Safety Information
Bed Frame - Always use a standard health care bed frame with side rails and any other safeguards or protocols that may
be appropriate. Frame and side rails (if used - see Risks and Precautions) must be properly sized to eliminate any gaps
that might entrap a patient's head or body.
Brakes - Caster brakes should always be locked once the bed is in position. Verify wheels are locked before any patient
transfer to or from the bed.
Bed Height - To minimize the risk of falls or injury the bed should always be in the lowest position when the patient is
unattended.
Side Rails / Patient Restraints - Whether and how to use side rails or restraints is a decision that should be based on
each patient's needs and should be made by the patient and the patient's family, physician and caregivers, with facility
protocols in mind. Caregivers should assess risks and bene ts of side rail / restraint use (including entrapment and
patient falls from bed) in conjunction with individual patient needs, and should discuss use or non-use with patient and
/ or family. Consider not only the clinical and other needs of the patient but also the risks of fatal or serious injury from
falling out of bed and from patient entrapment in or around the side rails, restraints or other accessories. In the US, for
a description of entrapment hazards, vulnerable patient pro le and guidance to further reduce entrapment risks, refer to
FDA's Hospital Bed System Dimensional and Assessment Guidance To Reduce Entrapment. Outside the US, consult
the local competent authority or government agency for Medical Device Safety for speci c local guidance. Consult a
caregiver and carefully consider the use of bolsters, positioning aids or oor pads, especially with confused, restless
or agitated patients. It is recommended that side rails (if used) be locked in the full upright position when the patient is
unattended. Make sure a capable patient knows how to get out of bed safely (and, if necessary, how to release the side
rails) in case of re or other emergency. Monitor patients frequently to guard against patient entrapment.
Skin Care - Monitor skin conditions regularly, especially at bony prominences and areas where moisture or incontinence
may occur or collect, and consider adjunct or alternative therapies for high acuity patients. Early intervention may be
essential to preventing serious skin breakdown.
Fluids- Avoid spilling uids on the therapy control unit. If spills do occur, unplug the unit, clean uid from the bed and the
therapy control unit wearing rubber gloves to avoid any possibility of shock. Once uid is removed, check operation of
components in area of spill.
Fluids remaining on controls can cause corrosion, which may cause components to fail or operate erratically,
possibly producing potential hazards for patient and caregivers.
Lock-Outs - The lock-out feature on the therapy control unit should be used at the caregiver's discretion to ensure
against unintentional or unauthorized tampering with unit settings.
Avoid Fire Hazards - To minimize risk of re, connect the unit's power cord directly to the wall-mounted outlet. Do not
use extension cords or multiple outlet strips.
No Smoking in Bed - Smoking in bed can be dangerous. To avoid the risk of re, smoking in bed should never be
allowed.
Tobacco Smoke - If routine laundering and cleaning procedures as described in the Preventative Maintenance section
of the Maintenance chapter of the First Step Select MRS Maintenance Manual are not followed, tobacco smoke build-up
may conceivably reduce the amount of air ow through the product. Severe air restrictions (whatever the source) may
cause the therapy control unit to overheat and automatically deactivate.
Power Cord - Ensure power cord is kept free from all pinch points and moving parts and is not trapped under casters.
Improper handling of the power cord can cause damage to the cord, which may possibly produce risk of re or electrical
shock.
General Protocols - Follow all applicable safety rules and institution protocols concerning patient and caregiver safety.
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