Manual Wheelchairs - World Health Organization

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3.3.4 Prescription servIce delIvery I 81 Objective The objective of good prescription practice is to match the needs of the user, as identified through the assessment, with the most suitable wheelchair available. <strong>Wheelchairs</strong> need to be available in different types and sizes and with different options. The prescription (or selection) represents the process of matching the needs of the user with the most suitable available wheelchair. The completed prescription form is a full description of the wheelchair required and selected by the individual user. Box 3.6. Good practice in prescription (or selection) n Users are given the opportunity to see and, where possible, try samples of wheelchairs, cushions and postural support components. This assists users and personnel together in selecting a wheelchair and the necessary features. n The importance of features is prioritized to help to make the most appropriate choice from what may be a limited range of available wheelchairs. n each wheelchair prescription is documented, either on the assessment form or on a dedicated prescription form. The prescription details: • the type and size of wheelchair; • any additional components required (for example pressure-relief seat cushion); • any modifications or custom components required; and • the information or skills that the user needs to know, or be able to perform, before leaving the service with a new wheelchair. n Wheelchair service personnel are given time to write up assessment and prescription notes immediately after each appointment. n Services give users an estimate of when their wheelchair will be ready (depending on funding, see below). Where possible, an appointment for the user’s fitting is made at the time the prescription is made. 3
82 I guIdelInes on the provIsIon of manual wheelchaIrs In less resourced settIngs 3.3.5 Funding and ordering Objective The objective of good practice in funding and ordering is to order or procure the selected wheelchair for the user, as early as possible. Funding Following prescription, it is possible to closely estimate the cost of the product being recommended. For most services, it will be essential to ensure a funding source has been identified before an order can be placed for equipment. Wherever possible, this should be in the hands of administrative rather than clinical or technical personnel. See section 5.4 for more information on funding. Ordering When not in stock, wheelchairs need to be ordered from an external supplier or procured from the wheelchair service workshop, which usually maintains a stock of different sizes and types of wheelchair. Box 3.7. Good practice in ordering n If a wheelchair is not immediately available, services inform the user when the wheelchair will be ready for fitting. n Services maintain a stock of wheelchairs and components to ensure faster delivery times. n Services encourage suppliers to develop clear order forms and procedures. n Services agree with suppliers on delivery times and aim to minimize delays. n Services ensure ordering is completed within two working days of completing the user’s prescription, provided that funding is in place. n Services have a system in place to monitor pending orders from suppliers. n Services have a system for providing feedback to suppliers about quality issues. 3.3.6 Product preparation Objective The objective of good practice in product preparation is to prepare the wheelchair for the fitting, including modifications or custom postural support components. Box 3.8. Good practice in product preparation n each wheelchair being prepared is labelled with the user’s name and a serial number or bar code. n Modifications to wheelchairs (permanently altering the frame or a component of the wheelchair) are carried out only by personnel with the appropriate knowledge and skills, since any such modification may have structural and functional implications. n The production and installation of custom seating systems or individual postural support components should be carried out by personnel with the appropriate knowledge and skills. This work should also be done in close collaboration with the assessment personnel. n All mobility equipment is checked for quality and safety before the user tries it.
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Manual Wheelchairs - World Health Organization

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