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Any info on this table..where to purchase, how much, and will insurers
approve this model for "standing"?

On Mon, Feb 7, 2011 at 11:54 PM, Joan P Baker <[log in to unmask]>wrote:

>  We used this list serve as well as other methods to get input from over
> 50 vascular technologists. We also looked into some insurance carriers and
> their rules and we attended the Am College of Phlebotomy Conference and will
> be attending another similar vein conference in a couple of weeks in San
> Diego. We did this because reflux studies was listed as the most injury
> producing study of ALL procedures performed using ultrasound for diagnosis..
>  This was a relatively new procedure and coupled with an increase in
> incidence of WRMSD especially in vascular technology we felt this warranted
> special attention and consideration. A specific table was designed that
>  would permit full weight bearing using a 70 degree reverse Trendelenburg
> which when a patient stands on this is essentially standing upright. The
> table has a split footboard to accommodate none weight bearing and is
> designed so that if the patient gets dizzy or unstable it is easy to get
> them head -down and legs supported. The vascular technologist no longer has
> to sit on the floor or risk asking the patient to stand on a stool the  bed
> goes up so that the calf is level with the sonographers arm in a normal
> seated position on a chair, able to reach the control panel without over
> reaching. The patient has rails to hold onto as well as a strap to go across
> their waist.
>
>
>
> (There is a panus sling if needed but this can be difficult to use when the
> patient is standing, it is more commonly used to reach the vessels in the
> groin area when the patient is lying down). The weight capacity of the table
> for lift and load is 600 lbs. the table goes to a height from  23 inches to
> -39.5 inches electronically
>
>
>
> All these features were the wish list of the profession and the
> interpretation of what insurers and accrediting bodies stated they must
> have. Driven also by WRMSD and alarming numbers of injured health
> professionals all over the world.
>
>
>
> So I get confused when I read quote *“**If you are having to purchase new
> equipment then you are doing too much. I don’t see what you need other that
> a low stool for you to sit on and a low stool for them to step up
> on(preferably with a handle). That should just about do it. If you want to
> do them sitting have them swing their legs over the side of the bed.”*
>
>
>
> Is this why so many are injured? Many do not have a height adjustable table
> to work with, many are sitting on the floor to scan, if you are on a low
> stool or on the floor  how do you reach the control panel without abducting
> your non-scanning arm?  How do you avoid twisting your neck? How do you
> avoid raising your chin to see the monitor? ICAVL requires knowledge of
> ergonomics as well as procedural protocols they should be commended for this
> but the field needs to know how to comply with both.
>
>
>
>
>
> *From:* UVM Flownet [mailto:[log in to unmask]] *On Behalf Of *Schneider,
> Joseph R.
> *Sent:* Monday, February 07, 2011 11:44 AM
> *To:* [log in to unmask]
> *Subject:* Re: Venous Reflux and ICAVL requirements
>
>
>
> Many insurers (including BC/BS Illinois) now refuse to consider approving
> treatment unless it is explicitly stated that the exam is performed in the
> standing position
>
>
>
>
>
> *From:* UVM Flownet [mailto:[log in to unmask]] *On Behalf Of *Benge,
> Claudia
> *Sent:* Monday, February 07, 2011 12:32 PM
> *To:* [log in to unmask]
> *Subject:* Re: Venous Reflux and ICAVL requirements
>
>
>
> Susan,
>
> We use a 40 degree reverse trendelenburg position.  We have 15 degree
> tilting beds with hydraulic head mechanisms.  So we put two pillows for
> comfort behind their head and then raise the head of the bed.  We have
> measured the angle and we get between 40 and 45 degrees by this maneuver.
> Then if we have trouble with recording reflux, our protocol calls for
> standing the patient and re checking the superficial veins that do not
> demonstrate either good flow or reflux.  If no reflux found standing…then
> they do not have reflux.  We have inexpensive steno chairs that allow us to
> sit low or higher.
>
> Watch out for patients that are more symptomatic at the end of their work
> day.  We bring these type of patients in late in our scanning days so we can
> duplicate more of their symptoms. Also we ask them to drink water for about
> two hours prior so they will have better fluid hydration and increase in
> their flow hemodynamics.
>
> Claudia
>
>
>
>
>
> *From:* UVM Flownet [mailto:[log in to unmask]] *On Behalf Of *Case,
> Susan
> *Sent:* Monday, February 07, 2011 12:46 PM
> *To:* [log in to unmask]
> *Subject:* Venous Reflux and ICAVL requirements
>
>
>
> I am trying to find our how people are doing venous reflux exams these
> days. The ICAVL mandates that patients must be sitting or standing to
> perform the studies. Does anyone have any suggestions that do not
> necessitate purchasing new equipment?
>
>
>
> Susan Case RDMS/RVT
>
> Noninvasive Vascular Lab
>
> Summa Health System
>
>
>
>
>
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