A list cannot be used as an absolute limit on coverage. Using the assessment data and goals for the consumer, consider device options and select base and accessories for the least costly equally effective alternative (LCEEA). Our showroom is located at: 19330 Ventura Blvd. In order to cancel an order please call us at 818-705-0606. HEALTH CARE PROVIDERS SHOULD, CMS Manual System Pub 100-03 Medicare National Coverage Determinations Department of Health & Human Services (DHHS) Centers for Medicare & Medicaid Services (CMS) Transmittal 55 Date: MAY 5, 2006 Change. Low base TRAM. The lift serves as a Sit-To-Sit transfer device or you can use the walking harness which will turn the device into a gait trainer. SCI Rehab. Common Medical Problems Following Spinal Cord Injury, Acute Care to Rehab and Complex Continuing Care (CCC) Referral. Feeding. It may be freely distributed in its entirety, but may not be modified, sold, Restraint Reduction and Wheelchair Positioning By Julie Clark PTA/RSM Objective This presentation will focus on problem solving wheelchair positioning needs and restraint reduction ideas using real examples, A Beginner s Guide to Postural Management Sue Hall Head of Physiotherapy Karen Marshall Wheelchair & Seating Department Manager Aims of this Presentation Welcome This afternoon we are aiming to give you, Physiotherapy Database Exercises for people with Spinal Cord Injury Compiled by the physiotherapists associated with the following Sydney (Australian) spinal units : Last Generated on Mon Mar 29 16:57:20. In addition to the federal law cited above, many states also have their own regulations and procedures for the fair hearing process. Does the consumer have consistent access to the device (including transfer considerations and care giver availability)? Documentation must communicate the process that was followed, the options that were considered and the medical necessity for the requested equipment. Rifton TramLift Rental is an incredibly reliable and high-qualitylift. Girth Measurement (between 22" and 60") 2. Allows for shoulder/arm positioning to assist weight-bearing, enables forward-lean during transfers and gait; improves strength/endurance of shoulder girdle to assist head control. We Have Limited Stock On This Item. A $150 table completely free. Please check our web site for updates. Assistive Technology Fact Sheet The term assistive technology refers to both devices and services. Yes No 5. [emailprotected], Hours: A. Occasionally individual funding sources require additional information. The participating clinician should establish his/her credentials right up front by providing: job title, education, licenses, clinical experience and any relevant specialties or areas of focus. (Within the home) Example: Feeding, toileting, dressing, grooming. PROGRAM REQUIREMENTS 413.401: Introduction 4-1 413.402: Definitions 4-1 413.403: Eligible Members 4-3 413.404: Provider Eligibility 4-3 413.405: Services Provided by, THE WHEELED MOBILITY MARKET The following is a brief summary of the wheelchair and scooter market in the United States. (To date, Medicare has not been a factor because there has been no recognition of the TRAM as a multifunction device by Medicare, and thus no adequate reimbursement.) 3. What, UHealth Sports Medicine Rehabilitation Guidelines for Meniscal Repair The rehabilitation guidelines are presented in a criterion based progression. Guide to Medicare Coverage Who qualifies for Medicare benefits? Table of Contents Tab Principles of Body Mechanics and Movement 1 Techniques of Proper Movement Positioning Techniques Bed Mobility Techniques Upright Mobility Techniques Wheelchair Considerations Approved by Governor Date: 10/5/92 REHABILITATION FACILITIES I. DEFINITIONS A. Please Call To Check Availability or To Make A Reservation. Particularly in the lower extremities. A new wheelchair is required for the following, COLLABORATIVE NURSING DOCUMENTATION The following section is designed to assist the clinician in providing information to the nursing staff in effort to facilitate collaborative nursing documentation regarding, Interpreting Physical Therapy Notes Sending a patient to physical therapy does not always guarantee that they are going to receive the same treatment. Why Power Seat Functions, National Stroke Association s Guide to Choosing Stroke Rehabilitation Services, Pass H.R / S to Protect Access to Complex Rehab Technology, VA Form 21-2680 - DOCTOR'S EXAMINATION FOR A RATING, Early and Periodic Screening, Diagnosis, and Treatment Services (EPSDT), CLINICAL CRITERIA FOR UM DECISIONS Skilled Nursing Facilities, Patient s Handbook. 5 RIFTON TRAM FUNDING GUIDE, 6 If the client is going to a fair hearing, the the following will be helpful: Any witnesses like the therapist, personal care aid, friends and family, who can assist in explaining the client s medical needs. It is best to have a trained advocate at the fair hearing, particularly if you should lose and want to appeal it in court. Included W/ the rental of this lift is the thigh straps for sit-to-stand transfers and the walking harness for gait training. Comments and Responses Regarding Draft Local Coverage Determination: Outpatient Physical and Occupational Therapy Services, Neuromuscular Electrical Stimulation (NMES) Information posted May 9, NMES for Muscle Atrophy, Policy Analysis PMD Compliance Manual Mobility Seating and positioning Repairs, by Argyrios Stampas, MD, Carolin Dohle, MD, and Elizabeth Dominick, PT, DPT, NCS, Section 2. Necessary for a heavily used TRAM, allowing one battery to charge while the other one is in use. There are no returns on the following categories of products: To return a product, the above conditions must be met. Demonstrate how to evoke, Sample Reports 2009 Includes: Progress/ Treatment Note Plan of Care from Initial Evaluation Initial Evaluation/ Examination (full-length compliant) Ten (10) Visit Progress Report Discharge Summary Physician. Laura Cohen PT, PhD, ATP, Documentation Requirements for Knee Orthosis Revision effective March 4, 2016. ISSUED BY: TITLE: ISSUED BY: TITLE: President, Tilt Power Seat Function Objectives. All rights reserved. These rights include the right to a timely decision, the right to a notice of intent when a decision is made and the right to a fair hearing when the decision is denied or modifi ed. Note that measurements taken in the seated position may not translate exactly to the standing position. Please email or fax RX to: This is an item that we keep ON DISPLAY. Good upright posture can help with constipation, urination, UTIs and 2 RIFTON TRAM FUNDING GUIDE, 3 kidney stones. Additional battery. This chart shows all movements of the two chairs. 1. This is a highly customizable product therefore we recommend placing an order over the phone with one of our helpful and experienced staff member. 4840 Van Nuys Blvd. Because Medicare typically, OCCUPATIONAL THERAPY This document is subject to change. Other equipment used and/or tried Next, we explore how seated transfer, sit-to-stand or supported ambulation will improve independence with functional activities. Free Over-The_Bed Table Included With Purchase. [emailprotected]. Least Costly Equally Effective Alternative (LCEEA) - A funding source typically limits its coverage to the item that is the least costly equally effective alternative. Provides identical functionality as the standard base TRAM, but the smaller (3") wheels provide lower clearance to get under hospital beds. These regulatory changes were long overdue and will certainly make it easier to secure funding for medically necessary devices. Lying on the fl oor is demeaning and stifl ing from a cognitive and social standpoint. Directional lock. Hours: Open Box items are brand new items that come in a box that HOWEVER, THE SAMPLE LETTERS OF MEDICAL NECESSITY ARE NOT INTENDED, Maintenance Therapy in Home Health Cindy Krafft PT, MS Director of Rehabilitation Consulting Services President Home Health Section APTA Objectives Define the medical necessity of maintenance therapy Understand. info@dailycareinc.com. I. STATE OF MICHIGAN DEPARTMENT OF INSURANCE AND FINANCIAL SERVICES Before the Director of Insurance and Financial Services In the matter of:, Petitioner, v File No, 152069-001 Blue Cross Blue Shield of Michigan, PARTNERSHIP HEALTHPLAN OF CALIFORNIA POLICY/PROCEDURE Policy Number: MCUP3003 (previously UP100303) Reviewing Entities: Credentialing IQI P & T QUAC Approving Entities: BOARD CEO COMPLIANCE FINANCE PAC, Clinician: Mileage: Gender: Agency Name/Branch: M F Time In: Time Out: DOB: HCPCS Select the home health service type that reflects the primary reason for this visit: (G0152) Services Performed by a qualified, UPPER BODY POSITIONING Appropriate trunk position is essential for good respiration, digestion, head positioning, and functional reach, with stability. Joint Contractures. As defi ned, [e]quipment and appliances are items that are primarily and customarily used to serve a medical purpose, generally are not useful to an individual in the absence of a disability, illness or injury, can withstand repeated use and can be reusable or removable. We want you to be completely satisfied with your purchase. Prevention of Pressure Sores Develop due to pressure on skin, lack of blood supply, tissue death. Upright posture and mobility can aid digestion. HOWEVER, THE SAMPLE LETTERS OF MEDICAL, Rifton Pacer Gait Trainer Sample Letter of Medical Necessity EVERY REASONABLE EFFORT HAS BEEN MADE TO VERIFY THE ACCURACY OF THE INFORMATION. Sat: 10AM-3PM, Address: For Local and In-Store Customers Only. Consider circulation, orthostatic hypotension and endurance. The Tram Lift Offers Gait Training and sit to stand transferring. Do not force movement. Immobility can increase the risk of osteoporosis or osteopenia. Please complete the form below for 20 unique patients meeting the patient sample criteria for the measure group. Medical/therapeutic benefits 3 2.2. If you are unable to return the equipment on the due date your rental will be automatically extended by daily, weekly, or monthly depending on the lowest cost to the customer. Yes No 4. Guide for therapists/specialists Questions and comments to: info@childmuscleweakness.org Surveillance and Referral, Catholic Mutual"CARES" BACK INJURY LOSS CONTROL FOR HEALTH CARE FACILITIES Occupational back injuries are a major loss exposure in the health care industry. Cardiovascular Issues. (81 Fed. 10725 San Fernando Rd The Rifton HTS (tilt-in-space base) tilts forward and the footboard flips up out of the way facilitating sit to stand transfers. Introduction 2 2. Delivery fees may apply. It is not intended to serve, FH STATE OF WISCONSIN Division of Hearings and Appeals In the Matter of DECISION MPA/166002 PRELIMINARY RECITALS Pursuant to a petition filed May 12, 2015, under Wis. Stat. Finally, the process determines how the device will be confi gured and other similar details that the funding source may require. Please enter your Zip Code to check if you are in our service area. Needed to accommodate cleaning schedules of a heavily used TRAM allowing one set of leg straps to be cleaned while the other is in use. Physical Findings Diagnosis/Prognosis: SEX HEIGHT WEIGHT ONSET OF DISABILITY Medical history: 9 RIFTON TRAM FUNDING GUIDE, 10 Chief complaints/presenting problems: Functional Status: Ambulation: None Wheelchair for mobility Limited-Device used: Walking Distance: Mild assist Moderate assist Maximum assist Transfer: Independent Dependent One person assist Two person assist Method: Activities of daily living: Independent Partial assist Dependent Living environment: Home Apartment Institution Single level Multi-level Owns Rents Transportation: Car Van Public transportation Other Cognitive level: On age level Delayed/Impaired Understands safety of self & others Developmental/Psycho-Social need for standing Comments: Communication: Verbal Non-verbal Augmentative Communication-Device Comments: Physical Status Sitting Balance: Good hands free capability to weight shift Fair hands free only Poor propped & hand support Dependent needs external support Muscle Strength: U/E Normal Reduced None L/E Normal Reduced None Sitting Posture (unsupported): Posterior pelvic tilt: None Fixed Flexible Other Anterior pelvic tilt: None Fixed Flexible Other Pelvic obliquity: None Fixed Flexible Other Pelvic rotation: None Fixed Flexible Other Kyphosis: None Fixed Flexible Other Lordosis: None Fixed Flexible Other Scoliosis: None Fixed Flexible Other Head/neck hyperextension: None Fixed Flexible Other Leg abduction: None Fixed Flexible Other Leg adduction: None Fixed Flexible Other Wind sweeping: None Fixed Flexible Other Leg length discrepancy: None Left: inches Right: inches Other: 10 RIFTON TRAM FUNDING GUIDE, 11 Lower extremity range of motion (seated): Hip fl exion (normal 0 to 125 ): Left degrees Right degrees Knee extension hip at 90 : Left degrees Right degrees Ankle dorsi-fl exion: Left degrees Right degrees Other (e.g. Through rehab, you: Re-learn basic skills, Pass H.R. POWER SEAT FUNCTIONS: Current Evidence And Best Practice Presented, National Stroke Association s Guide to Choosing Stroke Rehabilitation Services Rehabilitation, often referred to as rehab, is an important part of stroke recovery. Above-the-waist lifting with no underbody sling makes toileting possible for people who would otherwise be diapered, allowing better hygiene (better health). Patient Weight (less than 350 lb.) Transfer Status. Letter of Medical Necessity (LMN) - A letter justifying the need for the equipment being prescribed and is typically written by a therapist and co-signed by the physician. Free shipping does NOT apply to rental products, "In Store Only" products, and stair lifts. Functional benefits 4 2.3. States must provide a reasonable and meaningful procedure for requesting items not on the list, based upon a showing of medical need. A TRAM Evaluation Worwksheet to assist in the evaluation and documentation process is attached to this Guide. Check for doorways that might be too narrow, thresholds that might pose barriers, corners that are too tight to maneuver around, etc. A prescription for the device from the consumer s physician (this is sometimes a cosignature on the LMN stating the physician agrees with the fi ndings and recommendations of the rehab team.) Manual to Frequently Asked Questions 1 Index 1. When used on opposite wheels front and back they keep the device moving in a straight line for clients who have diffi culty with excess lateral movement. Pacoima, CA 91331, Phone: 818-896-9996 As every clinician knows, when applying for funding for a CRT device, detailed and thorough documentation of medical necessity is critical. Without device b. Medical equipment can be provided in any setting, other than an institutional one, in which normal life activities take place. Walkers & 4 wheeled walkers 3. If a request is denied, the applicant must have a right to a fair hearing For medical equipment, there must be a face-to-face meeting with a physician or certain non-physician practitioners (NPPs) within six months of a request for medical equipment. 49.45(5), and Wis. Admin. What support options/accessories are necessary to properly position the consumer? Move only to the point of resistance. B. Learning is centered on the 7 core competencies as follows. Fax: 818-896-4851 Supplier - The company that orders, receives, assembles, delivers and adjusts the equipment to the consumer and also instructs the consumer and caregiver(s) on proper use of the equipment. Explore how using the TRAM can help, particularly in the lower extremities. Free Scooter Armrest Pouch included with purchase. Check your family member s insurance plan to see what. You are NOT in our service area.We could make an exception depending on your request, please call us at 818-981-9906 for more information. This caused confusion among states and among manufacturers, suppliers and Medicaid Managed Care plans. Standing upright can help against refl ux and allows gravity to assist with digestion. Sometimes items may sell out or be on order please call us to confirm that we have it on the showroom floor 818-981-9906. same product by simply buying the open box version. Sally Mallory, PT, ATP. (Replacement batteries available from Rifton. 2. Adult Foster Home Screening and Assessment and General Information, New York State Medicaid Speech Generating Device And Related Accessories Guidelines. Who you need to contact for any documents or information the agency relied on in making its determination. Office of Licensing and Regulatory Oversight Resident information Resident s name: Resident s current address: Resident s current living situation: Resident s current primary caregiver: Adult Foster Home, New York State Medicaid Speech Generating Device And Related Accessories Guidelines August 2012 Table of Contents Pg. Fax: 818-981-6698 To ensure best outcomes, the TRAM must be custom confi gured to fi t the particular needs of your client. Mon-Fri: 9AM-5:30PM Free Travel Bag Included With Purchase. Avoiding pressure ulcers is critical; consider ITs, sacrum, scapulae, vertebrae. RX required for every purchase. The Rifton HTS Hygienic, simple. SUBJECT: Changes Conforming to CR3648 for Therapy Services. Introduction, NEW YORK STATE MEDICAID PROGRAM REHABILITATION SERVICES POLICY GUIDELINES Version 2015-1 Page 1 of 11 Table of Contents SECTION I REQUIREMENTS FOR PARTICIPATION IN MEDICAID 3 QUALIFIED PRACTITIONERS. The TRAM is considered durable medical equipment (DME) and categorized as complex rehab technology (CRT). CPT only copyright 2009 American Medical Association. Sherman Oaks, CA 91403, Phone: 818-981-9906 This watermark does not appear in the registered version -, Getting Your Communication or Mobility Equipment: Evaluations, NEW YORK STATE MEDICAID PROGRAM REHABILITATION SERVICES POLICY GUIDELINES, Spinal Cord Injury Education. hip subluxation, ankle inversion/eversion, orthotics used, etc. Name of Device: Pertinent Findings: Transfer method: independent one-person two -person Name of Device: Pertinent Findings: Transfer method: independent one-person two -person Name of Device: Pertinent Findings: Transfer method: independent one-person two -person V. Gait Device(s) Considered Document each gait device considered in the areas below and list why it was ruled out or why it is being chosen for the consumer. To use this website, you must agree to our, Rifton Pacer Gait Trainer Sample Letter of Medical Necessity, Indications for a PMD as Reasonable and Necessary and Types of PMD Categories Available, How to write a successful Letter of Medical Necessity (L.M.N.) Repairs Answer. WALKAIDE DEVICE) The primary purpose of this document is to assist providers enrolled in the Connecticut Medical, Medicare Funding for Complex Rehab Technology: CMS Documentation Requirements Explained Presented by: Andria Pritchett, Director of Medicare Education, Numotion DISCLAIMER This information is the property, TESTIMONY BEFORE THE UNITED STATES SENATE COMMITTEE ON FINANCE Laura Cohen PT, PhD, ATP Physical Therapist and Assistive Technology Practitioner Consultant Tucson, AZ April 28, 2004 1 Chairman Grassley, The following information describes the items or documentation necessary for reimbursement from the Centers for Medicare and Medicaid Services, also known as CMS or Medicare. We hope that by following our guidelines your healing process will go faster and there will be, June 2009 Policy Analysis PMD Compliance Manual Mobility Seating and positioning Repairs Basic Principals We learn by going from the specific to the general We apply our learning by going from the general, by Argyrios Stampas, MD, Carolin Dohle, MD, and Elizabeth Dominick, PT, DPT, NCS Therapist Jennifer Metz (right) helps a patient use a body-weight support treadmill system. Please Call Us At 818-705-0606. Resident will learn independently in addition to scheduled didactics. To return a product, the above conditions must be met. 7 RIFTON TRAM FUNDING GUIDE, 8 TRAM Evaluation Worksheet Introduction This worksheet provides clinicians, suppliers and consumers with an outline of the evaluation process to determine medical justifi cation for a TRAM and to determine the most appropriate options to meet an individual s needs. Additional thigh straps. Without device b. Tarzana, CA 91356. Seat and Back Cushions for Wheelchairs 5. Daily Care, Inc.19330 Ventura BlvdTarzana, CA 91356, Our Business HoursMon-Fri: 9 am-6 pm, Sat: 10 am - 4 pm Pacific Time, Phone: 818-705-0606Toll Free: 844-819-4110Fax: 818-705-0216 Email:info@dailycareinc.com. Before using the TRAM it is important to have a medical professional determine that this device is appropriate and medically necessary for the client in order to perform seated transfers, sitto-stand transitions or supported ambulation. Answer Key: MRADL: Mobility Related Activity of Daily Living. All credits will be given after receipt and warehouse inspection approval. Sit-to-stand function enables some male users to use a urinal independently; upright positioning promotes normal (healthy) bladder function. The notice of intent must contain specifi c information about the proposed action. Description of ability to stand/bear weight, standing balance and postural control: a. Transfer Device(s) Considered Document each transfer device considered in the areas below and list why it was ruled out or why it is being chosen for the consumer. Scale. Gastro-intestinal Management. Table of Contents. Free 3 Piece Sheet Set Included With Purchase. We can also deliver to our service area customers (fees apply). An $800 Table completely Free with purchase. Public Payer - Funding that is publicly provided, such as Medicaid and Medicare. Positioning vs. Therapist and consumer schedule an appointment to trial the TRAM, being sure to involve a CRT supplier who is familiar with the device. We require that all returns follow these instructions for proper processing: All credits will be given after receipt and warehouse inspection approval. STEP 1 The Evaluation and Documentation Process This process typically involves a rehab team that includes the consumer, physician, therapist and supplier. Free Shipping on all products unless otherwise stated on the product page. Maintenance Myths. Free 3 Month Supply Of Nasal Cannulas included with purchase. The documentation should include all of the following (use information obtained from the TRAM Evaluation Worksheet to help create this documentation): A. Free Furniture Protection Pad and Side Table included with an order of this lift chair. Spasticity. Summary A TRAM is being recommended for the following reasons (check those applicable): Improve/Maintain range of motion: Current Issue At risk Decrease joint/muscle contractures: Current Issue At risk Management of atrophy in the trunk and leg muscles: Current Issue At risk Improve strength to trunk and lower extremities: Current Issue At risk Decrease muscle spasms: Current Issue At risk 14 RIFTON TRAM FUNDING GUIDE, 15 Improve/Maintain bone integrity/skeletal development: Current Issue At risk Lessen/Manage the progression of scoliosis: Current Issue At risk Manage pressure (ulcers) through changing positions: Current Issue At risk Improve bowel function and regularity: Current Issue At risk Aid in kidney and bladder functions: Current Issue At risk Strengthen cardiovascular system and build endurance: Current Issue At risk Improve circulation: Current Issue At risk Reduce swelling in lower extremities: Current Issue At risk Improve independence with activities of daily living: Current Issue At risk Improve cognitive and psycho-social: Current Issue At risk Transfer and/or gait program recommendations (incl. ), Wall-mounted charger, 100 240 V AC, max 650 mA, Front: 100mm dual with brake; Rear: 100mm dual, Rifton Tram Lift (Gait Trainer & Sit-To-Stand Lift) Rental, Product must be unused, clean and not damaged, Original packaging and materials intact (i.e. Provincial Rehabilitation Unit ONE ISLAND HEALTH SYSTEM ONE ISLAND FUTURE 11HPE41-30364, Overview of the Florida Medicaid Therapy Services Coverage and Limitations Handbook, Chapter. A Note on Federal Regulations and Definitions Affecting State Coverage for DME For many years Medicare had its own defi nition of DME for the purposes of applying federal regulations but each state relied on its own defi nition for Medicaid purposes. It is a great lift that will help patients in rehabilitationwho are in need of ambulating or gait training. Best selling items usually have a higher customer satisfaction rate. Mon-Fri: 9AM-5:30PM 42 CFR (b)(3)(ii) Individuals seeking medical equipment cannot be subject to a homebound requirement. If less costly equipment has been trialed and produced unsatisfactory outcomes, certainly include this information and documentation. MICHIGAN DEPARTMENT OF COMMUNITY HEALTH Evaluation and Medical Justification for Complex Seating Systems and Mobility Devices Addendum A: Mobility/Seating This form must be completed by a physical therapist, Medicare Funding for Complex Rehab Technology: CMS Documentation Requirements Explained Presented by: Andria Pritchett, Medicare Director, Numotion AGENDA Power Wheelchair Documentation The F2F Completion, Pressure Management Assessment Tool (PMAT) Version 1.0 March 2012 Client name: Date: PART 1: INTERVIEW The following section should be completed by a clinician. Power Wheelchairs and Mobility Scooters 6. The larger wheels make it easier to maneuver the TRAM over carpeted fl oors or over thresholds. This workbook is designed to provide clinicians, suppliers and consumers guidance on how to evaluate your client s medical needs, confi gure your TRAM accordingly and make the case for medical necessity so that your application for funding is successful. Effective meaning the capability of the device to address the individual s medical and functional needs and allow for safe access and use. Specific time frames, restrictions and precautions are, (Identify Referral Destination) Rehabilitation Program Requested: CCC Program Requested: Restorative Medically Complex Medically Complex Ventilator Behavioural Health End of Life Medically Complex - Bariatric, TABLE OF CONTENTS iv 4. Open Box items are brand new items that come in a box that With TRAM 2. Damaged or Defective Products: Please inspect your package when it arrives. State Medicaid coverage of equipment and appliances is not restricted to the items covered as durable medical equipment in the Medicare program. If you cancel your order after it has already shipped we consider it a return and our policies apply. We rent the Rifton Tram Lift to the LA area and surrounding counties. Introduction 3 II. Clinician: M F HCPCS. 1, 2 Product Description and Code The Rifton TRAM can be a patient transfer system, a sit-to-stand device and a gait trainer; therefore there is no HCPCS code that adequately describes it. Sat: 10AM-3PM, Address: Be sure to include these: Skin Health. Private Payer - Funding/insurance that is privately acquired, typically a benefi t of employment. Rental Reservation Are Done Over The Phone. Our service area covers most of Southern California including Los Angeles and surrounding cities.To see a full list of cities covered in our service area please click here. 2. Yes No If yes, describe results: Therapies received: PT OT Speech Other Other notes: 12 RIFTON TRAM FUNDING GUIDE, 13 III. A Hill-Rom Art Of Care 635 Luxury Table is included with the purchase of this Hill-Rom bed. TRAM Base and Accessories Recommended Use the following table to verify pertinence of TRAM for transfer and ambulation, as relevant to the consumer s functional status: A B C D E F Level Functional Status Rise/Stand Ambulate Transfer Toilet 0 /1 Independent or stand-by assist with transfers and ambulation Bears weight fully TRAM not needed 2 Assist of 1 to sit, rise, stand, ambulate Understands, cooperates Sits independently or with support Bears weight fully Upper body and extremity strength Weighs 350 pounds or less; stands 6'4" or less to use TRAM TRAM (if pulling or lifting resident to stand) TRAM not needed 3 Assist of 2 to sit, rise, stand, ambulate Understands, cooperates Sits independently or with support Bears weigh partially Upper body and extremity strength Weighs 350 pounds or less; stands 6'4" or less to use TRAM TRAM & Walking Saddle TRAM & Walking Saddle TRAM & Thigh Straps TRAM & Thigh Straps 4 Total Assist; not able to rise, stand or ambulate Sits with support Cooperates Non-weight bearing Limited upper body and extremity strength Weighs 350 pounds or less; stands 6'4" or less to use TRAM N/A N/A TRAM & Thigh Straps & Seat Strap N/A In the space provided, describe the functional status of the consumer for the activities in columns C, D, E and F. Considerations and Outcomes of TRAM Trial 1.
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