Arjohuntleigh First Step Select Manuel De L'utilisateur page 8

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 benefits 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 profile 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 specific local guidance. Consult a caregiver and carefully consider the use of bolsters, positioning
aids or floor 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 fire or other emergency. monitor patients frequently to guard against patient
entrapment.
When selecting a standard mattress, ensure the distance between top of side rails (if used) and top of mattress (without
compression) is at least 8.66 in (220 mm) to help prevent inadvertent bed exit or falls. Consider individual patient size, position
(relative to the top of the side rail) and patient condition in assessing fall risk.
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 fluids on the therapy control unit. If spills do occur, unplug the unit, clean fluid from the bed and the
therapy control unit wearing rubber gloves to avoid any possibility of shock. once fluid 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 fire, 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 fire, 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
conceivably reduce the amount of air flow 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 fire or electrical shock.
General Protocols - follow all applicable safety rules and institution protocols concerning patient and caregiver safety.
maximum patient Weights
• First Step Classic™ Overlay or Mattress Replacement System (MRS): 250 lb.
• first step excel™ MRS (Mattress Replacement System only): 300 lb.
• First Step Air Rail™ Overlay or Mattress Replacement System: 250 lb.
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mrs maintenance manual are not followed, tobacco smoke build-up may
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