Hill-Rom Flexicair - User manual
Contents
1. Low Airloss Therapy Unit User Manual usr101 Page 56 Hill Rom A HILLENBRAND INDUSTRY Batesville IN 47006 USA Rental 800 638 2546 USA 800 445 3720 International Contact your distributor Website www hill rom com usr101 280 002 0007 March 2003 Hill Rom reserves the right to make changes without notice in design specifications and models The only warranty Hill Rom makes is the express written warranty extended on the sale or rental of its products The information in this manual is confidential and may not be disclosed to third parties without the prior written consent of Hill Rom 2003 by Hill Rom Services Inc ALL RIGHTS RESERVED2. Using a standard hospital draw sheet lift the patient onto the bed or stretcher 5 Deactivate Maximum Inflation Mode by pressing the Maximum Inflation switch or button again The pressures automatically adjust to their set levels Page 37 FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Transferring the Patient to a Wheelchair 1 Press the Head Up arrow button to raise the head end of the unit no more than 30 2 Push the brake pedal to lock the wheels see Central Brake and Steer on page 23 3 Press the Seat Deflate switch or button All cushions in the seat section deflate 4 Seat the patient in the deflated seat section If necessary the patient may use the inflated cushions of the adjacent sections for additional support on egress 5 Proceed to swing the patient s legs off the unit and transfer the patient to the wheelchair 6 Once the transfer is complete press the Seat Deflate switch or button again The pressures automatically return to their set levels Positioning the Patient Turn and position the patient in the same way as on a standard hospital bed If necessary activate Maximum Inflation Mode to provide a firmer surface for moving the patient Once the patient is placed in the desired position deactivate Maximum Inflation Mode to automatically return the cushions to their set pressures Side Lying The Side Lying feature adjusts the overall air pressures to provide greater
3. Ad WARNING The STAT FLAT Release Handle lowers the head frame abruptly Keep hands and IV lines clear of the head frame when initiating CPR Failure to do so could result in personal injury or equipment damage Ad WARNING Prohibit smoking in or near the unit Patient injury personal injury or equipment damage could occur A WARNING Follow the product manufacturer s instructions Failure to do so could result in personal injury or equipment damage Ad WARNING Only facility authorized personnel should perform preventive maintenance on the FLEXICAIR Low Airloss Therapy Unit Preventive maintenance performed by unauthorized personnel could result in personal injury or equipment damage Ad WARNING Only facility authorized personnel should troubleshoot the FLEXICAIR Low Airloss Therapy Unit Troubleshooting by unauthorized personnel could result in personal injury or equipment damage Page 31 FLEXICAIR Low Airloss Therapy Unit User Manual usr101 SHOCK HAZARD The potential for electrical shock exists with electrical equipment Establish policies and procedures to educate your staff on the risks associated with electrical equipment SHOCK HAZARD Unplug the unit from its power source Failure to do so could result in personal injury or equipment damage W SHOCK HAZARD Do not expose the unit to excessive moisture that would allow for liquid pooling Personal injury or equipment damage could occur E SHOC
4. Press the Hilow Up or Down arrow button on the siderail to raise or lower the bed frame to the desired position FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Page 20 Trendelenburg To achieve Trendelenburg perform the following 1 Press the Hilow Up arrow button to raise the Pa bed frame to its maximum height pe 2 Pull out the Trendelenburg lever located at the foot end of the unit 3 Push down on the Trendelenburg lever to lower the unit to the desired angle For an TRENDELENBURG accurate angle measurement refer to the Pop C Trendelenburg gauges located on either side of the unit To disengage Trendelenburg pull up on the Trendelenburg lever to raise the unit until a click is heard and then lower the frame to the desired height Reverse Trendelenburg To achieve Reverse Trendelenburg perform the following Cee 1 Press the Hilow Up arrow button to raise the 3 bed frame to its maximum height 2 Pull out the Reverse Trendelenburg lever located at the foot end of the unit 3 Push down on the Reverse Trendelenburg lever to lower the unit to the desired angle For BENEHSE TRENDELENBURG an accurate angle measurement refer to the 4 INCHES M 15 12 9 Reverse Trendelenburg gauges located on either side of the unit To disengage Reverse Trendelenburg pull up on the Reverse Trendelenburg lever to raise the unit until a click is heard and then lower
5. Trained Hill Rom personnel individualize the pressure settings at the time of the initial patient placement 2 Using the bed frame controls adjust the height of the unit to match the bed or stretcher see Bed Frame Controls on page 20 3 Push the brake pedal to lock the wheels see Central Brake and Steer on page 23 4 Activate Maximum Inflate Mode NOTE On a FLEXICAIR II Low Airloss Therapy Unit only press the Maximum Inflation switch on the control panel The air cushions inflate to their maximum pressures and an alarm briefly sounds On a FLEXICAIR II Low Airloss Therapy Unit the alarm sounds again after 10 minutes to remind the caregiver to deactivate Maximum Inflation Mode NOTE On a FLEXICAIR MC3 Low Airloss Therapy Unit only perform the following Press the Maximum Inflation button on the control panel The air cushions inflate to their maximum pressures and an alarm sounds Silence the alarm by pressing the Cushion Alarm Off button The alarm silences for 15 minutes On a FLEXICAIR MC3 Low Airloss Therapy Unit the alarm sounds again after 15 minutes to remind the caregiver to deactivate Maximum Inflation Mode Page 35 FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Ad WARNING For patients weighing over 300 Ib 136 kg on a FLEXICAIRQO Il Low Airloss Therapy Unit or over 400 Ib 181 kg on a FLEXICAIR MC3 Low Airloss Therapy Unit consult Hill Rom Customer Sup
6. adjusted level e Ona FLEXICAIR MC3 Low Airloss Therapy Unit only allow approximately 60 seconds for the cushion pressures to stabilize at the adjusted level Check the patient for bottoming If the patient still touches bottom repeat the procedure until either the patient no longer touches bottom the Patient Comfort Adjustment control knob is fully clockwise or all positions of the Patient Comfort Adjustment LED are completely illuminated If the patient still touches bottom when the Patient Comfort Adjustment control knob can turn no further or the Patient Comfort Adjustment LED can no longer increase position remove the patient from the unit and immediately notify Hill Rom Technical Support FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Page 22 Central Brake and Steer To transport the unit press the Steer pedal located beneath either side of the unit to lock the swivel on one caster so the unit rolls in a straight line A WARNING Set the brakes during patient transfer or once the unit is in position or left unattended Failure to do so could result in patient injury personal injury or equipment damage To lock the unit into position press either Brake pedal Foot End Caregiver Controls A WARNING Lockout the patient control functions for patients in traction or another prescribed position or for patients with impaired judgement Failure to do so could result in patient injury or
7. in patient injury or equipment damage Ad WARNING Before leaving patients unattended always raise the siderails to their full upright position Failure to do so could result in patient injury or equipment damage Ad WARNING Evaluate patients for entrapment risk according to facility protocol and monitor patients frequently Ensure that all siderails are fully latched when in the raised position Failure to do so could result in serious injury or death Ad WARNING Use the headboard and footboard transport handles to enable transfer not the utility shelf Use of the utility shelf to enable transfer could result in personal injury or equipment damage Ad WARNING Do not use the utility shelf when the unit is in Trendelenburg or Reverse Trendelenburg or when the scale is used Personal injury or equipment damage could occur FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Page 30 Ad WARNING For patients weighing over 300 Ib 136 kg on a FLEXICAIRQO II Low Airloss Therapy Unit or over 400 Ib 181 kg on a FLEXICAIR MC3 Low Airloss Therapy Unit consult Hill Rom Customer Support Failure to do so could result in patient injury or equipment damage Ad WARNING To maximize the benefit of airflow to the patient s buttocks avoid using plastic linen savers or other impervious sheets Whenever possible use extra absorbent air permeable material to manage incontinence Failure to do so could result in patient injury
8. length 90 229 cm Width with the siderails low 36 5 92 7 cm ered Width with the siderails 42 75 108 59 cm raised Height at the top of the 48 4 122 9 cm siderails with the bed hilow raised Height at the top of the 39 4 100 1 cm siderails with the bed hilow lowered Height of frame surface with 30 5 77 5 cm the bed hilow raised Height of frame surface with 21 8 55 4 cm with the patient the bed hilow lowered supported approximately 6 15 cm above the frame surface Bed frame ground clearance 7 5 19 1 cm at the middle of the unit Bed frame ground clearance 5 25 13 33 cm at the ends of the unit Weight 690 lb 313 kg Power requirements 115V AC 60 Hz Operating current 3 4A Starting current The in rush current to the unit does not exceed 15A for more than a few milli seconds and then falls to below 9A in less than 1 second Electrical leakage Less than 100 WA Noise level 46 dBa at 3 1 m Page 29 FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Precautions Ad WARNING Set the brakes during patient transfer or once the unit is in position or left unattended Failure to do so could result in patient injury personal injury or equipment damage Ad WARNING Lockout the patient control functions for patients in traction or another prescribed position or for patients with impaired judgement Failure to do so could result
9. minutes and then reactivates unless Maximum Inflation Mode CUSHION is deactivated or the Cushion Alarm Off button is ALARM OFF pressed again Seat Deflate Button The unit accommodates ambulatory patients and facilitates wheelchair transfer When Seat Deflate Mode is activated the seat section deflates to O enable the patient to transfer from the unit in a SEAT seated position A Seat Deflate button is located at DEFLATE each center side of the frame and at the footboard on the control panel To activate Seat Deflate Mode press the Seat Deflate button When Seat Deflate Mode is activated the Seat Deflate indicator illuminates To deactivate Seat Deflate Mode press the Seat Deflate button again to automatically inflate the cushions to their programmed levels Page 19 FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Bed Up Down Controls Press the Bed Up or Down arrow buttons to raise or lower the bed frame to the desired position Bed Frame Controls The bed frame controls are located on both siderails International graphic symbols indicate all functions for patient positioning Head Press the Head Up or Down arrow button on the siderail to raise or lower the head end until the patient reaches the desired position Knee Press the Knee Up or Down arrow button on the Ge siderail to raise or lower the knee section until the patient reaches the desired position Hilow
10. remove the control panel without the permission of Hill Rom Problem Unit Does Not Turn On Ensure that the unit is plugged into a functional and appropriate power source 2 Check the circuit breaker on the unit located on the electrical box under the head end of the unit If necessary press the rocker switch to reset the circuit breaker To indicate a successful reset of the circuit breaker its pilot light illuminates NOTE Do not use the circuit breaker as an on off switch To turn the unit on and off use the On Off switch on the control panel only 3 If within a very short time the circuit breaker trips again do not attempt to reset it Remove the patient from the unit and contact Hill Rom Customer Support 4 If no lights on the control panel illuminate the power supply is disrupted and the battery is completely discharged or disconnected Contact Hill Rom Customer Support Page 55 FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Problem Bed Frame Controls Do Not Operate If the height or the head end of the unit does not adjust perform the following Ensure that the unit is plugged into a functional and appropriate power source NOTE The bed frame controls do not operate under battery power 2 Inspect the lockouts located at the foot end of the unit If the lockouts are engaged deactivate them 3 If the problem still exists contact Hill Rom Customer Support FLEXICAIR
11. the frame to the desired height Automatic Contour When the head end rises the knee section simultaneously rises to 15 to improve comfort and minimize the patient s gravitation toward the foot end Page 21 FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Bottoming Signal If the patient s torso buttocks or thighs touch bottom the unit s bottoming sensor sounds an alarm and the red indicator above the Patient Comfort Adjustment controls illuminates A red indicator in Zone 2 or Zone 3 indicates that the patient is touching bottom in that zone To correct this condition perform the following 1 Inflate the air cushions to their maximum capacity by pressing the Maximum Inflation switch or button Perform one of the following e Ona FLEXICAIR II Low Airloss Therapy Unit only turn the Patient Comfort Adjustment control knob for the affected zone a 4 4 turn clockwise e Ona FLEXICAIR MC3 Low Airloss Therapy Unit only press the top arrow of the Patient Comfort Adjustment control for the affected zone once Ensure that the Patient Comfort Adjustment control LED increases one position After the cushions inflate deactivate Maximum Inflation Mode by turning the Maximum Inflation switch off or pressing the Maximum Inflation button again Perform one of the following e Ona FLEXICAIR II Low Airloss Therapy Unit only allow approximately 30 seconds for the cushion pressures to stabilize at the
12. the unit at its lowest position whenever a caregiver is not in the room Clarify the need for restraint devices to families or guardians Drainage Bag System Drainage bag holders are located in the center of C 1 both sides of the bed frame to accommodate multiple collectors Any fluid in a collector located on the drainage bag holders is not weighed by the in bed scale and therefore does not affect the accuracy of the patient s weight or other scale functions Page 25 FLEXICAIR Low Airloss Therapy Unit User Manual usr101 A WARNING Utility Shelf FLEXICAIR MC3 Low Airloss Therapy Unit only Use the headboard and footboard transport handles to enable transfer not the utility shelf Use of the utility shelf to enable transfer could result in personal injury or equipment damage Use the pull out utility shelf located at the foot end of the unit as a surface for documentation or charting or as an area to place the supplies and equipment used in a variety of patient care procedures such as dressing changes Do not use the utility shelf to enable transfer NOTE The utility shelf has a weight limit of 60 Ib 27 kg To engage the utility shelf perform the following Ad WARNING Do not use the utility shelf when the unit is in Trendelenburg or Reverse Trendelenburg or when the scale is used Personal injury or equipment damage could occur 1 Ensure that the un
13. 00008 27 Specifications 2d Sie RULES REAR E Re eee CES 28 FLEXICAIR II Low Airloss Therapy Unit Features 28 Page 1 FLEXICAIR Low Airloss Therapy Unit User Manual usr101 FLEXICAIR MC3 Low Airloss Therapy Unit Features wards erue eh ee i es ee E te 29 Precautions ose Gah HSA ee eS aoe eR nee 30 Safety TIPS ssc kes eka RUE SRELRAINMPRISOLRELPSCSRLOMER 33 Unit Positioning 0 0 00 eee eee eee 33 Sidera eee ae eee ee ee en eee TRES 33 Brakes ee ad EL oe C edd d 33 Spillszse veo be te IL welded fu teu ses 34 Lockout Controls eus nc xus Yer RS 34 Instructions for Use 0 0 sanii a eh 35 Placing the Patient on the Unit 00 35 Transferring the Patient from a Bed or SEEELtCBOT oso eee deu eet Cee eins 35 Transferring the Patient from a Wheelchair 36 Removing the Patient from the Unit lulu 37 Transferring the Patient onto the Bed or Stretcher 37 Transferring the Patient to a Wheelchair 38 Positioning the Patient lees eese 38 Side Lying a eee eee 38 SIUE s ccs ccce RON es aoe Ria OM ea gS eae aE ees 38 Placing and Removing the Bedpan 39 CPR Mode lE bei REY peed 39 Performing CPR When the Patient is on a FLEXICAIR II Low Airloss Therapy Unit 39 Performing CPR When the Patient is on a FLEXICAIR MC3 Low Airloss Therapy Unit 40 Transport Mode 1 2 2 eee eee eee 41 T
14. CAIR Low Airloss Therapy Unit User Manual usr101 Therapeutic Controls FLEXICAIR MC3 Low Airloss Therapy Unit FLEXICAIR MC3 Control Panel 2 POCTE FLEXICAIR MC3 Low Airloss Therapy On Off Button To turn the unit on or off press the On Off button in the bottom center of the control panel at the foot end of the unit When the unit is on the indicator light on the button illuminates Power Indicator O ON OFF Two Power indicator lights in the center of the control panel indicate whether AC or Battery power is running the unit The green indicator indicates that the unit is plugged into an appropriate power source and is operating in its normal mode on AC power The red indicator indicates that the bed is in Transport Mode and is operating on Battery power Once transport is complete plug the unit into an appropriate power source for optimal battery charging Weight Monitor Indicator The Weight Monitor indicator illuminates when the built in scale alarms The indicator flashes when an alarm condition exists for weight loss or gain or bed exit POWER AC BATTERY O O Q WEIGHT MONITOR FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Page 16 Patient C
15. Cardiac Arrest Activate CPR Mode see CPR Mode on page 39 When CPR Mode is activated the cushions rapidly deflate leaving the patient on a firm surface to enable CPR procedures A cardiac board is not necessary When in Transport Mode on a FLEXICAIR MC3 Low Airloss Therapy Unit use the STAT FLAT Release Handle to rapidly lower the head end of the bed and deflate the cushions to enable CPR procedures see STAT FLAT Release Handles on page 40 Congestive Heart Failure FLEXICAIR MC3 Low Airloss Therapy Unit Only Congestive heart failure patients experience fluid overload and require constant weight monitoring and frequent diuresis The scale feature of the FLEXICAIR MC3 Low Airloss Therapy Unit enables the following Accurate and convenient patient weights Continuous monitoring of the patient s weight gain or loss Patients on Injectable Diuretics When a patient is on diuretic therapy frequent and accurate monitoring of the patient s weight is essential Renal Failure and Dialysis Due to the importance of fluid balance patients in renal failure require constant weight monitoring Page 47 FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Multiple Trauma Due to some patient conditions such as immobility the trauma patient may be at risk for tissue trauma or may have previously experienced tissue damage Such patients are likely candidates for fluid imbalance thus requiring daily wei
16. ION Warning and Caution A A WARNING identifies situations or actions that may affect patient or user safety Disregarding a warning could result in patient or user injury ACAUTION points out special procedures or precautions that personnel must follow to avoid equipment damage The symbol below highlights a CAUGHT HAZARD WARNING Caught Hazard Warning si The symbol below highlights CHEMICAL HAZARD WARNING Chemical Hazard Warning dee The symbol below highlights an ELECTRICAL SHOCK HAZARD WARNING Electrical Shock Hazard Warning r FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Page 6 Intended Use The management of patients who are particularly vulnerable to skin breakdown with all its implications for the recovery process is complex The starting point is determining the treatment objectives assessing the risk and choosing the proper support An inappropriate choice can result in complications that impede recovery and increase the length of hospitalization Difficulties arise because differing clinical conditions and treatment objectives dictate different needs and in progressing through the recovery process a patient can require several different types of support The FLEXICAIR II Low Airloss Therapy Unit is a wound management system to meet specific prevention rehabilitation and related patient management objectives for the intermediate risk patient The FLEXICAIR MC3 Low Air
17. K HAZARD Use caution if large spills occur on the unit To protect the electrical components of the bed frame wipe up large spills immediately Failure to do so could result in patient injury personal injury or equipment damage A CAUTION Do not use harsh cleansers detergents such as scouring pads and heavy duty grease removers or solvents such as toluene xylene and acetone Equipment damage could occur A CAUTION Ensure that the metal platform is dry before placing the mattress back onto the bed Failure to do so could result in equipment damage FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Page 32 Safety Tips Unit Positioning A WARNING Always leave the unit in its lowest position when the patient is left unattended Failure to do so could result in patient injury Siderails A WARNING When the patient is left unattended leave the siderails latched in their full upright position Firmly tug on the siderail to ensure that it is latched Failure to do so could result in patient injury or equipment damage NOTE A click sounds to indicate that the siderail is fully raised and latched NOTE Siderails are intended to be a reminder to the patient of the unit s edges not a patient restraining device Hill Rom recommends the appropriate medical personnel determine the appropriate means necessary to ensure a patient remains safely in bed Patients with impaired mental or physical
18. Subtracting Items Add or subtract weight other than the patient s from the sleeping surface by performing the following 1 aA FY NS o Weigh the patient see Weighing the Patient on page 43 With the display blank press the Read button When the tone sounds place or remove the items Allow the display to clear Press the Read button A tone sounds and the new weight reading appears Press and hold the Zero button and then press the Read button Allow the display to clear FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Page 44 8 To access the actual patient weight press the Read button A tone sounds and the patient s weight appears NOTE Liquids in drainage bags or collection containers hanging on the drainage holder system of the unit are not weighed by the scale Therefore the amount of liquid does not affect the accuracy of the patient s weight and other scale functions Recalling the Last Weight Reading If the last weight reading taken was not documented recall it before taking a current weight reading by performing the following 1 Simultaneously press and hold the Set button and the Read button The display indicates the last weight reading stored in the memory of the scale 2 Release the Set button and the Read button The display clears 3 If necessary take the current weight reading see Weighing the Patient on page 43 Alarm Functions Alarms may be set t
19. USER MANUAL FLEXICAIR Low Airloss Therapy Unit From Hill Rom Hill Rom A HILLENBRAND INDUSTRY Table of Contents Symbol Definition 0 0 0 0 eee eee 6 Intended Use i iore onal aol vk EE RE EDEEEP 7 Introd ction sb REL REDI oe Tene dd d 8 gcgni c p e c EE 9 Patient Care Areas of Use llle 11 Pressure Reduction esee 12 Special Air Cushion Configuration 12 Automatic Pressure Adjustment 12 Patient Support cit eeru reunen e eee 12 Comfort Controls 12 Therapeutic Controls FLEXICAIR II Low Airloss Therapy Unit e eR eO SE RE es 13 Therapeutic Controls FLEXICAIR MC3 Low Airloss Therapy Unit 5 eoe Rete ete 16 Bed Frame Controls 0 0 0000005 20 Automatic Contour 0 0 eee ee eee 21 Bottoming Signal 0 0 eee eee eee eee 22 Central Brake and Steer 00008 23 Foot End Caregiver Controls 0 0000 23 Siderails cene seo ee ele SSA ee es 24 Siderail Storage seron oip pi repentir eee eee 24 Patient Restraint Brackets 00008 25 Drainage Bag System 00 00 0000 08 25 Utility Shelf FLEXICAIR MC3 Low Airloss Therapy Unit only citer Ee ereges cse ep 26 IV Pole eee een ee RECA TRU COS 27 Receptacles iei ERR Sesh chee ed ene adh nee 27 SIOfage iesu dh be he Dee Eee eee 27 NITE GARD Light FLEXICAIR MC3 Low Airloss Therapy Unit Only 0 00 0 0 00
20. When Maximum Inflation Mode is activated the red Maximum Inflation indicator illuminates and an alarm sounds briefly After Maximum Inflation Mode is active for 10 minutes an alarm sounds for 10 minutes to remind the caregiver to deactivate Maximum Inflation Mode To deactivate Maximum Inflation Mode press the Maximum Inflation switch to the Off position to automatically deflate the cushions to their programmed levels Side Lying Switch The Side Lying switch enables further protection of patients during prolonged periods of side lying of 15 minutes or longer To provide added support to the trochanter area the Side Lying switch distributes the cushion pressures appropriately If the Side Lying switch is activated its lamp illuminates When the patient returns to a supine position press the Side Lying switch to the Off position to automatically revert the pressures in the air cushions to their programmed values CPR Switch To deflate the cushions for performing CPR press the red CPR switch When the CPR switch is activated all air cushions deflate rapidly leaving the patient on a firm surface A cardiac board is not needed To inflate the cushions press the CPR switch to the Off position to automatically return the air cushion pressures to their programmed levels Bed Up Down Switch Press the Bed Up Down switch to raise or lower the bed frame to the desired position BED BED DOWN Page 15 FLEXI
21. ceeds a safe range the unit shuts down When the temperature returns to a normal range the unit automatically resumes operation If the unit shuts down remove the patient from the unit and notify Hill Rom Technical Support To enable easy transfer the bed frame controls continue to operate Cushion Controls 3 SEAT MAXIMUM The following four Cushion Controls DEFLATE NFLATION switches are located at the control panel Seat Deflate Switch The unit accommodates ambulatory patients and facilitates wheelchair transfer When Seat Deflate Mode is activated the seat DC dE section deflates to enable the patient to transfer from the unit in a seated position To activate Seat Deflate Mode press M CUSHION CONTROLS the Seat Deflate Switch When Seat Deflate Mode is activated the Seat Deflate indicator illuminates To deactivate Seat Deflate Mode press the Seat Deflate Switch to the Off position to automatically inflate the cushions to their programmed levels FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Page 14 Maximum Inflation Switch To facilitate the transfer of patients in the supine position Maximum Inflation Mode inflates all sections of the unit to their maximum capacity This provides a firm surface from which patients can more easily be moved To transfer a patient onto or off of the unit press the Maximum Inflation switch to activate Maximum Inflation Mode
22. d trochanteric support at less than capillary closing pressures and correspondingly low contact pressures across all body surfaces Comfort Controls The unit has two sets of controls The controls that manage the therapeutic functions are located at the unit s footboard and at the center of the frame on each side The controls that operate the bed frame are located in the siderails and at the foot end of the unit FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Page 12 Therapeutic Controls FLEXICAIR II Low Airloss Therapy Unit FLEXICAIRO II Low Airloss Therapy Unit Control Panel FLEXICAIR II Low Airloss Therapy HR SARTE On Off Switch To turn the unit on or off press the On Off switch in the right hand corner of the control panel at the foot end of the unit When the unit is on the indicator light on the switch illuminates Patient Comfort Adjustment Control To achieve optimal pressures at four different head elevation trained Hill Rom personnel program the unit on a patient by patient basis at the time of delivery However since patient comfort is subjective the unit permits finer pressure adjustments without compromising its preset effectiveness To adjust the air cushions for comfort locate the Patient Comfort Adjustment controls on the control panel The five body zones displayed have independent control knob
23. e use the FLEXICAIR MC3 Low Airloss Therapy Unit for the following Patients who due to clinical status may develop pressure sores Patients with existing early stage Stage I and II pressure sores Patients with non infected Stage III or IV wounds when treatment objectives that require frequent ambulation and transfer take priority Patients whose respiratory status requires continuous high head elevation Page 9 FLEXICAIR Low Airloss Therapy Unit User Manual usr101 FLEXICAIR Low Airloss Therapy Units FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Page 10 Patient Care Areas of Use Conditions that increase the risk of pressure sore development or deterioration are seen in all areas of medicine However it is important to recognize the common factors that predispose a patient to pressure sores and in which clinical settings they are most likely to occur Patient with one or more of the following conditions are at significant risk Immobility Incontinence Poor nutrition Diminished level of consciousness Reduced subcutaneous tissue Dehydration Diminished circulation Multisystem failure Use of steroids or sedatives These conditions are most prevalent in the following clinical settings Gerontology Critical care Rehabilitation Orthopedics Neurosurgery Oncology Burn care Dialysis Page 11 FLEXICAIR Low Airloss Therapy Unit Us
24. e Lying button is activated its lamp illuminates When the patient returns to a supine position turn the Side Lying button off to automatically revert the pressures in the air cushions to their programmed values CPR Controls Achieve the CPR position by using any one of the red CPR buttons or STAT FLAT Release Handles e A CPR button is located on each side of the frame and at the footboard on the control O panel CPR A STAT FLAT Release Handle is located on each side of the head end of the frame For operation instructions refer to STAT FLAT Release Handles on page 40 FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Page 18 Maximum Inflation Button To enable the transfer or positioning of patients all air cushions may be inflated to maximum capacity This provides a firm surface from which patients can more easily be moved To transfer a patient onto or off of the unit press the Maximum Inflation button When Maximum Inflation Mode is activated the indicator O illuminates and an alarm sounds to remind the MAXIMUM caregiver that during Maximum Inflation Mode INFLATION the cushion pressures exceed the therapeutic levels To deactivate Maximum Inflation Mode press the Maximum Inflation button again to automatically deflate the cushions to the programmed levels Cushion Alarm Off Button To silence the alarm press the Cushion Alarm Off button The alarm silences for 15
25. e RR n eb UE IEEE 50 Peripheral Vascular Disease and Leg Ulcers FLEXICAIR MC3 Low Airloss Therapy Unit Only 50 Pressure Sores cec re Rep BINA ERR 50 SMOKING o mE p ee b bees 50 Trendelenburg and Reverse Trendelenburg Positioning 2553 pasartean DHS RSE Mech ite wired Fe 51 Hypotension 0 0 0 IA 51 Tractioh est E e pm tp RESUME 51 Gleaning ocn lx pex RIS REYU a ere eee 52 Steam Cleaning sees eese eh 52 Cleaning Hard to Clean Spots 00 52 Page 3 FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Disinfecung c cec ocv Oe EC RORIS RR D 53 Caregiver Procedures 0 00 0 cee eee eee 53 Hill Rom Personnel Procedures 0000 53 Maintenance as curet Beet ey othe Mo ee 54 Troubleshooting 0 0 0 eee eee eee 55 Problem Unit Does Not Turn On 0 55 Problem Bed Frame Controls Do Not Operate 56 FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Page 4 Page 5 FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Symbol Definition This manual contains different typefaces and icons designed to improve readability and increase understanding of its content Note the following examples Standard text used for regular information Boldface text emphasizes a word or phrase NOTE sets apart special information or important instruction clarification The symbol below highlights a WARNING or CAUT
26. eedings The scale of the FLEXICAIR MC3 Low Airloss Therapy Unit enables convenient and accurate monitoring of weight which is indicative of fluid status Page 49 FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Orthopedics For some immobilized patients the maintenance of proper body alignment is critical Normally proper alignment on a low airloss therapy unit is easy to maintain However through user error or equipment malfunction cushions may deflate putting proper body alignment at risk The choice of a therapeutic support is based on the medical judgement of professionals evaluate each case individually The FLEXICAIR MC3 Low Airloss Therapy Unit accommodates most standard traction equipment For assistance contact Hill Rom Customer Support Peripheral Vascular Disease and Leg Ulcers FLEXICAIR MC3 Low Airloss Therapy Unit Only Peripheral vascular disease and leg ulcers require optimal vascular return easily accomplished in a cardiac chair position In these cases you may want to use Trendelenburg rather than Reverse Trendelenburg Pressure Sores Patients with pressure sores should be selected on the basis of risk assessment medical status and treatment objectives To help evaluate patients a Hill Rom Clinical Sales Consultant is always available Smoking A WARNING Prohibit smoking in or near the unit Patient injury personal injury or equipment damage could occur The air cus
27. equipment damage The following individual caregiver and lockout controls are located at the foot end of the unit Hilow control Trendelenburg control Reverse Trendelenburg control Hilow lockout control Head lockout control Automatic contour lockout control Page 23 FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Siderails Ad WARNING Evaluate patients for entrapment risk according to facility protocol and monitor patients frequently Ensure that all siderails are fully latched when in the raised position Failure to do so could result in serious injury or death For maximum patient safety siderails with extenders are found on the unit Siderails are intended to be a reminder to the patient of the unit s edges not a patient restraining device Hill Rom recommends the appropriate medical personnel determine the appropriate means necessary to ensure a patient remains safely in bed Patients with impaired mental or physical status may require special attention or restraint especially when resting on low friction specialty bed support surfaces Hill Rom recognizes that certain healthcare situations may indicate the need for specialized siderail configurations In response to this need we offer upon request several siderail accessories Ad WARNING Before leaving patients unattended always raise the siderails to their full upright position Failure to do so could result in patient injury or equi
28. er Manual usr101 Pressure Reduction A set of cushions inflated to specific air pressures forms the foundation of low airloss therapy The unit provides support that matches the needs of the individual patient distributes the body load uniformly over a maximum area and minimizes pressure concentrations at the bony prominences Special Air Cushion Configuration The segmented design and arrangement of the air cushions compartmentalize support providing greater flexibility and even displacement of the patient s weight Consequently a patient lying in the supine position is supported below capillary closing pressures Automatic Pressure Adjustment For low airloss therapy to be effective airflow into the cushions must be adjusted when the patient changes head elevation The units provide automatic pressure adjustment at four levels of patient elevation significantly reducing the potential for human error and eliminating a time consuming nursing responsibility The patient can freely change head elevation without compromising pressure relief Patient Support The suspension system of the unit consists of 18 inflatable cushions divided into five zones corresponding to major body surface areas When the system is activated compressed air fills the cushions To achieve the lowest skin contact pressures and provide optimal patient comfort airflow is distributed through each zone The resulting system provides sacral scapular an
29. foot end of the bed and lower the positioning bar 5 Using the Trendelenburg or Reverse Trendelenburg lever position the unit in the desired angle of Trendelenburg or Reverse Trendelenburg NOTE To return the unit to its normal position perform the above procedure in reverse order The following conditions may be best managed in Trendelenburg with the patient s legs raised above heart level Deep vein thrombosis DVT Edema Stassis ulcers Liver disease The following conditions may be best managed in Reverse Trendelenburg with the patient s legs lowered below heart level Pulmonary edema Weaning from a ventilator Bed to chair transition FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Page 42 Patient Scale FLEXICAIR MC3 Low Airloss Therapy Unit Only To operate the scale first prepare the sleep surface by adding and documenting all necessities including linens and pillows Do not operate the scale when objects are on the utility shelf Patient Scale Control Panel op tell e E xem SJ tetetete ft Using the Scale Weighing the Patient 1 Perform one of the following Remove the patient from the unit and zero the unit see Zeroing a Unit on page 44 If the patient cannot be removed from the unit due to his or her condition enter an estimated patient weight into the display see Entering an Est
30. ge Since the unit is provided on a per patient basis special care is taken to ensure that units are delivered quickly and that once delivered each unit functions to maximum capability throughout its use A network of service locations provides for dependable unit delivery and service During the course of the therapy Hill Rom provides all routine unit maintenance on the following Air Cushions Hill Rom changes launders and repairs all air cushions Filters and Consumable Parts Hill Rom checks and if necessary replaces all filters and consumable parts Bed Frame Hill Rom cleans and disinfects the bed frame as appropriate for and between each patient Routine Maintenance Hill Rom service personnel are available Monday through Friday during normal working hours for routine maintenance Emergency Service and Repair Hill Rom service personnel are available 24 hours a day on an on call basis for emergency service and repair FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Page 54 Troubleshooting Ad WARNING Only facility authorized personnel should troubleshoot the FLEXICAIR Low Airloss Therapy Unit Troubleshooting by unauthorized personnel could result in personal injury or equipment damage Hill Rom maintains sole responsibility for the repair of the unit Non emergency service is available during usual working hours Emergency service is available on a 24 hour basis Do not tamper with or
31. ghing Patients Who Travel To alert the caregiver of a patient who has exited the unit use the Patient Exit alarm see Patient Exit Alarm on page 45 Within 5 seconds of the bed exit an alarm sounds For patients who travel such as the disoriented or elderly use of the extended siderails as well as proper restraint using the patient restraint brackets is suggested Contractures All bedridden patients are subject to the effects of immobility Patients can be exercised on the unit as easily as on a traditional bed Seat Deflate Mode enables weight bearing exercises Flap Surgery In certain patients the unit has been successfully used in the treatment of posterior post operation flaps However the CLINITRON Air Fluidized Therapy Unit generally remains the treatment of choice for such patients Foot Drop Implement traditional nursing interventions On a FLEXICAIR MC3 Low Airloss Therapy Unit a foot drop pillow is available to provide therapeutic support and stability to affected extremities Grafts In certain patients the unit has been successfully used in the treatment of posterior post operation grafts However the CLINITRON Air Fluidized Therapy Unit generally remains the treatment of choice for such patients On a FLEXICAIR MC3 Low Airloss Therapy Unit hyperextension cushions are available for neck grafts when clinically indicated FLEXICAIR Low Airloss Therapy Unit Use
32. headboard from the unit by pulling straight up on its handles 2 Press the red CPR switch on the control panel The air cushions rapidly deflate to facilitate CPR and defibrillation NOTE A cardiac board is not necessary 3 When CPR is complete press the red CPR switch again The cushions automatically inflate to their set pressures Page 39 FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Performing CPR When the Patient is on a FLEXICAIR MC3 Low Airloss Therapy Unit On a FLEXICAIR MC3 Low Airloss Therapy Unit achieve the CPR position by using any one of the following A CPR button located on each side of the frame and at the footboard on the control panel A STAT FLATO Release Handle located on each side of the head end of the frame When CPR Mode is activated the cushions rapidly deflate leaving a firm surface a cardiac board is not necessary A red CPR indicator illuminates until CPR Mode is deactivated To deactivate CPR Mode press any one of the three CPR buttons The red CPR indicator goes out and the air cushions automatically return to their programmed levels STAT FLAT Release Handles A WARNING The STAT FLAT Release Handle lowers the head frame abruptly Keep hands and IV lines clear of the head frame when initiating CPR Failure to do so could result in personal injury or equipment damage The STAT FLAT Release Handle enables rapid activation of CPR under AC power o
33. her buttocks centered over the ninth cushion from the top of the seat section Once the transfer is complete press the Seat Deflate switch or button again The pressures automatically return to their set levels FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Page 36 Removing the Patient from the Unit Transferring the Patient onto the Bed or Stretcher 1 Using the bed frame controls adjust the height of the unit to match the bed or stretcher see Bed Frame Controls on page 20 2 Push the brake pedal to lock the wheels see Central Brake and Steer on page 23 3 Activate Maximum Inflate Mode e Ona FLEXICAIR II Low Airloss Therapy Unit only press the Maximum Inflation switch on the control panel The air cushions inflate to their maximum pressures and an alarm briefly sounds NOTE On a FLEXICAIR II Low Airloss Therapy Unit the alarm sounds again after 10 minutes to remind the caregiver to deactivate Maximum Inflation Mode e Ona FLEXICAIR MC3 Low Airloss Therapy Unit only perform the following a Press the Maximum Inflation button on the control panel The air cushions inflate to their maximum pressures and an alarm sounds b Silence the alarm by pressing the Cushion Alarm Off button The alarm silences for 15 minutes NOTE On a FLEXICAIR MC3 Low Airloss Therapy Unit the alarm sounds again after 15 minutes to remind the caregiver to deactivate Maximum Inflation Mode 4
34. hions like all fabric can be damaged by cigarette burns Prohibit smoking in or near the unit FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Page 50 Trendelenburg and Reverse Trendelenburg Positioning Trendelenburg and Reverse Trendelenburg positions are necessary in the treatment of many clinical conditions including hypovolemic shock cerebral edema and hypotension To place the unit in the Trendelenburg or Reverse Trendelenburg position refer to Bed Frame Controls on page 20 Hypotension Hypotensive patients can easily be placed in Trendelenburg however with rapid head elevation some patients may be at risk for orthostatic hypotension When a patient s head is raised using the siderail controls it is recommended that the caregiver pulse the controls for slower elevation Traction The unit accommodates properly installed standard traction equipment It is recommended that the caregiver use the lockout features at the foot end of the bed to prevent the patient from accidentally activating the bed frame controls Page 51 FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Cleaning Ad WARNING Follow the product manufacturer s instructions Failure to do so could result in personal injury or equipment damage E SHOCK HAZARD Unplug the unit from its power source Failure to do so could result in personal injury or equipment damage W SHOCK HAZARD Do not expose the un
35. imated Patient Weight on page 44 2 If necessary return the patient to the unit 3 Press the Read button A tone sounds and the patient s weight reading displays 4 To change the reading from kilograms kg to pounds lb or vice versa press the Units button Page 43 FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Zeroing a Unit Zero the unit by performing the following 1 With the display blank press and hold the Zero button and then press the Read button A tone sounds and the tare weight displays Allow the display to clear Press the Read button again A reading of 0 Ib 0 kg 0 2 Ib 0 09 kg displays Entering an Estimated Patient Weight In rare situations it may be impossible to zero an empty unit due to the patient s condition To enable the monitoring of weight changes and to use alarm modes in these instances perform the following to enter an estimated patient weight into the display 1 5 Estimate the patient s weight or consult the patient s last recorded weight reading see Recalling the Last Weight Reading on page 45 Zero the unit with the patient still on it see Zeroing a Unit on page 44 Press and hold the Zero button and then use the digit buttons directly below the display to enter a negative patient weight Release the Zero button The tare weight without the patient s weight appears Press the Read button The patient s weight appears Adding or
36. it is not in Trendelenburg or Reverse Trendelenburg position and ensure that the scale is not in use Press the release clamps located on both sides of the utility shelf down toward the unit Pull the utility shelf out completely Rotate the utility shelf up and over the footboard so it is parallel to the floor and press it down to lock in place Pull forward on the utility shelf to ensure that it is locked in the upright position FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Page 26 To disengage the utility shelf perform the following 1 Lift up on the utility shelf to release it from the pins 2 Rotate the utility shelf down toward the floor 3 Slide the utility shelf in toward the foot end of the unit The utility shelf automatically locks in place IV Pole One IV pole is provided with each unit Receptacles An IV pole receptacle is provided at all four corners of the unit Storage Storage areas for IV poles are located under the thigh section on both sides of the unit When the IV pole is not in use fully insert it into the storage area NITE GARD Light FLEXICAIR MC3 Low Airloss Therapy Unit Only To provide added patient safety upon bed exit the NITE GARD Light is Co located beneath the bed frame and automatically illuminates CS when the room lights are dimmed Co Page 27 FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Specifications The standard unit i
37. it to excessive moisture that would allow for liquid pooling Personal injury or equipment damage could occur A CAUTION Do not use harsh cleansers detergents such as scouring pads and heavy duty grease removers or solvents such as toluene xylene and acetone Equipment damage could occur A CAUTION Ensure that the metal platform is dry before placing the mattress back onto the bed Failure to do so could result in equipment damage If there is no visible soilage with possible body fluids we recommend that you clean the unit with a mild detergent and warm water If disinfection is desired you may use a combination cleanser disinfectant as explained in Disinfecting below In either case ensure that the metal platform is dry before placing the mattress back onto the bed Steam Cleaning Do not use any steam cleaning device on the unit Excessive moisture can damage mechanisms in this unit Cleaning Hard to Clean Spots To remove difficult spots or stains we recommend that you use standard household cleansers and a soft bristled brush To loosen heavy dried on soil you may first need to saturate the spot FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Page 52 Disinfecting When there is visible soilage and between patients we recommend that you disinfect the unit with a tuberculocidal disinfectant For customers in the US the disinfectant should be registered with the Environmental Pro
38. loss Therapy Unit is a wound management system to help with pressure sore prevention and treatment when ambulation is a priority or respiration is compromised Based upon the principle of low airloss technology both units offer beneficial features as well as the clinical consultation and service of Hill Rom The features applications and instructions for use of the units are described in this user manual However this user manual is intended only as a guideline Remember that your Hill Rom Clinical Sales Consultant is available around the clock to help assess each of your patients for risk and on the basis of medical status and treatment objectives assist you in selecting the treatment modality to achieve maximum patient benefit in the most cost effective way It is this commitment to serve both the patient and caregiver through products and a level of expertise that earned Hill Rom its reputation as a resource in chronic wound management Page 7 FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Introduction The prevention of pressure sore development and wound deterioration requires a support that minimizes the effects of the mechanical forces of pressure shear friction and moisture upon fragile tissue Low airloss therapy is achieved by controlling the low pressure distribution and the escape of air through inflatable cushions used to support the patient As a result each patient is supported according to the individ
39. ncludes the following One IV pole 18 air cushions and six side panel attachments made from tightly woven nylon coated with polyurethane An integrated Transport Mode using encased sealed lead acid batteries providing 24V at 38A hour capacity FLEXICAIRO II Low Airloss Therapy Unit Features Feature Overall length Dimension 88 223 cm Width with the siderails low ered 36 5 92 7 cm Width with the siderails raised 41 5 105 4 cm Height at the top of the siderails with the bed hilow raised 48 4 122 9 cm Height at the top of the siderails with the bed hilow lowered 39 4 100 1 cm Height of frame surface with the bed hilow raised 30 5 77 5 cm Height of frame surface with the bed hilow lowered 21 8 55 4 cm with the patient supported approximately 6 15 cm above the frame surface Bed frame ground clearance 7 5 19 1 cm Weight 560 Ib 254 kg Power requirements 115V AC 60 Hz Operating current 3 4A Starting current The in rush current to the unit does not exceed 15A for more than a few milli seconds and then falls to below 9A in less than 1 second Electrical leakage Less than 100 HA Noise level 46 dBa at 3 1 m FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Page 28 FLEXICAIR MC3 Low Airloss Therapy Unit Features Feature Dimension Overall
40. o monitor the following The patient exits the unit The patient loses weight The patient gains weight Before setting the alarms first obtain the actual patient weight see Weighing the Patient on page 43 Patient Exit Alarm The Patient Exit alarm provides an audible alarm and a visual signal to alert the caregiver that the patient has exited the unit The Patient Exit alarm sounds within 5 seconds of the bed exit To set the Patient Exit alarm perform the following 1 Obtain the patient s weight see Weighing the Patient on page 43 2 Hold the Set button and perform the following a Press the Mode button to select Exit Mode b Press the Alarm button to select Local Page 45 FLEXICAIR Low Airloss Therapy Unit User Manual usr101 c Using the digit buttons enter a weight at least 20 Ib 9 kg less than the actual patient weight 3 Release the Set button To silence the Patient Exit alarm hold the Set button and press the Alarm button to select Silence To discontinue using the Patient Exit alarm press the Off button Patient Weight Change Alarm The Patient Weight Change alarm provides an audible alarm and a visual signal to alert the caregiver of a predetermined weight gain or loss and can be used in a variety of clinical situations such as dialysis The Patient Weight Change alarm sounds within 20 minutes of the weight change To set the Patient Weight Change alarm perform the f
41. ollowing 1 Obtain the patient s weight see Weighing the Patient on page 43 2 Hold the Set button and perform the following a Press the Mode button to select WT for weight gain or WT for weight loss alarm limits b Press the digit buttons to program the appropriate patient weight e In WT Mode program a weight greater than the actual patient weight For example if the patient weighs 125 Ib 57 kg and you want the Patient Weight Change alarm to signal a weight gain of 2 Ib 1 kg program a weight of 127 Ib 58 kg e n WT Mode program a weight less than the actual patient weight For example if the patient weighs 125 Ib 57 kg and you want the Patient Weight Change alarm to signal a weight loss of 2 lb 1 kg program a weight of 123 Ib 56 kg 3 Release the Set button To silence the Patient Weight Change alarm hold the Set button and press the Alarm button to select Silence To discontinue using the Patient Weight Change alarm press the Off button FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Page 46 Caregiver Assessment and Intervention Burns In most cases use the unit for anterior grafts between grafting procedures if the patient is mobile and to promote independence in the rehabilitative phase On a FLEXICAIR MC3 Low Airloss Therapy Unit patient arm abductors and hyperextension cushions are available when the patient s condition dictates their use
42. omfort Adjustment Controls To achieve optimal pressures at four different head elevations trained Hill Rom personnel program the unit on a patient by patient basis at the time of delivery However since patient comfort is subjective the unit permits finer pressure adjustments without compromising its preset effectiveness To adjust the air cushions for comfort locate the Patient Comfort Adjustment controls on the control panel The five body zones displayed have independent buttons to adjust the cushion FRTIENF COMFORT ADJUSTMENT pressures within each zone Pressing the bottom arrow of the button deflates the air cushions slightly pressing the top arrow of the button inflates the cushions Each time the button is pressed the light emitting diode LED increases or decreases one position to indicate that the zone pressure is raised or lowered NOTE After a control is set a slight delay occurs before the pressures within the cushions adjust Adjust the cushion pressures in gradual increments and allow the patient approximately 60 seconds between adjustments to experience each change Elevation Indicators The Elevation indicators indicate that the unit functions properly The indicator shows the degree of elevation 0 30 45 or 60 With each change in elevation the unit registers the patient s position and automatically adjusts the cushion p
43. pment damage To raise a siderail pull it out and rotate it up away from the unit until a distinct click sounds When the patient is left unattended fully raise the siderails and place the bed frame in its lowest position To lower a siderail press the Push release lever while rotating the siderail either down to the mattress level or under the bed frame Siderail Storage During patient transfer store the siderails neatly under the bed frame to eliminate any gap between the bed and the transfer vehicle and to reduce the overall width of the bed to ease moving the unit FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Page 24 Patient Restraint Brackets Two patient restraint brackets are located on each side of the seat section These brackets accommodate most restraints and can be used as the patient s condition indicates Hill Rom recommends the appropriate medical personnel determine the level of restraint necessary to ensure a patient remains safely in bed Whenever high profile patients such as the frail elderly medicated or confused are involved Hill Rom recommends the following minimum actions Develop guidelines for high profile patients that indicate the proper method to monitor a patient whether restrained or not including the time interval and a visual check of the restraint Develop training programs for all caregivers concerning the proper use and application of restraints Maintain
44. port Failure to do so could result in patient injury or equipment damage Ad WARNING To maximize the benefit of airflow to the patient s buttocks avoid using plastic linen savers or other impervious sheets Whenever possible use extra absorbent air permeable material to manage incontinence Failure to do so could result in patient injury 5 Using a standard hospital draw sheet lift the patient onto the unit Place the patient with his or her buttocks centered over the ninth cushion from the top of the seat section If necessary use extra absorbent air permeable material to manage incontinence Avoid using plastic linen savers or other impervious sheets Deactivate Maximum Inflation Mode by pressing the Maximum Inflation switch or button again The pressures automatically adjust to their set levels Transferring the Patient from a Wheelchair 1 Trained Hill Rom personnel individualize the pressure settings at the time of the initial patient placement Push the brake pedal to lock the wheels see Central Brake and Steer on page 23 Press the Seat Deflate switch or button All cushions in the seat section deflate Elevate the head end of the unit no more than 30 Seat the patient in the deflated seat section If necessary the patient may use the inflated cushions of the adjacent sections for additional support on egress Proceed to swing the patient s legs onto the unit and position the patient with his or
45. protection for the trochanteric area Before placing the patient in the side lying position press the Side Lying switch or button on the control panel Activate the side lying feature only when the patient is side lying for 15 minutes or longer Sitting The automatic pressure compensation feature functions throughout the range of head elevations The low friction fabric and the segmented design of the air cushions reduce the potential for shear and friction that exists when raising the head end of any bed However because a certain amount of sliding can naturally be expected routinely reposition the patient after elevating him or her to the sitting position FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Page 38 Placing and Removing the Bedpan Perform the following to place or remove the bedpan 1 2 Turn the patient away from you to a side lying position Press the Seat Deflate switch or button on the control panel All cushions in the seat section deflate While the seat section cushions deflate perform one of the following Press the bedpan into the seat section and turn the patient back onto the bedpan or Remove the bedpan from the seat section Press the Seat Deflate switch or button again The pressures automatically return to their set levels CPR Mode Performing CPR When the Patient is on a FLEXICAIR Il Low Airloss Therapy Unit 1 For easier access to the patient remove the
46. r battery power when the head frame functions do not operate To initiate CPR Mode press the button at the head end of the STAT FLAT Release Handle and pull the handle outward The cushions rapidly deflate and the head lowers immediately to the flat position CPR Button Pressing any CPR button rapidly deflates all cushions If the head end is elevated press the RAPIDOWN Head Control on the siderail to lower the head end in less than 8 seconds even from full elevation FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Page 40 Transport Mode Transport Mode enables the transfer of the patient on the unit while maintaining the therapeutic pressures Transporting a Patient in Transport Mode To transport a patient on the unit perform the following 1 Using the bed frame controls adjust the bed frame to the desired position see Bed Frame Controls on page 20 NOTE The bed frame controls are not operable under battery power 2 Raise the siderails 3 Disengage the brake 4 Unplug the unit from its power source The unit automatically converts to battery power without deflation of the cushions On a FLEXICAIR MC3 Low Airloss Therapy Unit only the red Battery Power indicator on the control panel illuminates 5 Transport the patient on the unit to the new location NOTE Under battery power all therapeutic controls are fully operational The time available in Transport Mode depends on
47. r Manual usr101 Page 48 Hyperthermia When ordered by a physician place a cooling blanket over the patient Hypothermia Implement traditional nursing interventions Incontinence AX WARNING To maximize the benefit of airflow to the patient s buttocks avoid using plastic linen savers or other impervious sheets Whenever possible use extra absorbent air permeable material to manage incontinence Failure to do so could result in patient injury To maximize the circulation of air to the patient s skin and prevent the softening of tissue caused by moisture contain drainage with absorbent material or breathable underpads without plastic backing such as CAIRPAD Incontinence Pads Avoid using linen savers and plastic linens due to their tendency to hold moisture against the patient s skin Neurology For some neurologically impaired patients the maintenance of proper body alignment is critical Normally proper alignment on a low airloss therapy unit is easy to maintain However through user error or equipment malfunction cushions may deflate putting proper body alignment at risk The choice of a therapeutic support is based on the medical judgement of professionals evaluate each case individually Nutritional Deficiencies Total Parenteral Nutrition TPN or Tube Feedings FLEXICAIR MC3 Low Airloss Therapy Unit Only The careful monitoring of fluid balance is necessary in conjunction with supplemental f
48. ransporting a Patient in Transport Mode 41 Using CPR in Transport Mode FLEXICAIR MC3 Low Airloss Therapy Unit Only 42 Cardiac Chair Position FLEXICAIR MC3 Low Airloss Therapy Unit Only 42 Patient Scale FLEXICAIR MC3 Low Airloss Therapy Unit Only 2 reb eee eei 43 FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Page 2 Usingthe Scale i oi co eid Er rh EUER 43 Alarm Functions 0 0 0 0 0 eee 45 Caregiver Assessment and Intervention 47 Burns eene ao oaks Bas Jee Bean weeded a SE Mol aed SE ts 47 Cardiac Arrest ccna Shed eke Sh eee ey Su 47 Congestive Heart Failure FLEXICAIR MC3 Low Airloss Therapy Unit Only 0 00 47 Patients on Injectable Diuretics 47 Renal Failure and Dialysis 2000 47 Multiple Trauma 00 0 0 0000000 48 Patients Who Travel 0 0 0 0 0000005 48 Gontractires o vec e AVE CDU E A 48 Flap Surgery oom ERRURIUCERIEERETBEROISERE SS 48 Fot Dropia c eR IC RI a EUR TORRE CES 48 Grafts shiek sese bed nte eee ee bie boe 48 Hyperthermia iol th eg Re eR eene 49 Hypothermia ss isle Sade ha aah Meee wee SERES 49 Incontimencez iue RR e hoe Se ae Bh 49 Neurology tee E e Se eS 49 Nutritional Deficiencies Total Parenteral Nutrition TPN or Tube Feedings FLEXICAIR MC3 Low Airloss Therapy Unit Only 4 oec ett reet api EE lees 49 Orthopedics Sobr
49. ressures to compensate ELEVATION NOTE The Elevation indicators indicate the angle of elevation from the frame of the unit not the cushion height The patient s actual elevation may differ slightly from the angle indicated Page 17 FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Temperature Operating Range Indicators For maximum patient comfort the unit operates at room temperature The Temperature TEMPERATURE Operating Range indicators are located in the OPERATING RANGE center of the control panel NORMAL HIGH et er S O O A green indicator indicates that the unit is operating at the Normal range for patient comfort Ared indicator and an audible alarm indicate a High temperature condition If a High temperature condition occurs notify Hill Rom Technical Support NOTE When the operating temperature exceeds a safe range the unit shuts down When the temperature returns to a normal range the unit automatically resumes operation If the unit shuts down remove the patient from the unit and notify Hill Rom Technical Support To enable easy transfer the bed frame controls continue to operate Side Lying Button The Side Lying button enables further protection of patients during prolonged periods of side lying of 15 minutes or longer To provide added O support to the trochanter area the Side Lying SIDE button distributes the cushion pressures LYING appropriately If the Sid
50. s to adjust the cushion pressures within each zone 1 PATIENT COMFORT ADJUS MENT Turning the control knobs counterclockwise deflates the air cushions turning the control knobs clockwise inflates the air cushions NOTE After a control is set a slight delay occurs before the pressures within the cushions adjust Adjust the cushion pressures in gradual increments and allow the patient approximately 30 seconds between adjustments to experience each change The pressure sensor indicators illuminate green to indicate normal function A red light in any zone indicates that the patient is touching the bottom of the surface see Bottoming Signal on page 22 Page 13 FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Elevation Indicator The Elevation indicator shows the degree of elevation With each change in elevation the unit registers the patient s position and automatically adjusts the cushion pressure to compensate ELEVATION Temperature Operating Range Indicators TEMPERATURE The Temperature Operating Range indicators OPERATING RANGE are located above the Elevation indicator A green indicator indicates that the unit is NORMAL HIGH operating at the Normal range for patient O O comfort e A red indicator indicates a High temperature condition If a High temperature condition occurs notify Hill Rom Technical Support NOTE When the operating temperature ex
51. status may require special attention or restraint especially when resting on low friction specialty bed support surfaces Brakes A WARNING Once the unit is in place set the brakes especially during patient transfer Patients may use the unit for support when entering or exiting and could become injured if the unit moves unexpectedly Test proper setting of the brakes by pushing or pulling the unit sideways Failure to do so could result in patient injury or equipment damage Page 33 FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Spills If spills occur around the siderail or footboard controls perform the following 1 Unplug the unit from its power source 2 Immediately wipe up the spill from the unit 3 Plug the unit into an appropriate power source 4 Check all bed frame controls see Bed Frame Controls on page 20 If any do not function properly contact Hill Rom Customer Support for repair Lockout Controls A WARNING To prevent a patient from adjusting his or her position such as traction patients for whom certain movements may result in injury use the lockout controls located on the control panel at the foot end of the unit Failure to do so could result in patient injury or equipment damage FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Page 34 Instructions for Use Placing the Patient on the Unit Transferring the Patient from a Bed or Stretcher 1
52. tection Agency Dilute the disinfectant according to the manufacturer s instructions Caregiver Procedures W v Wipe down the air cushions with any standard hospital cleanser or disinfectant Use absorbent materials to protect the unit from incontinence The base frame is covered with an easily cleaned flexible plastic sheeting Use adhesive tape to temporarily patch tears in the air cushion Small punctures in an air cushion should not affect the operation of the unit SHOCK HAZARD Use caution if large spills occur on the unit To protect the electrical components of the bed frame wipe up large spills immediately Failure to do so could result in patient injury personal injury or equipment damage If large spills occur on the unit immediately wipe them up Hill Rom Personnel Procedures Hill Rom service personnel replace cushions and disinfect the frame as needed at the request of the hospital staff For routine service Hill Rom service personnel are available during normal working hours For emergency service Hill Rom service personnel are available seven days a week 24 hours a day Page 53 FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Maintenance Ad WARNING Only facility authorized personnel should perform preventive maintenance on the FLEXICAIR Low Airloss Therapy Unit Preventive maintenance performed by unauthorized personnel could result in personal injury or equipment dama
53. the charge state of the batteries When the batteries are sufficiently charged battery power is available for two or three hours 6 Once the transport is complete plug the unit into an appropriate power source NOTE When the unit is plugged into an appropriate power source the batteries automatically recharge Typically the batteries fully recharge in 16 hours if the unit is plugged into an appropriate power source following the transport Approximately 10 minutes prior to the loss of battery power an alarm sounds Also on a FLEXICAIR MC3 Low Airloss Therapy Unit only the red Battery Power indicator on the control panel flashes to alert the caregiver of the loss of battery power Page 41 FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Using CPR in Transport Mode FLEXICAIR MC3 Low Airloss Therapy Unit Only Since the bed frame controls are inoperable under battery power use the STAT FLAT Release Handle for CPR during Transport Mode see STAT FLAT Release Handles on page 40 Cardiac Chair Position FLEXICAIR MC3 Low Airloss Therapy Unit Only To position patients in the best configurations for some cardiac pathology use the cardiac chair position by performing following 1 Pull the patient up to the head end of the unit 2 Press the Knee Up arrow button to fully raise the knee section 3 Press the Head Up arrow button to fully raise the head end of the unit 4 Manually raise the
54. ual need at reduced pressures The potential for shear and friction is reduced pressure on bony prominences is minimized and the skin is kept comfortably dry The FLEXICAIR II Low Airloss Therapy Unit and the FLEXICAIR MC3 Low Airloss Therapy Unit maximize the benefits and safety of low airloss therapy technology for the patient and reduce caregiver involvement in technical maintenance and non nursing activities FLEXICAIR Low Airloss Therapy Unit User Manual usr101 Page 8 Features The FLEXICAIR II Low Airloss Therapy Unit and the FLEXICAIR MC3 Low Airloss Therapy Unit reduce pressure and decrease the potential for friction shear and maceration In addition their nursing management features and resemblance to a standard hospital bed make the units an efficient and effective preventive and rehabilitative support in the treatment of tissue breakdown Select patients with existing pressure sores and or surgical wounds on the basis of clinical status treatment objectives and priorities As a general guideline use the FLEXICAIR II Low Airloss Therapy Unit for the following Patients at moderate to high risk for the development of pressure sores Patients with existing early stage pressure sores Patients with advanced stage or full thickness pressure sores whose clinical status and treatment objectives require continuous high head elevation frequent transfer or frequent ambulation As a general guidelin
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