Program
5. ar with pressure injury risk assessment tools it is recommended that training and supervision is undertaken For clinicians with the majority of their caseload rated as high risk as a result of their disability e g Spinal Cord Injury SCI the need to supply a risk scale score is optional Confirm Investigation and outcomes of other pressure management techniques which were considered to mitigate the risk For example e For continence issues continence assessment referral and or any continence aids medication interventions in place e For immobility trial of a sustainable routine of weight shifting repositioning self with assistance with equipment e For weight nutrition related issues involvement past or present of dietician and or nutritionist e For spasticity and movement disorders consideration of options for medication management slide sheets for transferring or other equipment to reduce shearing forces friction e Trial of other items such as heel wedges or other off loading techniques boots elbow protectors etc to address specific risk areas Pressure Care Mattresses Clinical Criteria 30 May 2014 2 Functional Status Provide e Information from the clinical assessment including where relevant bed mobility sitting balance transfer techniques and abilities and risk of falls associated with recommended equipment amount of time spent in bed objective information regarding
6. d to be present at delivery Resources European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel Prevention and treatment of pressure ulcers quick reference guide Washington DC National Pressure Ulcer advisory Panel 2009 Pressure Care Mattresses Clinical Criteria 30 May 2014 4 Appendix 1 Component specifications An item may be funded when Mattress surround The person meets criteria for a wide bed A quote must be provided for all mattress surrounds as these are not included in the EAP stock or NSW Health Contract 217A Battery back up Significant frequency and duration of blackouts in the person s geographical area within the last 12 months The person is at very high risk of developing a pressure injury without powered support surface for even short time periods The risk is unable to be mitigated using other techniques such as placing mattress in transport mode transferring to seated mobility device or by carer repositioning the person in bed Non contract mattress Items such as air flotation products gel pads polymer mattress sections powered static air mattresses and foam overlays were not part of the mattress tender and may be requested Other items not on contract will only be approved where there is no item on contract to meet the person s clinical and or functional needs e g alternate item required due to person s weight underweight or
7. ocation program e To request a mattress from the EAP please submit a completed Stock Request Form e Atrial of a pressure mattress is not required when requesting stock If the supplied mattress is assessed as not suitable within 12 weeks an alternate item can be requested via email Please include additional clinical information when requesting a change of mattress enablewarehouse health nsw gov au Contract Items e f aperson does not live within the EAP catchment area or there is no stock item suitable items on NSW Health contract 217A should be considered before investigating alternative mattresses e The NSW Health Contract includes provision for trial across NSW Non contract items e Following trials if there is no mattress on Contract that meets the person s needs alternative mattresses may be considered Trials A trial is required except for stock EAP for all Group 2 equipment Where possible a trial should also be conducted for Group 1 mattresses Provide information from trial including that e The recommended mattress has been successful in maintaining skin integrity and or has had positive results for healing improving existing pressure injury e The person is compliant with the use of the mattress e The person is able to transfer safely with the mattress in place Plan for delivery Provide e Information regarding any issues related to access to the home e Name and contact details of those who nee
8. overweight and not meeting Safe Working Load SWL of mattress Pressure Care Mattresses Clinical Criteria 30 May 2014 5
9. ss is a good fit to the mattress platform and entrapment risks have been considered e Person has been informed regarding the contraindications of placing items e g continence products sheepskins electric blankets ill fitting bed sheets on top of the mattress and whether the effectiveness of other equipment is negated impacted by the pressure care mattress Consider e Whether the mattress will be used in more than 1 location and whether it is able to be transported e Temperature issues considered in regards to the mattress type selected e Whether an electric blanket is safe to use on recommended mattress as per user manual guidelines For an electrically operated mattress consider e Presence of power outlet within reach of the power cord and does not pose a trip hazard e Possible impact on electricity bill and advise client carer e Whether client lives in an isolated location which is subject to frequent power outage and whether there is justification for a back up battery Pressure Care Mattresses Clinical Criteria 30 May 2014 3 Options for Provision Equipment Allocation Program EAP e EnableNSW is able to provide stock equipment from our warehouse to people living in the Equipment Allocation Program EAP catchment area refer to website for the areas covered by the EAP e Stock equipment should be considered first for those living in the EAP catchment area http www enable health nsw gov au home equipment all
Download Pdf Manuals
Related Search