Skilled Mechanical Lifts
Apparently a mechanical lift is not a skilled source of treatment. Maybe that's why there are therapists out there who have no idea how some of the lifts work. If they did, they would realize there is a skilled component to ensure the patient is safe, not to mention the patient, family and caregiver training involved.
I guess the argument against a lift being part of skilled treatment is that anyone with minimal training can do it and the patient isn't actively moving, kind of like supine passive range of motion lower-extremity exercises. But wait, we bill for PROM exercises, don't we? So that's not a good example. What about a tilt table? No, we bill for that too and the patient is lying supine, not actively involved in the process. Maybe the skilled portion of the tilt table is taking the patient's blood pressure, but don't CNAs do that and not bill insurance companies for their time?
Using a lift requires skill, professional judgment of the patient's response to the lift and most of all, technique for a safe transfer. There's positioning involved in the sling as well as in a chair as the lift descends into it. If all straps aren't adequately secured, the patient could get injured. This is something home care givers and family could easily miss if they're not instructed in safe and secure transfer techniques.
Aren't patient, family and caregiver education and safety with transfers part of a skilled session of therapy? How has it been determined that a mechanical lift doesn't fit that scenario but other forms of passive activity do? Can someone explain this to me please?