Home medical equipment

Home medical equipment - For most home medical equipment, which will be replaced by insurance, patients must have a doctor's prescription for the necessary equipment. Some equipment, such as oxygen, is regulated by the FDA and must be prescribed by a doctor before buying insurance is changed or vice versa.

Doctors may recommend a supplier for home medical equipment, or if the patient should do some research myself. HME / DMEPOS suppliers across the country.

There is no set standard size for HME / DMEPOS providers. Companies, including suppliers very large organization like Walgreens, Lincare and Apria for local small businesses operated by a single owner or family. A new trend in home medical equipment arena is the advent of Internet retailers that operate with very low margins and reducing costs for end customers elementary, but often without installation and internal training. [Citation needed] In all cases, however, strict rules and laws set suppliers HME / DMEPOS participants Medicare and Medicaid programs. In addition to the National Center Supplier rules, division of CMS (Center for Medicare and Medicaid), all providers of Medicare DME must obtain and maintain accreditation by an accreditation body approval number.

After the patient or caregiver to choose suppliers HME / DMEPOS appropriate, he / she presents to the supplier prescribing information and patient insurance. HME / DMEPOS suppliers to maintain product inventory and equipment, so that prescription fast delivery pharmacy.

Suppliers HME / DMEPOS obliged to perform certain functions in the provision of medical equipment at home. These include:

•     Good delivery and installation of equipment

•     Ensure proper and safe family environment for the proper use of equipment

•     Training patients, families and caregivers on the proper use and maintenance of equipment

•     Inform the patient and / or the rights and responsibilities of caregivers

•     Provide periodic maintenance (eg, maintenance of oxygen filling equipment, etc.)

All suppliers HME / DMEPOS must comply with the Health Insurance Portability and Accountability Act (HIPAA) to protect patient confidentiality and record

Insurance

Home medical equipment is usually covered by Medicare patients, including Medicare (Part B). In order to properly code for home equipment medical billing, public health procedure using HCPCS Coding. In 2007, according to the law of prescription drugs, the improvement and modernization of Medicare in 2003, a provider of HME / DMEPOS shall be third party certified to the standard set by the Centers for Medicare and Medicaid Services (CMS) to continue eligibility under Medicare Part B. This effort aims to standardize and improve the quality of patient care provided by the suppliers of medical equipment at home.

Emergency tourniquet cuff-like device

Emergency tourniquet cuff-like device

Emergency withers

Emergency tourniquet cuff-like device designed to stop a bleeding disorder before or during transport to a processing facility. They are wrapped around the limb, near the site of trauma and constrict blood vessels in all the congestion. Design and construction of emergency tourniquets allows quick application by the respondent or first aid injury. Use the right equipment has been proven to save lives withers under difficult conditions with a relatively low risk of injury. In field tests, the application prompts you before tourniquet emergency patients in shock associated with a higher survival rate than other scenarios where the turnstiles used later or not at all

Turnstile design

Existing guidelines include the use of makeshift "rope and stick" tourniquet as a last resort to stop severe bleeding. However, the purpose-made tourniquet devices that are well designed to ensure the safety and efficiency greatly improved . Variability in performance was demonstrated between the different models and methods of application.
Mechanical advantage

The mechanism that provides sufficient mechanical advantage is very important to apply sufficient pressure to stop bleeding, especially in the lower extremities. Occlude the venous blood pressure, but the flow can aggravate bleeding and damage to healthy tissue.

Pressure gradient

Under the pressure of the tourniquet cuff is uneven, with the high pressure cap is located around the center and decreases to zero near the edge of the cuff. A high level of pressure variation across a wide sleeve or cuff gradient at high pressure, a major cause of damage to the nerves and muscles of the use of a tourniquet. Turnstiles with wider straps or wrist, particularly those with a force different mechanical pneumatic actuation, distributes pressure more evenly and produces a low pressure gradient. They are more likely to stop the bleeding and less likely to cause damage to the underlying tissues, in addition to being much less painful than the turnstiles with narrow straps and band. Protection against overpressure in some emergency tourniquets also help prevent excessive force to damage the industry.

It is necessary

Despite widespread success tourniquet to limit the spread of war wounded, many preventable deaths bleeding when using traditional tourniquet inappropriate content. It is necessary to control bleeding junction, especially in the pelvic region. In 2012, the Combat Ready Clamp (Croc) selected by the U.S. Army Institute of Surgical Research (USAISR) for this purpose. Another requirement is that the training regime appears smoother and doctrine based on scientific evidence, which can ensure that future policies and practices withers in line with the current body of knowledge.