How To Order

All treatments, equipment, medications, etc. must be documented in the patients’ individualized care plan prior to being given, placed or initiated. Written orders are required in healthcare facilities from the patients’ Attending Physician, Physical Therapist, Nurse Practitioners or other qualified care providers before the order/placement or initiation of medical equipment, medicines, and other treatments.

 

WHEN TO USE:

The use of thigh belts is often medically necessary and prescribed for patients who require:

1) Positioning device for added safety while seated in a wheelchair

2) Positioning device used in conjunction with Broda’s Huntington’s Specialty Padding (HSP) package

3) Enhanced patient safety in accordance with the individualized care plan and following the attainment of a physician’s order

WHEN NOT TO USE:

1) Do not use if less restrictive measures are available and will maintain patient safety (CFR 482.13(e)(1) ¹

2) If the patient is left unattended/unsupervised following the placement of the thigh belt

3) If the patient presents  a condition that may cause use the of the thigh belt to become unsafe

4) Do not use with a patient who is or may become highly aggressive, combative, agitated or suicidal

5) Discontinue use if redness, irritation or swelling occurs to the thigh area following the placement of the thigh belt

6) Do not use if the patient presents with wounds, irritation or swelling of/or at the site of placement as doing so could cause symptoms to worsen

7) Caution must be taken when the use of a thigh belt is for patients with a colostomy bag, foley catheter, post-surgical incisions or other conditions that would render the use of the thigh belt unsafe

BRODA Tip To Remember:

Following USA regulations CFR482.13 (e)(1) ¹, a physician’s order is required for the use of restraints. In addition, the individualized care plan must prove medical necessity for use of restraints and document need for the restraint.

1) Document education and training provided to staff for proper use of the thigh belt

2) Always document observation/safety checks following the placement of the thigh belt

3) Review and document continued need of the thigh belt at each care plan meeting following placement of the thigh belt

4) Always use the thigh belt as ordered and in accordance with facility protocol, State, and Federal Regulations

 

Sources:

1) ELECTRONIC CODE OF FEDERAL REGULATIONS SUBPART B 482.13

"Prior to using Broda's Elite Tilt Recliner, there were issues with safety for getting the resident out of the chair, safety for staff lifting her in, either manual/mechanical; comfort, keeping her in the chair, inability to get her body over the sides.

The chair sides raise to prevent her from throwing her legs/body over the sides; same with the extra padding along her leg area that is raised. The tilt puts her buttock in a comfortable position, but also makes it extremely difficult to push out. The chair sides also swing out to assist with ease of the mechanical tilt.

Broda's chair has given her a reason to want to get up and she enjoys her chair now. When we are using the mechanical lift she remains calm because she wants to get in it and will stay longer safely and comfortably! Staff can safely lift and position her without worrying about injuring themselves."

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“What a difference now that Mom is safe and comfortable. It gives me peace of mind to know that she is sitting in on of Broda's chairs. My only regret is that I did not get this chair sooner for her.”

Bill L., Family Member ; fmr. Executive Director of Canadian Assistive Devices Association |Toronto, ON

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"The Broda Revive Tilt and Recline Shower Commode meets our patient's needs. He indicates he feels safe and his own care each morning. He is safe at all times while in the chair, and the caregivers are safe at all times while providing his care. All staff report being pleased with the commode and find it much easier to assist him."

Pam, Director of Nursing