Frequently Asked Questions
The PACE introduces a whole new concept to early mobilization, and any new concept comes with questions. These are a few examples of questions that have been asked by nurses, physical therapists and purchasers. If your question is not answered below, feel free to drop us a line at firstname.lastname@example.org
A: A recent study with the LIVENGOOD PACE has proven that by having all of the equipment consolidated and ready to go, ambulation happens more often and with less caregivers needed. This study also proved that when patients had the PACE and ambulated more often their LOS was decreased. We understand the frustration that patients and caregivers feel when ambulation is difficult. Using the PACE gives patients a feeling of empowerment and independence. The PACE decreases the need for as much staff involvement (cost savings) and it allows patients to mobilize more often. When patients mobilize more their satisfaction score will improve. This is the most efficient and streamlined way for patients to mobilize with medical equipment.
A: It’s common for the PACE to be perceived as “just a walker” but it is actually much more than that. The fact that it can take the place of 2 IV poles, an O2 transport system (either wheeled cart or bag), a mobility device, and a bedside table makes it a space saving device as well as a functional one. The focus of the PACE is patient centered and gives the patient both mobility and dignity, but it will also save your hospital money in the long run by replacing other expensive equipment. Studies show that mobilizing patient’s early in their ICU stay can shave 1-3 days off their total hospital stay which is a significant cost savings.
A: The PACE helps your hospital save money in multiple ways. The first is by helping your staff operate more efficiently as shown in a recent study at the Medical Center of the Rockies. By using the PACE, your patients will be able to mobilize with fewer staff members, freeing up extra staff for other duties. It will also encourage your patients to mobilize more often, therefore decreasing secondary complications. The PACE is also safer for mobility since carrying multiple devices is awkward for staff and these other devices can tip over easily. We know that reducing falls will save you money. The most significant way that the PACE will save your money is by decreasing your patient’s length of stay. In our recent study having the PACE in each room reduced average LOS by over 20%. In a recent study LOS (length of stay) data from John Hopkins MICU revealed a net cost saving of $817,836 seen in one year due to decreasing LOS with an early mobility program.
A: We’ve seen this happen several different ways. Many hospitals have budgets for creating an Early Mobility Program in their ICU units while others apply for grants from their hospital Foundations. Some ICU nursing units purchase them for each room and sometimes P.T. will purchase two to four for use in their mobility treatment sessions. We can help you with the best way to purchase these units.
A: Our turn-around time is between 8 and 10 weeks.
A: The PACE is customizable, and the price will depend on how you want yours set up.
A: The way you set up the equipment is essentially up to you. We recommend that when you attach your IV pumps you swivel them off to the sides and that you mount the ventilator down low or on our customized vent mounts to make for the best visual clearance available.
A: The PACE system is meant to be set up with all of your patient’s equipment upon admission, and should stay set up next to the patient’s bed. The patient’s IV pumps and other devices that require electricity are plugged into the PACE and then there is just one cord that plugs into the wall from the PACE. Whenever you are ready to mobilize your patient the PACE is set and ready to go. There is no time needed for set-up after the initial time. It becomes a normal part of the patient’s room.
A: Yes. The LIVENGOOD IV poles are made of solid stainless steel and have the structural strength needed by devices designed to mount to the larger diameter poles. If the device clamp does not securely attach to the pole a sleeve adapter is available to place on the IV pole.
A: Yes. The PACE is designed to accept all devices with multiple options available for mounting.
A: Listed here are ventilators that have mounting solutions available. Other ventilator mounts may be developed as requested. CareFusion: LTV-1200 & EnVe Smiths Medical: Pneupac paraPAC Allied Healthcare: MCV100, MCV200, EPV100, EPV200 IMPACT: EMV+
A: Any monitor can be mounted. GCX and Philips mounting hardware are available in addition to the webbing strap.
A: Yes. Depending on the model, it may be mounted either on the IV pole or using the webbing strap.
A: The primary handle on the PACE is not adjustable. This contributes to the stability of the PACE. Patients from ~5’2” up to ~6’7” have all commented that the handle height is comfortable. The handles used for ICU ambulation do have 5 positions of adjustment for height.
A: The PACE weighs ~104 pounds empty, which provides stability but is remarkably easy to manage on all floor types. Patients that lack the ability to manage a walking device may benefit from assistance of one staff member who can control the device with one hand. The patient is then able to use the PACE for support while walking.
A: Yes. This has been independently confirmed by the approval granted by Underwriters Laboratories. The PACE is rated for 100# on the top plate and 25# on each pole. To obtain this rating, the PACE was tested at 4x this weight (400# on the top plate and 100# on each pole) with the ability to self-right if tipped to an angle of 5 degrees
A: The PACE will sit next to the bed just as an IV pole currently does. Patient Transfers
A: Usually yes. This will need to be tried at each hospital as some of the very old elevators are remarkably small. In tight elevators, the PACE will need to be pushed into a corner next to the head of the bed.
A: Aluminum is inherently bacteria-resistant and thus additional bacterial coatings are not used as is done with some plastics. The entire PACE and its accessories are safe to be wiped-down with any of the cleaning solvents used in the hospital setting. The design of the LIVENGOOD PACE has specifically focused on eliminating sites where fluid may collect.
A: Yes, the PACE is certified to the UL-60601-1 standard, number E360370.
A. Yes, registration number 3005801809.
A: Eight devices may be plugged into the PACE at one time so long as the total current does not exceed 10 amps. The PACE is the ONLY mobile device that allows 8 pieces of medical equipment to be plugged in together. A 30-pound isolation transformer comes standard with each PACE.
A: A battery is an optional add-on. Most all of the powered patient devices on the market today have their own rechargeable batteries so an additional battery is rarely needed.
A: Patients can use the PACE for physical support and balance instead of relying on the nurse. The PACE is ergonomically superior to trying to pull an IV pole, push a walker and carry equipment as this often leads to falls. IV poles tip easily and when cords are not consolidated they become a trip hazard. The PACE allows the nurse or therapist to focus on assisting the patient rather than managing equipment. The American Nurses Association has reported that 38% of nurses will suffer a back injury resulting in missed work and 12% will not return to work as a nurse at all. The PACE is designed to address this issue by keeping nurses safe, healthy and on the job.
A: Yes, the PACE helps reduce the incidence of falls by providing stable support for the patient and organization of the cords and devices that must travel with the patient.
A: Patients should undergo an assessment for fall risk and the need for mobility assistance. This is an assessment that is already done in hospitals. A brief instruction on the use of the PACE is all that needs to be added. The benefits of ambulation are great and the safety provided by the PACE far exceeds the methods used by hospitals today.