How To Order

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

When to use:

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

1) Anterior posture support

2) As an additional support surface for placement/support of flaccid extremities

3) Another support surface to support the weight of a cast, brace or another device

4) Aid in the treatment of conditions that affect the upper extremities such as edema, subluxation, etc.

5) Use of a tray as outlined in the individualized care plan and prescribed by their Attending Physician

6) The tray for assistance in completing their Activities of Daily Living such as feeding, grooming, and other activities

7) Enhanced patient safety following an individualized care plan and the obtainment 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 tray

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

4) Discontinue use if a patient is at risk of/or begins to slide down and out of the chair while seated

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

 

Broda Tip To Remember:

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

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

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

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

4) Always use the tray as ordered and by Facility Protocol, State/Provincial, and Federal Regulations

 

Sources:

1) ELECTRONIC CODE OF FEDERAL REGULATIONS SUBPART B 482.13

"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

"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."

J. C., Unit Manager, RN |Campobello Island, NB

"Our gliders [Tranquille Auto-Locking Gliders] are always disappearing out of our common areas and end up in our patients' rooms We don't know how they get there, but they love them and prefer sitting in them more than anything else. One patient with a back injury told us this was the only chair he could sit comfortably in. He wanted to take it home with him after his rehabilitation was complete."

Josiah D., Facility Administrator |Pocatello, ID

"Prior to the Broda chair [Synthesis Tilt Recliner], we had tried numerous positioning devices for the resident, which were ineffective. She had a tendency to lean forward and to one side. Once using the Broda chair [Synthesis Tilt Recliner], the resident's posture immediately improved. She, herself, was very thankful because she was "so comfortable". The staff couldn't believe the result. Besides this resident sitting in proper alignment, she could still self-propel with her feet."

Linda P., Restorative Coordinator |Joliet, IL

We have not had any skin breakdown with our residents in Broda's Elite Tilt Recliners since we started using them four years ago. We attribute this to the design of the straps allowing for moisture wicking as well as the ability to easily position recline position for pressure relief.

Jaclyn A., OTR/L Director of Occupational Therapy |New Hartford, NY