Posey® Bed 8070 Professional User Manual
Contents
1. E D a g A lt E we I S Posey t Where Comfort eets Safety E Professional User Manual Only for Joerns Bed model number 2003DC B684DC modified for the Posey Bed Posey Company e 5635 Peck Road Arcadia CA 91006 0020 USA Phone 1 800 447 6739 or 1 626 443 3143 Fax 1 800 767 3933 or 1 626 443 5014 e www posey com How to Use this Manual Introduction Symbols Definitions Need help This User s Manual is intended for professionals providing care to patients in the Posey Bed who have successfully completed the Posey Bed In Service Training Program In addition to this manual you should also review e The Assembly Instructions e The In Service Training Manual The symbols below are used throughout this manual and should be carefully read AWARNING A Warning alerts you to a safety hazard or unsafe practice which if not avoided could result in serious injury or death A Caution alerts you to a hazard which if not avoided may result in minor or moderate injury to you or the patient or damage to the Posey Bed NOTE A Note provides helpful information to make bed use easier and more efficient The following words have special meaning when used in this Manual BIOHAZARDOUS matter that is contaminated with human blood tissues certain body fluids recombinant DNA or pathogens Check with the patient s physician if you have any questions about this haza2. cccsssssssssssssssssnsssssseessssnsesessusecsssnecesssssesssusccessnsceesnnecessueesessucessneeeessnesten 11 13 Basic Bed Operation on ccccsssssssssssesssssesssseccsssesssssecssssccssuecesssecssssccesuscessssccsssecsssssessueccssuecesnsesssneeessnecesneees 14 20 Install or Replace Mattress cae een tee nto tet era ee arene erent ere rte ener anere Teer vnc eeaee te 14 POS TS BSN EEOAE ANEN naan neces 15 Lock and Unlock the Casters te scetccseseeesecqesassonseat owes lcocesodesesnaygeismpateediaastaloonvaniquissteterosenmwcecciane leans 16 Engace Transfer ASS eatcctasecasp tent epaaat anin tee ele eo EEEE EE 16 Zip and Unzip the Access Panels ssssecereeterctentesedtererctarceereestect settee eater teense 17 18 UsePernmeter GUI IS sinnir rE E O E E OTE T 19 Use Transport AHIndE S mesinin S SE ENEE 19 Use the Tube Ports ssssssessseressssserssssseeesssseeeessseeeeessseeressseereenseerresseeerrssseeerssseeeersssetersssseeeessetersssstereesstteressete 20 Before First Time Use sis coy ketecse oases acesaseedcetosiszscasustieatdae estes dncaotaneasloonicaaer pints ones aceseseecesvincaetsauesdendatss 21 22 Check for Proper Bed Assembly cssessieiie ee sisitecsxsccsssseitcdscsberncinvntirlensanseeansercaislabiivleaieutlen dene 21 Guidelines for Proper Bed LOCATION ssssssssssesssssseessessseoresssseosssssooossssotossssstoossnnstossnnstorssnnttorensnnerennneresas 22 Guidelines TOF Stafi TANNE sasssseanoinsessiasrar es ites E EEEE CASA 22 New Patient Selec
3. and unzip the access panels Use the perimeter guards Use the tube ports Assembly Manual Please refer to the Assembly Instructions M6193 for detailed assembly instructions Install or Replace Mattress If not using the Posey Bed 8070 mattress ONLY use a mattress that measures 80 x 35 x 6 203 cm x 89 cm x 15 cm Any other size mattress may result in damage to the bed patient injury or death How to Install the 1 Completely unzip the mattress compartment Mattress 2 Insert the mattress ACAUTION Make sure the mattress label is up and at the foot of the bed 14 Posey Bed 8070 Adjust the Bed Introduction Bed Control Bed Height How to Use the Bed Control Posey Bed 8070 Posey The Posey Bed 8070 has an electronic bed control that adjusts bed height and head and knee positions The double insulated power cord can be plugged into a 110 volt receptacle The bed control should be stored in the bed control pocket The cord can be clipped out of the way using the bed control clip This ensures that the bed control is out of the patient s reach The bed control will lower the mattress height to 19 inches 48 cm when the patient is unattended The four 4 transfer brakes see page 16 will engage when the bed is set at its lowest position to eliminate accidental movement The bed mattress can be raised to 30 inches 76 cm Make sure the bed is connected to an appropriate AC outlet and inspec
4. at risk patient is unattended Use Posey Filler Cushions Cat 8021 if an at risk patient s head or torso must be elevated for example while watching TV or if called for by the physician s order or the patient s care plan If filler cushions are not available lower the bed to the flat position and use a Posey Torso Cushion Cat 8025 or another wedge cushion To help reduce the risk of suffocation do the following e NEVER put a mattress inside the patient area e ALWAYS keep the mattress in the mattress compartment completely zipped e Keep tubes or monitoring lines and the Nurse Call Button inside the bed only if authorized by the care plan NEVER use the Posey Bed if there is damage to the canopy access panels or zippers A failure to heed this warning may result in patient escape or unassisted bed exit which may lead to serious injury or death from a fall ALWAYS check the canopy and the zippers before leaving the patient unattended to help reduce the risk of a fall or unassisted bed exit NEVER leave a patient unattended if the zippers do not close securely there are holes in the canopy or netting the foam padding covering the metal frame is damaged or missing or the frame is damaged NEVER leave a patient in the Posey Bed if they have a risk of self injury injury to others the bed tipping over or if the patient tries to damage the bed e Be aware that a sudden mood swing may cause violent or aggressive behavior Follow your
5. facility s security policy the care plan or the physician s orders for such patients e A patient who may become violent or aggressive may require constant monitoring or alternative methods of restraint e No level of monitoring may avoid risk of serious injury to certain violent or aggressive patients i e patients who flail from side to side attempting to tip over the bed or injure themselves against the frame e Use of the Posey Bed by an agitated patient or a patient who tries to escape must be approved by the physician or the IDHT when tube s or line s are in use There is a risk of serious injury or death if the patient becomes entangled or disrupts the integrity of a tube or monitoring line e Watch for signs of claustrophobia or a significant increase in stress or physical movement Remove these patients from the Posey Bed immediately and notify the physician You may need to find a different method of treatment Failure to comply with the physician s order the patient s care plan and all instructions warnings and cautions in the manual and on all labels on the Posey Bed could result in patient death or serious injury Monitor the patient s condition according to your facility s policy the physician s orders and the care plans T Posey Warnings and Precautions continued Importance of Patient Monitoring Alterations to the Posey Bed ACAUTION Check the Canopy ACAUTION Precautions During Transfers an
6. in table below must be corrected before allowing a patient to occupy the bed 1 Is the canopy metal frame unbent and unbroken 2 Do all four 4 casters lock and click when the metal clip is pressed s A x 20000 onoo oo 0 0 ojofalc 3 Does the bed feel secure and free from any loose or moving parts 4 When the bed is set to its lowest position do all four 4 transfer brakes physically touch the floor 5 Is the metal canopy frame completely covered by foam padding and no visible foam 6 Is the canopy and netting clean and free from any tears holes or abrasions 7 Are all zippers fully closed with zipper pins completely seated in their boxes and all teeth engaged 8 Do the zippers close securely and open easily 9 When pressure is applied along the entire length of the zipper does the zipper hold securely without gaps or openings o_o Posey Bed 8070 2 Guidelines for Proper Bed Location Purpose Patient safety requires that the bed is located in an area that provides easy access to the patient under both normal and emergency conditions Who Should Do This Head or Attending Nurse Checklist NOTE Each No in table below must be corrected before allowing a patient to occupy the bed Prior to use with a new patient photocopy and retain this checklist to record that each item has been verified 1 Is the bed clean 2 Cana patient be easily accessed and can the bed be m
7. mattress before you open an access panel Follow the procedures for securing the Perimeter Guards and NEVER leave a patient unattended while the Perimeter Guard is in use or the canopy is open Monitor the patient s condition per facility policy the physician s orders or the care plan Explain the use of the Nurse Call Button to the patient and the patient s family Follow the care plan for daily patient release Be sure to consider patient s needs for e Nourishment e Range of motion and rehabilitation e Walking e Recreation e Toileting and e Restorative Nursing ALWAYS position the power cord away from the working mechanisms of the bed ALWAYS check the power cord for any visible kinks or cuts prior to connecting to an appropriate AC outlet ALWAYS position the power cord away from walkways to avoid a tripping hazard i D ACA C A f E A SZ f ff Nw CIN y 2 f ra Ji tf 1 pst i E fyi J Ji f VIA WJ Y LY VW NA z J gt Posey Warnings and Precautions continued Check the Zippers Posey Bed 8070 NEVER use the bed if a zipper slider is bent open or damaged and the zipper is not securely closed NEVER use the bed if the zipper pull tab is missing or broken NEVER leave the patient s bedside until all access panel zippers are securely closed Quick Release Buckles must be connected and closed on all four 4 access panels before leaving the patient unattended NEVER use the bed if a zippe
8. panel and secure to the top of the canopy with hook and loop tabs Speak gently and assure them the bed is for their comfort and security Move them to a safe area on the mattress Attach any IV lines drainage tubes monitoring lines as required Talk to patient to make sure they feel comfortable and secure at all times Zip panels completely Check that zipper is closed securely along the entire length of the Zipper Close the Quick Release Buckle and tug at the clip to make sure it is engaged 26 Posey Bed 8070 Access and Care for Patient in the Bed Purpose AWARNING Procedure Posey Bed 8070 Posey To access safely and provide care to a patient in the Posey Bed including feeding IVs catheters respiratory therapy positioning visitors and medicating Make sure the patient is a safe distance from the side panel before accessing them Serious injury may occur due to the added distance if the patient falls when the bed is raised During patient care and transfers lock all four 4 casters NOTE Approach the patient gently to ensure they are comfortable and secure 1 Access the patient NOTE Raise bed for easy access 2 Zip Up the Perimeter Guard NOTE This should only be used when caring for the patient and the side panel is in the open position 3 Complete the patient s care plan as needed 4 Close access panels Make sure area around the bed is cle
9. repairs on an item by item basis All quotes include parts and labor 3 If additional repairs are needed after the initial estimate we will contact you within ten 10 business days from receipt of item to obtain approval of any extra charge REPAIR TURN AROUND Normally we will ship the product back to you within three weeks from the date of receipt at our warehouse If you return multiple units add one week per unit We will return all units in one shipment unless otherwise agreed Notes Notes Posey Bed Where Comfort Meets Safety Your Local Authorized Posey Bed Dealer Posey Company 5635 Peck Road Arcadia CA 91006 0020 USA e www posey com Phone 1 800 447 6739 or 1 626 443 3143 Fax 1 800 767 3933 or 1 626 443 5014 2013 Posey Company All rights reserved M6192 REV C 053113
10. 0 C for approximately 25 minutes Rinse thoroughly with water 2 Dry fabric Hang dry at room temperature or machine dry on air only cycle no heat 3 Clean the Hook and Loop strips Use a stiff brush to remove any lint or foreign materials ACAUTION DONOT use industrial extractor type laundry equipment as this may damage the zippers and buckles NEVER use bleach harsh cleaners or solvents ALWAYS attach hook and loop pieces together Zip all zippers and connect Quick Release Buckles 4 Clean the bed frame Wipe frame undercarriage with a damp cloth NOTE Ensure cloth is damp not wet ACAUTION AVOID motor or bed controls when using water to clean bed frame as this may damage the electrical components UNPLUG the power cord before cleaning bed frame 30 Posey Bed 8070 Posey Accessories The following accessories are appropriate for use with the Posey Bed 8070 Posey Bed 8070 Posey NEVER use any accessory with the Posey Bed other than those recommended by Posey A failure to heed this warning may result in serious injury or patient death POSEY SUPPORT SURFACE 8007 POSEY INCONTINENCE PAD 8005A To provide additional padding and to help To help protect mattress and bedding from secure sheets by tucking them underneath the urine spills 8005A can be used with the Posey support surface Support Surface POSEY FILLER CUSHIONS 8021 POSEY TORSO CUSHION 8025 Recommended to help reduce t
11. 33 Posey Welcome to the Posey Bed 8070 Introduction The Posey Bed 8070 is a hospital bed canopy and mattress system designed to help provide a safe controlled environment for patients at extreme risk of injury from a fall or unassisted bed exit Prescription Only Because the bed is a restraint its use must be prescribed by a licensed physician Anyone and Required interacting with the bed must complete the Posey Bed 8070 In Service Training Program which Training includes proficiency in the use of this manual Benefits The Posey Bed was designed to help provide these benefits e A controlled patient environment e Reduce the risk of unassisted bed exit e Reduce the risk of patient falls e Avoid the risk of a patient being trapped under a mattress and e Eliminate the need for side rails when the patient is unattended This avoids the risk of the patient being trapped in the side rails or between the mattress and side rails Risks Improper use of the Posey Bed may lead to serious injury or death Patient monitoring should be established by hospital protocol and the patient s care plan As with any less restrictive restraint system it is important to be familiar with the indications for use the contraindications for use and in particular risks associated with entrapment suffocation choking and falls Posey About the Posey Bed 8070 Indications for Use Bed Use Patients Who May Benefit Clinical Co
12. A current patient care plan is available and followed e The attending caregiver has been properly trained in the use of the bed NOTE Any YES in table below indicates that the physician must determine if the bed is appropriate for the patient Prior to use with a new patient photocopy and retain this checklist to record that each item has been verified 1 Does the patient weigh less than 46 pounds 2 Does the patient weigh more than 300 pounds 3 Is the patient less than 46 inches tall _odoloocoll _o ojo ajeaic 4 Has the patient been diagnosed with any condition that may cause violent or self destructive behaviors 5 Has the patient been diagnosed with an excessive Pica disorder or may attempt to eat the bed canopy or padding 6 Has the patient been diagnosed with claustrophobic tendencies 7 Has the patient been diagnosed as at risk and cannot re position himself or herself when the head of the bed is raised therefore requiring a flat bed or gap fillers Monitor the patient s condition per facility policy the physicians order or the care plan Go to REGULAR DAILY PATIENT CARE PAGE 25 Posey Emergency Patient Access and Exit Purpose Under certain conditions such as when a patient experiences an emergency such as respiratory failure or cardiac arrest it is necessary to access the patient quickly and possibly exit the patient from the bed safely Procedure NOTE At least 2 people are needed for
13. RMA to Posey Company 5635 Peck Road Arcadia CA 91006 0020 e In clean condition Canopies that are returned soiled or with an odor will be returned immediately and will not be inspected or repaired e With proof of purchase and e Freight pre paid by you Posey will inspect the product and contact you within ten 10 business days from receipt of item to explain the results of our inspection and what is or is not covered HOW DOES STATE LAW APPLY This warranty is governed by the laws of the State of California USA It gives you specific legal rights You may have other rights which vary from state to state This warranty does not affect any further rights that you have under the laws in your state for sale of consumer goods Technical Service From Posey We are happy to assist you between the hours of 6 AM and 5 PM Pacific Time USA Please call us at 1 800 44 POSEY 1 800 447 6739 or 1 626 443 3143 You can fax us at 1 800 767 3933 or 1 626 443 5014 SHIPPING Ship items to Posey Company 5635 Peck Road Arcadia CA 91006 0020 USA CANOPY REPAIRS To prevent damage in shipping clean the canopy and close all zippers IN WARRANTY REPAIRS 1 Forward the product in clean condition prepaid freight to the above address 2 Clearly mark the shipping container with the RMA number 3 Include dated proof of purchase OUT OF WARRANTY REPAIRS 1 Forward the product in clean condition prepaid freight to the above address 2 We will quote
14. ar of any tripping hazards Ensure the four 4 caster brakes are locked Unclip the Quick Release Buckle Unzip U side panel and secure to the top of the canopy with hook and loop tabs Attach any IV lines drainage tubes and monitoring lines as required Talk to the patient to make sure they feel comfortable and secure at all times Zip panels completely Check that zipper is closed securely along the entire length of the Zipper Close the Quick Release Buckle and tug at the clip to make sure it is engaged 2 Posey Transfer Patient Out of the Bed Purpose To safely assist a patient to exit the Posey Bed for toileting or other reasons ACAUTION DO NOT use a patient lift unless previously tested This will ensure there is enough clearance under the canopy frame to transfer the patient safely without damaging the canopy ACAUTION During patient care and transfers lock all four 4 casters Procedure NOTE Additional persons may be needed for a safe transfer STEP DO THIS 1 Access the patient NOTE Bed should be in the lowest position 2 Assist patient to an upright position NOTE Be aware that a reclined patient may have equilibrium problems when arising support as needed 3 Help patient out of the bed 28 Speak gently to ensure they are comfortable and secure Check that they are a safe distance from the panel Make sure area around the bed is clear
15. ause the Posey Bed to tip over or move to a position where the patient is injured by contact with an object in the room e Patients with an excessive Pica eating disorder This refers to a person who may attempt to eat the canopy or padding of the Posey Bed Patients who suffer from this disorder include adults and it is the most common eating disorder among children who are developmentally disabled e Patients who are or who become claustrophobic while in the Posey Bed Possible Adverse Although it is a less restrictive restraint use of the Posey Bed could cause emotional Reactions psychological or physical problems in certain patients These include e A significant change in mental status such as claustrophobia or depression e Sudden mood changes which lead to a change in medical conditions e An increase in aggression or self destructive behaviors Get help from the physician or the IDHT if these symptoms appear and do not improve as the patient becomes used to the Posey Bed You may need to find a different method of treatment A Special Note Background At Risk Patients Reducing the Risk of Entrapment Alternative Method of Treatment Posey All hospital beds pose safety and entrapment risks The U S Food and Drug Administration FDA received approximately 803 entrapment reports in the U S for standard hospital beds over a period of 24 years from January 1 1985 to January 1 2009 The FDA formed t
16. d Patient Care Access Panels ACAUTION Daily Monitoring and Release Policy Power Cord NEVER leave a patient unattended without proper monitoring Failure to monitor per your facility s policy the physician s orders or the care plan could result in serious injury or death NEVER modify the bed for any reason e NEVER add side rails or head or footboard to the bed Doing so will increase the risk of entrapment or serious injury from contact with these parts e NEVER use any device such as a Zip Tie or a padlock to secure panel zippers Only use the Posey Quick Release Buckles You must ALWAYS be able to access the patient quickly in an emergency e DO NOT add any accessory to the bed other than those recommended by Posey Make sure there are no tears holes or abrasions in the nylon panels or netting and that the canopy and frame are secure and attached properly to the hospital bed NEVER leave objects in the bed that will allow the patient to damage the canopy and possibly escape NEVER hang suspend or attach toys or other items to the netting or canopy Avoid risk of a fall or unexpected bed movement Minimize the risk of injury to you and the patient by following your facility s patient transfer procedure Follow the procedure see page 26 for transferring patients in and out of the Posey Bed A fall may occur while one or more access panels are open during patient care Make sure the patient is in a safe position on the
17. d awareness due to medication or neural illnesses or conditions that impair alertness and balance and or dementing illnesses e Visual or peripheral neuropathies that impair positional sense Most falls occur in Neurology and Medical units with the highest rate in Oncology units Fall rates may be higher in units with higher patient to nurse ratios Dementia patients are at increased risk of falls This may be due to impaired judgment altered gait and or sensory deficits Ellelt Anne Keeping Dementia Residents Safe Assisted Living Consult Sept Oct 2007 page 20 Hitcho Eileen B et al Characteristics and Circumstances of Falls in a Hospital Setting JGIM Volume 19 July 2004 Posey Contraindications When Not to Use Given the nature of some patients diagnoses activity level or uncontrolled movements the Posey the Device Bed is not suitable for every patient The Posey Bed is not intended for use with e Patients who weigh less than 46 pounds or are shorter than 46 inches These patients are at risk of serious injury or death and the Posey Bed 8070 has not been tested for use by such patients e Patients who weigh 300 pounds or more This is the working load capacity of the bed e Patients diagnosed with any condition that may cause violent or self destructive behaviors These could result in self injury and or damage to the Posey Bed Violent flailing of the body from side to side could c
18. difying the environment or increased supervision e You tailor interventions to the individual needs of the patient after weighing factors such as the patient s condition behaviors history and environment When possible seek guidance from the patient s family Depending on the patient s condition alternatives to restraints may include one of more of these e A bedside companion e Fall alarms e Floor cushions e Lowering the volume on the TV e Adjusting window shades or dimming lights e Soft music or e Use of a Posey Activity Apron As with all restraints the Posey Bed should NEVER be used for nursing convenience Posey Description of the Posey Bed 8070 Bed Features and Benefits FULLY AUTOMATIC LOW HOSPITAL BED Mattress level can be lowered to 19 inches 48 cm and can be raised to 30 inches 76 cm 6 INCH 15 CM ENCLOSED MATTRESS COMPARTMENT Helps avoid the risk of a patient being trapped under the mattress NYLON CANOPY SYSTEM A 70 cubic foot 2 cubic meters rectangular green canopy surrounds the bed The nylon is biocompatible The canopy has four 4 access panels for easy access to the patient and multiple ports for intravenous lines the Nurse Call Button and drainage line Zippers are secured with Quick Release Buckles PERIMETER GUARDS A soft side rail is located on each side of the bed when a U side panel is open during patient care The Posey Bed 8070 canopy is designed to only be u
19. e zipped closed Frame Condition Canopy panels and netting have no tears holes or abrasions Frame is firmly attached to the bed platform undamaged and fully padded Casters all four 4 wheels are locked Transfer brakes the bed is in its lowest position all four 4 transfer brakes are engaged and are in solid contact with the floor Nurse Call Button If the patient s care plan allows it the Nurse Call Button is placed within reach of the patient 29 Quick Clean the Posey Bed Purpose To keep the Posey Bed clean and disinfected between complete bed and canopy cleanings Procedure 1 Wipe the fabric with cleaning agent Prepare a solution of diluted disinfectant or a NOTE NEVER use a concentration water based germicide of cleaning agent greater than Use a damp cloth recommended by the manufacturer Rinse with water to remove excess cleaning agent 2 Dry fabric Either wipe or air dry before use 3 Clean the Hook and Loop strips Use a stiff brush to remove any lint or foreign materials 4 Follow Transfer Patient into Bed procedure Machine Washing the Posey Bed ALWAYS wash the canopy between patients to help prevent transmission of infectious disease Purpose To keep the Posey Bed clean and disinfected between patients Procedure 1 Wash the Canopy on one gentle cycle in cold Use a mild detergent water Load panels loosely into washing NOTE Water should be between 65 85 F machine 18 3
20. ed TRANSFER BRAKES To add stability when the patient is unattended and to help reduce the risk of bed movement during patient transfers DOUBLE INSULATED POWER CORD Approved by UL CSA TUV NFPA NEC and OSHA 6 Perimeter 7 Foam 8 Hook and Loop Tab 9 Bed Control Pocket 5 Quick Release Gaara Padding Si Buckle pane fa mer OTEREN ie 4b Foot Access Access Panel ee a ee SE dl ESR l oe 3 _ 10 Side 3 Nylon U Ey a E i W s e A E eee r Panel Side Panel awa l i ube Port pas 2 Nylon a Canopy i sy i LLE i P Instruction i l m a Storage Pocket g 1 Mattress aw Ln poas fFe Compartment l i U came a Sees a 12 Locking 13 Transfer 14 Double Insulated Power Cord lt Caster Located at Head of Bed Brake Posey Bed 8070 Warnings and Precautions Canopy Gaps Risks Associated with Suffocation or Choking Risk of Fall or Unassisted Bed Exit Violent or Aggressive Patients Importance of Adhering to a Care Regimen Posey Bed 8070 Entrapment risk for certain at risk patients include canopy gaps Raising the head Filler jp i of the Posey Bed will create gaps or E pockets between the head of the bed and the canopy These areas pose an en extreme risk of serious injury or death from at AS entrapment to certain at risk patients Keep dl the mattress flat with the head of the bed down when an
21. he Hospital Bed Safety Workgroup HBSW to develop solutions to reduce the risk of patient entrapment in hospital beds The HBSW issued guidelines in 2006 describing seven potential zones of entrapment and recommendations to reduce life threatening entrapments associated with hospital bed systems The Posey Bed 8070 was designed to help eliminate each of the seven entrapment zones described in the guidelines when the head of the bed is down and the mattress is flat e Patients who because of mental or physical disability cannot reposition or remove him or herself from a confined area in the bed e Any other patient identified by the physician the care plan or Interdisciplinary Healthcare Team IDHT to be at risk of entrapment in the gaps created when the head of the Posey Bed is up To help reduce the risk of entrapment do the following e Keep the mattress flat If you need to elevate the head or torso of an at risk patient keep the mattress flat and use a cushion to position the patient If you must leave the head of the bed up while an at risk patient is unattended use the Posey Filler Cushions Cat 8021 e Provide extra monitoring Monitor patient per facility s restraint protocol to ensure that the Posey Filler Cushions cannot be removed by an at risk patient and that an at risk patient cannot crawl under or around the Posey Filler Cushions e Avoid stretching the canopy material The canopy may stretch o
22. he risk of Recommended to elevate the torso when the entrapment or injury for unattended at risk head of the bed is DOWN helping reduce patients from gaps created when the head the risk of entrapment or injury for at risk of the bed is in the UP position patients POSEY BED TRAVEL COVER 8071 To provide a cover for the Posey Bed during transport and storage 3 Posey Troubleshooting and Frequently Asked Questions Canopy Frame Patient Lifter Disease and Self Care Information Electrical Requirements 1 Q A It could be one or more of the following reasons zQ zQ zO Why is the zipper difficult to open or close a Fabric bedding or other material caught in the slider To release material back the slider off by pulling the tab in the opposite direction until the slider is free Make sure the canopy is intact and there are no tears or holes in the fabric b Check the zipper teeth to make sure none of the coils are kinked c Use the pull tab to slide the zipper Each access panel zipper has a warning instruction plastic tag If the plastic tag is damaged or becomes unreadable it must be replaced Call Posey at 1 800 447 6739 and request a free replacement Part L9368 Why is the zipper separating after zipping up The slider is damaged and does not properly engage the coils when it is being opened DO NOT use the Posey Bed This problem can be minimized by ALWAYS using the zippe
23. inage etc and IV lines to be delivered to and from the patient while in the bed How to run Tube To run a tube or line into the patient compartment unzip the port run the tube or line through Line the zipper opening into the patient compartment and zip the port closed A tube port in use Make sure zippers are fully closed when ports are not in use This will help reduce the risk of the patient damaging or opening a port or trying to escape by putting a hand or foot through a port NEVER leave an unused port open when the patient is unattended 20 Posey Bed 8070 Before First Time Use Purpose Before using the Posey Bed for the first time it s important to check that the bed has been properly assembled is in an appropriate area and anyone who interacts with a patient in the bed successfully completes training 3 Checklists Use the following checklists before having a patient occupy the bed e Check for Proper Bed Assembly e Guidelines for Proper Bed Location e Guidelines for Staff Training Check for Proper Bed Assembly Purpose To confirm that the bed was properly assembled and delivered to your facility in good condition Who Should Do Biomedical Engineer or other authorized hospital personnel This Checklist To complete this checklist plug the bed power cord into a 110 volt receptacle Prior to use witha new patient photocopy and retain this checklist to record that each item has been verified NOTE Each No
24. ing e Patient size e Medical condition e Disability e Mobility Transfers will vary for patients who are able to stand as opposed to patients who must be lifted to or from the bed NEVER use a patient lift for transfer unless it has been tested to make sure there is enough clearance under the canopy frame to do so safely Using a patient lift that has not been tested by the facility may result in damage to the canopy The clearance of the opening side access panel is 46 W x 38 H 117 cm x 97 cm at bottom Posey Transfer Patient Into the Bed Purpose To safely get a new or existing patient into the Posey Bed ACAUTION DO NOT use a patient lift unless previously tested This will ensure there is enough clearance under the canopy frame to transfer the patient safely without damaging the canopy ACAUTION During patient care and transfers lock all four 4 casters or lower the bed to the lowest point to engage the transfer brakes Procedure NOTE Additional persons may be needed for a safe transfer 1 Prepare bed for patient NOTE Raise bed for easy access 2 Transfer the patient to the bed 3 Complete the patient s care plan as needed 4 Close access panels Make sure area around the bed is clear of any tripping hazards Ensure the four 4 caster brakes are locked Put mattress in the flat position Ensure perimeter guards are down Unclip the Quick Release Buckle Unzip U side
25. nassisted bed exit NEVER use the bed if any of the four 4 Quick Release Buckles are missing or damaged and do not close securely The U side panels open completely for easy patient access Completely unzip the side panel Flip the panel on the top of the canopy and secure the opened panel to the hook and loop tabs located on the top of the canopy 17 Posey Zip and Unzip the Access Panels continued How to ig sed Zip and Unzip Panels Replacing Pull Tabs AWARNING 18 Each zipper has a pull tab for opening and closing zippers ALWAYS use the pull tabs to open and close the zippers ALWAYS make sure that all zipper teeth are engaged Refer to page 13 for zipper warnings and precautions Crown Tab Holder eae eh Pup GN eet i Any E Body Zipper pull tab E Undamaged pull tab Press against the closed zipped panel along the entire length of the zipper to ensure there are no gaps or openings before leaving the patient unattended EE KO E EAK DO NOT use a zipper with open gaps that does not close securely along entire length Each access panel zipper has a warning instruction plastic tag If the plastic tag is damaged or becomes unreadable it must be replaced Call Posey at 1 800 447 6739 and request a free replacement Part L9368 NEVER use the Posey Bed if there is damage to the canopy damage to the access panels or if the entire zipper does n
26. nditions Falls The Posey Bed is a hospital bed canopy and mattress system designed to help provide a safe controlled environment for patients at extreme risk of injury from a fall or unassisted bed exit The Posey Bed is a less restrictive alternative to physical restraints such as belts vests or jackets for patients at least 46 inches tall weighing between 46 and 300 pounds The Posey Bed is a restraint and must be prescribed by a licensed physician Rx ONLY The bed must be used in accordance with e All state regulations e Federal Center for Medicare amp Medicaid Services CMS Regulations e The patient s care plan e The policies of your facility Patients who may benefit from the use of the Posey Bed include patients who are at extreme risk for a fall and or unassisted bed exit including those with e Severe osteoporosis e Severe risk of fractures due to clinical conditions e Insufficient muscle fat and subcutaneous tissue to absorb the impact of a fall e Concurrent use of anticoagulants e A history of severe trauma in a prior fall e Conditions that cause uncontrollable movement such as Huntington s Disease Certain patients at risk for a serious injury from a fall may also benefit from the use of the Posey Bed This includes patients with behavioral physical mental or other symptoms identified by the IDHT such as e Musculoskeletal problems that cause an unsteady gait or impaired strength or biomechanics e Altere
27. of any tripping hazards Position bed to the lowest position Put mattress in the flat position Ensure perimeter guard is down Unclip the Quick Release Buckle Unzip U side panel and secure to the top of the canopy with hook and loop tabs Detach tubes as needed Help patient slide both legs to the side of the bed Modify as needed depending on patient s needs Consider gait belts transfer belts to assist with patient transfer Continue to talk gently to the patient to reassure them Posey Bed 8070 Quick Check 10 Introduction Posey Bed 8070 Posey Before leaving a patient unattended WALK AROUND THE BED to ensure that each condition is met Exterior Area around the bed is clear of any tripping hazards Interior Clean and free of clutter and hazards Mattress At risk patients not able to reposition themselves To avoid entrapment keep the head of the bed flat and use a cushion to elevate the torso if necessary If the head of the bed is raised use gap filler cushions Compartments zipped completely closed with no gaps or kinks in the entire length of the zipper Test by applying pressure along the entire length of the zipper Zippers and Quick Release Buckles securely closed Perimeter Guards soft rails fully unzipped on both sides Tubing ports if tubing and tube ports are in use all fluids are flowing freely if tubing is not in use all ports ar
28. ot close securely A failure to heed this warning may lead to serious injury or death from a fall ALWAYS check the canopy and ensure the entire zipper is securely closed before leaving the patient unattended to help reduce the risk of a fall or unassisted bed exit Posey Bed 8070 Posey Use Perimeter Guards Introduction The Posey Bed has a nylon fabric Perimeter Guard on each side of the patient compartment These are temporary barriers only while the U side panel is open for patient care ACAUTION NEVER leave a patient unattended while the access panel is open and a Perimeter Guard is in use The Perimeter Guard will not prevent the patient from falling out of the bed When to Use or Not Use the Perimeter Guards Unattended in the bed Being cared for while in bed Use Transport Handles Purpose The transport handles are designed to be used when moving the bed from one location to another This would include loading and unloading unit from a delivery vehicle relocating unit from hospital storage area to a patient s room or transporting the bed from one room to another The easily identified YELLOW handles are on all four 4 corners The level on the handles can be adjusted by changing the height of the bed using the bed control The bed can be either pulled or pushed by using the handles for better control Posey Bed 8070 19 Posey Use the Tube Ports Introduction Tube ports allow for tubes food dra
29. oved to the center of the room to allow access from all four 4 sides in an emergency situation Is the bed positioned so that the patient is NOT exposed to injury from contact with walls furniture or other equipment 4 Is the power cord out of the way to avoid a tripping hazard 5 Is the bed away from all open flames smoking materials or heat sources including baseboard heaters or space heaters 6 Is the bed free of clutter or foreign objects 7 Is the netting and canopy free from ANY sharp or hanging objects 8 Is the netting and canopy free from ANY shipping or assembly damage to the bed or canopy system Guidelines for Staff Training opoopo coll ppo Ho of Purpose Because the bed is a restraint system anyone who cares for a patient in the bed must be properly trained according to their facility s policy Once trained each trainee will receive a performance certificate to be kept on file at your facility This can be found in the Posey Bed Training Manual 22 Posey Bed 8070 New Patient Selection and Monitoring Purpose Who Should Do This AWARNING Checklist Patient Monitoring Regular Daily Patient Care Posey Bed 8070 To make sure that the bed is appropriate for the new patient and that their first hours in the bed are safe and secure Head or Attending Nurse Before allowing a patient to occupy the bed confirm the following e A physician has prescribed the bed for this patient e
30. quick access and possible exit STEPS DO THIS 1 Access patient a Raise the bed to disengage the transfer brakes b Position the bed so it can be accessed from all four 4 sides NOTE Transfer brakes must be disengaged to move the bed c Lock all four 4 casters d Lower the bed to the lowest position to engage transfer brakes e Lower the head and knee so the mattress is flat f Unzip ALL panels g Attend to the patient 2 Exit patient if necessary Transfer patient to stretcher or wheelchair a Raise the bed b Transfer Brake disengaged c Caster locked by raising bed off floor d Transfer Brake engaged e Lower the head and knee f Unzip the panels by lowering bed until it touches the floor Disaster Planning Should disaster strike such as an earthquake or fire follow your facility s disaster plan 24 Posey Bed 8070 Posey Regular Daily Patient Care Introduction Safe Transfers and Care AWARNING Patients using the Posey Bed should be carefully monitored and cared for according to the physician s orders and the patient s care plan Given normal routine care such as feeding or toileting this section addresses how to e Transfer the patient into the bed e Access and care for patient in the bed e Transfer the patient out of the bed e Conduct Quick Check 10 before leaving patient unattended Safe transfers and patient care inside the Posey Bed involve a number of factors includ
31. r pull tab to open the zipper NEVER rip the access panel open because it will damage the zipper slider and prevent the zipper from closing securely Where do I find the serial number of the Posey Bed canopy The serial number is at the bottom right of the head side of the bed and on the inside of the bottom post of the foot side of the bed Why is the bed not raising or lowering Check to make sure the power cord is plugged into a 110 volt receptacle Also check if the remote control is plugged in Can I use a patient lift with the Posey Bed 8070 Yes providing it has been tested to ensure there is enough clearance under the canopy frame The clearance of the opening side access panel is 46 W x 38 H 117 cm x 97 cm at bottom To help reduce the chance of transmitting infectious disease all caregivers must wash their hands after patient care The Posey Bed 8070 is intended for use in the United States and Canada The bed uses a 110 120VAC 60Hz outlet Posey Limited Warranty WHAT DOES THIS WARRANTY COVER Posey warrants to the original purchaser that the Posey Bed 8070 is free of defects in materials and workmanship If the product is found to be defective in workmanship or materials we will repair or replace it at our option at no charge other than certain transportation and cleaning charges HOW LONG DOES THE WARRANTY LAST This warranty is two 2 years from the date of purchase for the bed frame five 5 yea
32. r coil is kinked misaligned or has gaps and does not close securely along the entire length Test that all zippers open easily and close securely along the entire length of the zipper Inspect zipper coils for any kinks or misalignment If any are identified zip and unzip the zipper If condition continues DO NOT use product Note the kinks on this sample DO NOT use the Posey Bed if zippers have open gaps that do not close securely along the entire length NEVER rip the panels open Before leaving the patient unattended apply pressure as this will damage the zipper with your hands along the entire length of the zipper to slider preventing the zipper make sure the panel is securely closed and that there from closing securely are no gaps or openings along the entire length of each zipper Snap the quick release buckles shut to ensure all zippers are securely closed and check by tugging on each buckle ALWAYS use the zipper pull tabs to open and close zippers and ensure that zippers are fully closed Opened Up Crown Tab Holder Body Damaged pull tab Undamaged pull tab 13 Posey Basic Bed Operation Introduction This section will address basic bed operations that you will do routinely when accessing and caring for a patient These basic operations include how to e Install or replace mattress Adjust bed height and head and knee positions Lock and unlock the casters Engage transfer brakes Zip
33. rd CARE PLAN the patient s Individualized Care Plan ICP as written by the IDHT see below INTERDISCIPLINARY HEALTHCARE TEAM IDHT who writes the Care Plan and supervises patient care The team may include among others Physicians Nursing Occupational Therapy Physical Therapy and Social Services ENTRAPMENT an event in which a patient is caught trapped or entangled in a confined space This can result in serious injury or death from suffocation compressions or lack of proper blood flow If you need help or have any questions please call Posey Customer Support at 1 800 447 6739 between 6 00 am PST and 5 00 pm PST You can also contact your authorized bed dealer Posey Table of Contents Topic See Page Welcome to the Posey Bed 8070 ou ecssssssssssnsssssncsssssecsssssecssnseccssnssessuscessunscessusecessnsceesuneceesneeeesnneessen 4 About the Posey Bed 8070 oun ecsssssssssnesssssnsssssnsescssnsesessnscesssnscessseceessueceesnsscessnsceessuscessnsecessneceesunecessneeesee 5 C ntraindicati hS sirrien hp inenen arene eaten EAR ESERE D ENEE 6 A Special Not ceea AT S Ea 7 Patient Reassessment usnom cette 8 Description of the Posey Bed 8070 ou ccsssssssssesssssssnessessnsesscsssnscsesssusceessnssssessuneccessunsccessnnsesessunecsessnness 9 Parts of the Posey Bed 8070 System oo cccccssssssssessssssessssssseessesssssccesssnsccessussccessussseessuneceessueeceesuneeseessnees 10 Warnings and Precautions oo
34. rs from the date of purchase for the mattress and one 1 year from the date of purchase for the canopy Useful life of the Posey Bed canopy is estimated at three 3 years but may be extended by proper care maintenance laundering avoiding sharp objects aggressive and destructive patients and avoiding direct exposure to sunlight WHAT IS NOT COVERED BY THIS WARRANTY e Damage to the metal frame nylon canopy or other components caused by 1 use in unsuitable environmental conditions or failure to assemble or maintain the product in accord with user and service instructions 2 abuse including but not limited to patient damage misuse alteration exposure to extreme heat or by natural or external forces such as flood or fire e Damage caused by alteration modification or repair unless performed by Posey e Consequential or incidental damage including but not limited to loss of income or profits is not covered The laws of some countries may not allow exclusion of such damages so this limitation may not apply to you CLEANING AND SHIPPING CHARGES e Shipping costs for products sent to Posey must be pre paid by you e Posey will pay return shipping costs for repaired or replaced products via Ground Service unless otherwise agreed HOW TO GET SERVICE Contact the Posey Technical Service hotline 1 800 447 6739 to report the problem and get a Return Authorization Number RMA Carefully pack and ship the returned product to us with your
35. sed on a modified Joerns Bed model number 2003DC B684DC and should not be used on any other bed platform Posey Parts of the Posey Bed 8070 System A w N ot vl ENCLOSED MATTRESS COMPARTMENT Accommodates a 6 inch 15 cm mattress NYLON CANOPY The nylon material is water repellent TWO U SIDE PANELS One 1 panel on each side with a single zipper on each panel for easy patient access HEAD 4A AND FOOT 4B ACCESS PANELS Helps provide easy access to the head and foot of the bed with a single zipper on each panel QUICK RELEASE BUCKLES Clipped to zipper pull tabs for added patient security PERIMETER GUARDS Function like soft side rails for temporary use during patient care and must be unzipped when side panels are closed 7 FOAM CANOPY PADS Ten 10 pads fit around the canopy frame to help reduce the risk of injury from contact with the frame 8 HOOK AND LOOP TABS Secure the U side panels to the top panel of the canopy when the side panels are open 9 SEE THROUGH BED CONTROL POCKET Holds the Bed Control 10 11 12 13 14 10 SIDE PANEL TUBE PORTS Four 4 ports one on each side at the head and foot of the canopy to run tubes into the patient compartment POSEY BED INSTRUCTION STORAGE POCKET Stores all product Manuals and the Quick Check 10 for easy reference LOCKING CASTERS To secure bed during patient transfers to and from the bed and when patient is unattend
36. sfer Brakes will automatically engage when the bed is at the lowest position Check to make sure the transfer brakes have made contact with the floor surface Transfer Brake To Disengage Transfer Brakes Use the bed control to raise the bed enough to raise the transfer brakes off the floor surface Transfer brakes must be disengaged by raising the bed to allow caregivers to move the bed for full patient access in an emergency situation See Posey Bed Training Manual for inservice details See page 24 for Emergency Patient Access and Exit Posey Bed 8070 Zip and Unzip the Access Panels Introduction Using the Quick Release Buckles AWARNING Secure the U Side Panels Posey Bed 8070 Posey The Posey Bed has four 4 zippered access panels each labeled e 2 U side panels right and left e head panel e 1 foot panel All panels unzip for easy patient access There is a Quick Release Buckle at the start of each zipper To open the buckle pinch the 2 sides together and pull the clip apart To close the buckle push the male and female ends of the Quick Release Buckle together until you hear a click ALWAYS tug at the clip after closing to make sure it is engaged Make sure Quick Release Buckles are securely fastened on all four 4 access panels on the Posey Bed before leaving the patient s bedside A failure to do so could result in serious injury or death from a fall or u
37. t the cord for any visible kinks or cuts Press each operation button before use to ensure the bed control is not damaged HEAD OPERATION 1 Push button to raise head 2 Push button to lower head KNEE OPERATION 3 Push button to raise knee 4 Push button to lower knee BED HEIGHT OPERATION 5 Push button to raise bed 6 Push button to lower bed 15 Posey Lock and Unlock the Casters Introduction How to Lock and Unlock the Casters The Posey Bed has four 4 swivel wheeled Locking Casters Lock the brakes to help reduce the risk of unwanted bed movement During patient care and transfers lock all four 4 casters To lock a caster press down on the metal clip with your foot until it locks and you hear it click NOTE Look for the red brake sticker to verify the lock is disengaged UNLOCKED LOCKED To unlock a caster Push the metal clip with your foot until it releases Engage Transfer Brakes Introduction How to Engage and Disengage Transfer Brakes 16 The Posey Bed has four 4 Transfer Brakes located near each of the locking casters The purpose of the Transfer Brakes is to add stability and minimize bed movement during patient transfers Transfer Brakes must ALWAYS be engaged when the patient is in the bed and left unattended To Engage the Transfer Brakes Use the bed control to lower the bed to the lowest position NOTE The Tran
38. tion and Monitoring oo eccssssessssnescssseescssssecessnsccessnscessunecessnscessnnecessnneseesneesten 23 Emergency Patient Access and Exit 0 0 cccssssssssssessssnsescssnsccesssescssnsesessnsceessuseessunscessueccessueceesnnecessneeseee 24 Regular Daily Patient Care oo cccssssesssssneessssneccssnsecessnsccessnsccesssesessnscessunsccesunscessneecessuecessnneceesneeesee 25 29 Transfer Patient Into the Bed u cssssssssessssssesssssssessssssssssesssseesssssnsssssssssescssssesssssssessessssscsessssessssssnessessaneeees 26 Access and Care for the Patient in the Bed on esssssssssssssssesssssnsssssssssessssssesssssssssscssssnsscsssnesssssneeses 27 Transfer Patient Out of the Bed ssssssssssssssssssesresseoessseeresseotssseeresseotesseeresseoossseetesseeosssenressteossseetessteossnes 28 OTT 1S S11 E T E 29 Quick Clean the Posey Bed ciccisncrscntrndissteee nile iano intimate eu 30 Machine Washing the Posey Bed uc ecsssssssssssssssssessssnsecsssnscessnsecessusccessnsceesuuscessunscessuecessnuecessneeeesaneeeen 30 Posey ACCESSONICS iain ioe ees 3 Troubleshooting and Frequently Asked Questions 0 0 cccccesssssssssseessssneceessnecessnesessneesesnneeeeaneees 32 Posey Limited Warranty oo ccccccsssssssssssssseecsssseecsssncessnsecessuscsesssscessusscessuscssssuscessunscessneceesnuscessnnecessneesten 33 Posey Technical Service oii ccceccsssssssssnsssssnsssssseecessneccssnncessnsecessuscessseseessnsscessuscessuuseessunscsssneceesnnecssnnecesaneeseen
39. ver time during normal use or due to patients who engage in escape behaviors This could result in pocket areas on the inside of the canopy Regular washing and drying should help reduce this condition DO NOT use any canopy that has tears or damage and request a replacement If necessary consult the physician or the IDHT to find an alternative method of treatment for any at risk patient gt This report can be found at http www fda gov ForConsumers ConsumerUpdates ucm164366 htm Guidance for Industry and FDA Staff Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment March 10 2006 This report can be found at http www fda gov MedicalDevices DeviceRegulationandGuidance GuidanceDocuments ucm072662 htm Patient Reassessment Alternatives to Restraint Use Reassess the need for use of the Posey Bed as the patient s mental or physical health or status changes Use the Posey Bed only if there is not a less restrictive alternative ALWAYS use the least restrictive device available for the shortest time while you seek a less restrictive alternative Review the patient s mental and physical status often to ensure that the benefits of using the Posey Bed as a restraint outweigh the risks Safe use requires that e You define and remove if possible the cause of the symptoms that require a restraint This may include catering to individual needs and routines increased rehabilitation restorative nursing mo
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