User Manual - Stat-Med
Contents
1. Because the Canopy does not include a bed it is critical to select the correct hospital bed for proper and safe use Using the wrong bed may result in serious injury or death to the patient There are a number of hospital beds in use today from a variety of manufacturers which are fully compatible with the Posey Bed Canopy Hospital beds come with either Removable head and footboards or NON Removable head and footboards COMPATIBLE HOSPITAL BEDS Compatible hospital beds must meet the following requirements e The bed platform deck of the bed See Fig 7A MUST adjust to between sixteen and seventeen inches from the floor 16 17 or 41 43 cm This is important to keep the canopy taut and avoid excess material in the patient area when the patient is unattended rr e The head of the bed can ONLY be raised to a maximum n n o 16 or 17 angle of seventy degrees 70 Fig 7A Deck of Bed Dimensions There are a number of hospital beds in use today from a variety of manufacturers which are compatible with the Posey Bed Canopy However you should NEVER activate any of the features listed below while using the Posey Bed Canopy e NEVER lower the deck of the bed below sixteen inches 16 from the floor to prevent suspending the mattress above the bed deck The bottom of the canopy must be fully supported by the bed deck to prevent canopy damage or e NEVER raise the hospital bed above twenty five inches 25 from the floor2. DVD and all labels on the Posey Bed weekly during the first month and at least once a month thereafter until they become second nature to you BEFORE STOPPING USE OF THE POSEY BED e Patient must be evaluated and monitored prior to transition to a regular or hospital bed e Consult the physician s orders the CARE PLAN the IDHT or facility policy for instructions for patient transition WARNINGS AND PRECAUTIONS ENTRAPMENT RISK ALL PATIENTS USE OF SIDE RAILS NEVER leave side rails in the UP position when the patient compartment is closed A failure to heed this warning may result in serious injury or death from ENTRAPMENT in the side rails or between the mattress and the side rails The risk of ENTRAPMENT is even greater when the head of the bed is raised These zones pose an extreme risk of serious injury or death from ENTRAPMENT An agitated or aggressive patient is also at risk of injury from contacting the side rails when they are in the UP position TO HELP REDUCE THE RISK OF ENTRAPMENT ALWAYS put side rails DOWN when leaving a patient unattended to reduce the risk of ENTRAPMENT and serious patient injury or death Side rails should ONLY be used as an aid to assist a patient in or out of bed or to help prevent a patient fall while providing care 8 Posey Bed 8060 WARNINGS AND PRECAUTIONS CONTINUED ENTRAPMENT RISK FOR CERTAIN AT RISK PATIENTS CANOPY GAPS Raising the head of the bed or if the deck of the b
3. Hook and Loop Tabs Use the zipper pull tabs to close the side panel Secure the zipper slider with the Quick Release Buckle Test the entire length of each zipper by pressing against the panel near the zipper to make sure it is securely closed and the access panel will not open when pressure is applied See Fig 4 Page 10 Make sure to lower the bed to the lowest acceptable height 16 or 17 inches from the floor to the deck of the bed so the mattress is fully supported This will stabilize the bed and reduce the risk of ENTRAPMENT or suffocation from excess canopy material in the patient compartment Check to make sure that all side rails are in the fully DOWN position to reduce the risk of ENTRAPMENT or patient injury from contact with side rails See WARNINGS ENTRAPMENT RISK USE OF SIDE RAILS Page 8 Before leaving the patient unattended read and follow all steps in the Quick Check 10 See Page 19 ACCESS FOR PATIENT CARE ee If you need to open the access panel at the head of the bed make sure the mattress is FLAT and the patient is at a safe distance from the panel Serious injury may occur due to the added distance if the patient falls when the head of the bed is UP Check the area around the bed for any tripping hazards Check that the casters on the hospital bed are locked to help reduce the risk of unwanted bed movement Unclip the Quick Release Buckle and open the side panel for access Make sure patient is in
4. a safe position and not at risk of falling Secure the panel to the top of the canopy using the Hook and Loop Tabs and the Center Strap See Figs 13 15 Page 20 TRANSFER FROM THE POSEY BED l Zi 3 Check the area around the bed for any tripping hazards Make sure you have access for a safe and easy transfer Check that the casters on the hospital bed are locked to help reduce the risk of unwanted bed movement Unclip the Quick Release Buckle and open the side panel for access Make sure patient is in a safe position and not at risk of falling Secure the panel to the top of the canopy using the Hook and Loop Tabs and the Center Strap See Figs 13 15 Page 20 Assist the patient to an upright seated position Help the patient slide both legs to the side of the bed and assist the patient up as necessary Be aware that a reclined patient may have equilibrium problems so always be ready to provide support Modify these steps if necessary for safe transfer of patients who must be lifted from the bed Depending on the size and weight of the patient you may need additional persons for safe transfer Refer to your facility policy for safe patient transfer EMERGENCY PATIENT RELEASE Release the Quick Release Buckle and unzip the side panel quickly to release the patient Posey Bed 8060 15 CHOOSING THE RIGHT BED FOR USE WITH THE POSEY BED 8060 The Posey Bed 8060 is an A Frame Canopy that attaches to a compatible hospital bed
5. bed from use and call your local authorized Posey Bed dealer or call Posey at 1 800 44 POSEY 1 800 447 6739 for replacement parts or unit repair NEVER use the Posey Bed if the canopy is damaged the zippers don t open easily or close securely the frame is bent or damaged or not securely attached to the bed or there are missing parts Immediately remove the patient from the bed to avoid serious injury INSTRUCTIONS TO SAFELY DISPOSE OF THE DEVICE BIOHAZARDOUS waste disposal If the fabric or foam padding of the Posey Bed becomes extremely soiled with BIOHAZARDOUS materials dispose per your facility policy or applicable local code for BIOHAZARDOUS materials Contact mattress manufacturer regarding mattress disposal A failure to clean the Posey Bed and or dispose of BBOHAZARDOUS material properly may result in serious injury to the patient and or caregivers 26 Posey Bed 8060 USE OF POSEY ACCESSORIES WITH THE POSEY BED 8060 We recommend use of the following accessories with the Posey Bed 8060 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 TROUBLESHOOTING INFORMATION AND FREQUENTLY ASKED QUESTIONS CANOPY l 28 Q Why is the zipper difficult to open or close A It could be one or more of the following reasons a Fabric bedding or other material caught in the slider To release material back the slider off
6. by pulling the tab backward 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 teeth are broken See Fig 40 BX top Crown Tab S i Holder Slider Teeth Tape Bottom Body Stop Box i Secs Fig 37 Tape Fig 38 Zipper Close Up Fig 39 Undamaged Zipper Slider c Use the pull tab to slide the zipper Each access panel zipper has a warning instruction plastic tag See Fig 41 If the plastic tag is damaged or becomes unreadable it must be replaced Call Posey at 1 800 44 POSEY 1 800 447 6739 and request a replacement free of charge Part L9368 Inspect zipper coils for any kinks or misalignment See Fig 42 ALWAYS test the entire length of each zipper by pressing against the panel near the zipper to make sure it is ci securely closed and the access panel will not open when pressure is applied See Fig 42A Fig 41 Plastic Tag i i i ippi RA T IOE NN Fa E Q Why is the zipper separating after zipping Oy 5 Oo 0 Oe OSs A up See Fig 43 A The slider is damaged and does not properly lock the teeth when it is being opened up See Fig 44 DO NOT use the Posey Bed Call Posey Technical Service for service This problem can be avoided by ALWAYS using the zipper pull tab to open the zipper NEVER rip the access panel open l ETEA l i because it will damage the slider and
7. fabric and may damage the zipper e The mattress must be fully zippered into the mattress compartment at all times when a patient is in the Posey Bed e NEVER open or close the mattress compartment while the head or knee of the bed is in the UP position as this may damage the fabric and or the zipper e NEVER use a mattress less than six inches 15 cm high ALWAYS make sure the expansion zipper is fully closed when using this size mattress e NEVER use a mattress smaller than ten inches 25 cm high when the compartment is expanded e Make sure the expansion zipper is closed when using a six inch 15 cm mattress e NEVER put a mattress inside the patient area of the bed A failure to heed these warnings may result in excess material in the patient area and increase the risk of serious injury or death from ENTRAPMENT or suffocation MATTRESS ACCESSORIES For added patient comfort or skin protection sheets or an incontinence pad may be needed a jigs aaia ea 7 Peene p Eneber pii nn eo a Jm x T a k ko m Fig 8 Mattress Compartment Location e If sheets are called for by the CARE PLAN or physician s orders you can use a Posey Support Surface Cat 8007 Page 27 inside the canopy to help secure the sheets and provide added padding for comfort e To help protect the patient and the bedding from urine spills a Posey Incontinence Pad can be used inside the canopy Cat 8005A Page 2
8. may lead to serious injury or death Patient monitoring should be established by hospital protocol and the patients CARE PLAN See the Warnings and Precautions section Pages 8 12 to help reduce or avoid these risks e ENTRAPMENT e Suffocation e Choking and e Patient Falls 4 Posey Bed 8060 A SPECIAL NOTE ABOUT ENTRAPMENT RISKS All hospital beds pose safety and ENTRAPMENT risks The U S Food and Drug Administration FDA received approximately 691 ENTRAPMENT reports in the U S for standard hospital beds over a period of 21 years from January 1 1985 to January 1 2006 The Hospital Bed Safety Workgroup HBSW was formed to address this risk and issued a report describing seven ENTRAPMENT zones The HBSW report can be found at http www fda gov cdrh beds modguide html The Posey Bed 8060 was designed to eliminate all seven of these zones when the canopy is used with a compatible hospital bed at the lowest acceptable height 16 or 17 inches from the floor to the deck of the bed when the head of the bed is DOWN and the mattress is FLAT The patented mattress compartment of the Posey Bed 8060 helps avoid the risk of a patient being trapped under the mattress The Posey Bed was designed for use with side rails DOWN to help avoid the risk of the patient being trapped in the side rails or between the mattress and the side rails However special care must be taken with patients who try to escape or crawl into the gap or p
9. to the deck of the bed or e NEVER tilt the hospital bed surface head to foot or foot to head Trendelenburg feature or ik oe e NEVER allow the hospital bed to transform into a chair shaped position O of bed L17 where the foot of the bed can be lowered to an angle greater than five degrees 5 Using these features will damage the canopy system and bed motors and will increase the risk of serious injury or death from ENTRAPMENT or suffocation from excess material in the patient compartment or from a fall or unassisted bed exit ACAUTION The Posey Bed may not always fit through doorways In this situation lower the top piece to the lowest position pushing the silver metal detent pin into the bottom hole See Fig 7B then return it back to the top hole after transport ALWAYS put the top rail back into the higher position with the silver metal detent pin in the top hole to keep the canopy taut and avoid excess material in the patient compartment which could pose an ENTRAPMENT risk Fig 7B Top of Frame 16 Posey Bed 8060 BEDS WITH REMOVABLE HEAD AND FOOTBOARDS ALWAYS use the IV Post Mount Brackets RP8060IV comes standard with the Posey Bed 8060 on a hospital bed with Removable head and footboards Mounting the IV Post Mount Bracket to the IV Post Socket will firmly attach the A Frame to the bed BEDS WITH NON REMOVABLE HEAD AND FOOTBOARDS ALWAYS use the Posey Bed Universal Straps Cat 8018 sold separa
10. 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 A Frame and one 1 year from the date of purchase for the canopy What is NOT Covered by this Warranty e Any problem caused by abuse including but not limited to patient destruction or improper assembly misuse improper care alteration exposure to extreme heat or act of God such as a flood is not covered e Consequential or incidental damages Some states do 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 e Posey will charge a 50 00 cleaning cost for all product returns To meet sanitation requirements and assure the health of our employees Posey must clean all return units and parts prior to inspection or repair 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 return product to us with your RMA to Posey Company 5635 Peck Road Arcadia CA 91006 0020 e In clean condi
11. 00 44 POSEY 1 800 447 6739 for information about repairs or replacement of the zipper access panel or canopy 10 Posey Bed 8060 WARNINGS AND PRECAUTIONS CONTINUED AVOIDING RISKS OF INJURY OR DAMAGE FROM USE OF CERTAIN HOSPITAL BED FEATURES There are a number of hospital beds in use today from a variety of manufacturers which are compatible with the Posey Bed Canopy However you should NEVER activate any of the features listed below while using the Posey Bed Canopy e NEVER lower the deck of the bed below sixteen inches 16 from the floor The bottom of the canopy must be fully supported by the bed deck to prevent canopy damage or e NEVER raise the hospital bed above twenty five inches 25 from the floor to the deck of the bed or e NEVER tilt the hospital bed surface head to foot or foot to head Trendelenburg feature or e NEVER allow the hospital bed to transform into a chair shaped position where the foot of the bed can be lowered to an angle greater than five degrees 5 Using these features will damage the canopy system and bed motors and will increase the risk of serious injury or death from ENTRAPMENT or suffocation from excess material in the patient compartment or from a fall or unassisted bed exit PRECAUTIONS DURING TRANSFERS AND PATIENT CARE AVOID risk of a fall or unexpected bed movement Transfers increase the risk of injury to you and the patient Follow these steps before each transfer to red
12. 7 18 Posey Bed 8060 QUICK CHECK 10 BEFORE LEAVING PATIENT UNATTENDED Make sure you are familiar with the physician s orders and the patient s CARE PLAN and know how closely and how often to monitor the patient 1 Canopy and Netting Make sure there are no tears holes or abrasions in the nylon panels or netting that the canopy and frame are securely attached to the hospital bed and that the metal canopy frame is completely padded by the foam canopy pads and they are in good condition 2 Mattress The mattress must be fully zippered into the mattress compartment NEVER put a mattress inside the patient area or the patient may climb under it and become ENTRAPPED 3 Clutter and Cleanliness Make sure the bed is clean and free of clutter or foreign objects that may pose a risk of self injury or suffocation 4 Bed Height and Bed Control Make sure to lower the bed to the lowest acceptable height 16 or 17 inches from the floor to the deck of the bed and that the mattress is fully supported This will help reduce the risk of ENTRAPMENT or suffocation from excess canopy material in the patient compartment and reduce the risk of tipping the bed if the patient becomes agitated or aggressive NEVER leave the Bed Control inside the patient area when the patient is unattended 5 Head Elevation For at risk patients leave the mattress FLAT with the head of the bed DOWN See Page 9 If you need to raise the patients head or tors
13. AN make sure the Nurse Call Button is easily accessible to the patient cll fe H Heth i din the up position a Fig 9 Filler Cushions with head of be Posey Bed 8060 19 COMPONENTS OF THE POSEY BED 8060 REFER TO FIG 1 PAGE 7 ACCESS PANELS The Posey Bed 8060 has four 4 zippered access panels two side panels and two end panels Side Panels Each side panel has two zippers and a pull tab Each zipper has a pull tab for opening and closing zippers At the top corner on each side of the bed are Quick Release Buckles a set of WHITE buckles and a set of BLACK buckles The two WHITE buckles must fit together and the two BLACK buckles must fit together See Fig 11 End Panels Each end panel has two zippers and a pull tab For more security place the zipper pulls in the overlap position labeled Hide Zipper Here to keep tabs out of reach and sight of the patient See Fig 12 SECURE THE SIDE PANELS To secure the side panel to the top of the frame fold the canopy over once and attach the Hook and Loop strips to one another See Fig 13 Fold the canopy over again and attach the back of the Hook and Loop to the sewn Hook and Loop strips on the top of the canopy See Fig 14 Repeat on other side and then roll the canopy at the middle and secure with the center support strap See Fig 15 Fig 13 Securing Canopy to top Fig 14 Folding Canopy up Fig 15 Securing side panel to center strap CANO
14. Bed Universal Straps e The power cord of the hospital bed if applicable is secured to prevent a tripping hazard e NEVER attach the Posey Bed Universal Straps to Removable head or footboards Doing so will cause the A Frame to detach from the hospital bed when the bed is raised and may result in serious injury or death from a fall or unassisted bed exit e NEVER use the Posey Bed 8060 if the canopy frame is bent or broken if the canopy is torn or damaged or the zippers DO NOT open easily and close securely Doing so could result in serious injury or death from a fall or unassisted bed exit Bottom Center Piece ACAUTION The Allen Head Screws on the bottom center piece of the Posey Bed 8060 must be secure but loose enough so the A Frame slides freely when raising or lowering the head or foot of the hospital bed See Fig 6 A failure to heed this warning may interfere with proper operation of the hospital bed Allen Head Screws Fig 6 Allen Head Screw Location Posey Bed 8060 13 CAREGIVER TRAINING Make sure that each caregiver is fully trained in all applicable hospital policies regarding restraint use before using the Posey Bed Review and follow all e User instructions in this manual e Warnings and Cautions in this manual e The In Service DVD and e The labels on the Posey Bed Posey recommends that you review them weekly during the first month Review them at least once a month thereafter until they b
15. HITE or BLACK to BLACK on the two Side Access Panels before you leave the patients bedside A failure to do so could result in serious injury or death from a fall or unassisted bed exit because the zippers will not be securely buckled closed Fig 20 Quick Release Buckles Fig 21 Attaching Quick Release Buckles TUBE AND DRAINAGE PORTS To run a tube line into the patient compartment unzip the port run the tube or line through the zipper opening into the patient compartment and zip the port closed e Make sure the tube is connected and that the zipper is closed as much as possible but does not impede the flow of the tube e NEVER feed an incoming patient line or tube through the netting See Fig 22 ALWAYS use the Tube and or Drainage Ports See Figs 23 and 24 e Check the integrity of all tubes when raising or lowering the bed Make sure zippers are fully closed when ports are not in use This will help reduce the risk of the patient opening a port or trying to escape by putting a hand or foot through a port NEVER leave an pases vee a when me tio is unattended Fig 22 DO NOT MT place Tube E netting Fig 23 The Tube Port in use Fig 24 The Drainage Port in use Posey Bed 8060 21 ZIPPERS AND PULL TABS e Inspect zipper coils for any kinks or misalignment See Fig 25 Test b that all zippers open easily and close securely and there are no gaps or openings when pressure is applied along the entire length of each zi
16. P8060MR F A Frame Padding Green l pair RP8060CP G A Frame Leg 1 piece RP8060FL H Foam Tubing l piece RP8060FT I J K L M Hardware Kit 1 kit RP8000HK P Caster 1 piece RP8060CTR Q IV Post Mounting Bracket l piece RP8060IV R Complete Canopy 8060 Green Nylon 1 piece 8060T PARTS CHECKLIST USED ON 8060 C1 Top Piece Preassembled 4 oT B2 Bottom Center Piece with Caster P Casters 4 each Q IV Post Mounting Brackets 4 each a Hi he i Taui KON a ait uT wy s t EnS y L as 30 Posey Bed 8060 PARTS CHECKLIST USED ON 8060 I Black Connecting Pins 8 each J Nuts 4 each K Flat Washers 4 each L Silver Star Washers 4 each M Allen Head Screws 4 each A Base Assemblies 2 sets D Slider Bar 2 each E Metal Retainers 2 each F A Frame Padding 2 each G A Frame Legs 4 each H Foam Tubing 6 each R Canopy 1 each Nylon Posey Bed 8060 Allen Wrench 3 16 1 each 31 TECHNICAL SPECIFICATIONS DIMENSIONS Metal Retainer E a Top Piece Preassembled C1 Slider Bar D 79 or 200cm w installed casters JF Base Assembly A E Bottom Center ee Piece w caster B2 76 E 96 193cm 243cm 32 Posey Bed 8060 POSEY LIMITED WARRANTY What Does This Warranty Cover Posey warrants to the original purchaser that the Posey Bed 8060 is free of defects in materials and
17. PY BED STRAP ACAUTION Secure both Canopy Bed Straps to movable UPPER parts of bed frame Attaching straps to any other part of the bed frame may damage the mattress compartment when the bed is raised or lowered Follow these steps 1 Place the strap through a movable part of the UPPER bed frame See Fig 16 2 Bring the strap up through the metal D ring See Fig 17 3 Bring the strap down through the second metal D ring See Fig 18 4 Pull to tighten See Fig 19 5 Repeat on opposite side X mE Ta pe amp z z E J ai Eg a Fat ea a att m F as k z pme ape f rl i i es F i j 1 re j l j bF Ne e j k j E ee r ko See k Fig 16 Bed Strap through frame Fig 17 Bed Strap through D Ring Fig 18 Bed Strap through second Fig 19 Canopy Bed Strap D Ring attached to bed frame J r l a N P f aN it IN ij ma 3 f ANAL ir I lL D q 23D PY IND i AF aw Yes q LS Ns YH Ys AS LY NJ a QUICK RELEASE BUCKLES There is a Quick Release Buckle at the start of each zipper Pinch the two sides together and pull the clip apart to open To close the Quick Release Buckles push the two ends together until you hear a click ALWAYS tug at the clip after closing to make sure it is engaged Damaged or non working buckles must be replaced immediately Call Posey at 1 800 44 POSEY 1 800 447 6739 for replacement Make sure Quick Release Buckles are securely fastened WHITE to W
18. PoseyBED SPecial Hom e Care n Se lt U S Patents 7 047 991 and 7 383 849 AWARNING TABLE OF CONTENTS DEFINITION S sassctincsipev desea ticatsoaranres a 3 PURPOSE OF THE DEVICE INDICATIONS FOR USE 3 APATO CALC VIAN e rE EEEIEE 3 CICA CO OS aE 3 DESCRIPTION OF THE DEVICE visiscssssascsonavsessestensustenroases 4 WHEN THE DEVICE SHOULD NOT BE USED CONTRAINDICATIONS sstsisvesconcesoonecstanndensovcssessususcsecweds 4 BENEFIS AND RISKS scsssaiccnssvesatesvassasviaseseuvsavicsoeearnesss 4 6 BR FILS a E E E E 4 E T E EE EET T 4 A Special Note About ENTRAPMENT Risks sscceeees 5 Possible Adverse KCACHONS siissssncsavssnniesinssensatecpucapubateveyon 5 PUA VETS EVEN IS aureis a eii 5 6 IREGSSESSINENL T TOE E E 6 Alternatives to Restraint WSC iiss ssvsesnnsssszearseseccbenantoneseacws 6 A Nole About Talls vivecescenaissenisvs cxsaneatusd ns e 6 A GUIDE TO THE POSEY BED 8060 COMPONENTS 7 DUTIES OF ALL CAREGIVERS PROCEDURE ASSOCIATED WITH THE DEVICE cscssssssseeeeeees 8 Before Use of the Posey Bed sexscocsssescvesscecsnescinssotesivostexteaes 8 During Use af the POSEY Bed sssrreissseiisesiridressessasacinneroniross 8 Before Stopping Use of the Posey Bed ccccsssccccssscccceescceees 8 WARNINGS AND PRECAUTIONG sssseceeessseeees 8 12 ENTRAPMENT Risk All Patients Use of Side Rails 8 To Help Reduce the Risk of ENTRAPMENT ccsesssccceeseees 8 ENTRAPMENT Ri
19. T MONITORING NEVER leave a patient unattended without proper monitoring Failure to monitor per your facility s policy the physicians orders or the CARE PLAN could result in serious injury or death On First Use e Monitor the patient very closely for the first four hours of use to make sure that the Posey Bed meets the patient s needs Make sure the patient is comfortable and responds well to the Posey Bed e Posey suggests in room monitoring for the first two hours and full time line of hearing or line of sight monitoring for the next two hours Daily Monitoring and Release Policy Monitor the patient s condition per your facility s policy the physicians 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 needs for e Nourishment Range of motion Walking Recreation Toileting and Restorative Nursing 12 Posey Bed 8060 OPERATING INFORMATION SET UP AND USE INSTRUCTIONS For safe use and assembly each Posey Bed includes Assembly Instructions M5080 This User Manual M6138 In Service DVD 8091D The DVD covers both use and assembly instructions Quick Check 10 checklist MK1398 For future use and quick reference keep these in the pocket at the bottom middle of the side panel To obtain copies of any of these call Posey Technical Service toll free at 1 800 447 6739 and pre
20. ai ninen aiei 15 Danser Pom the Posey Bed wissscerseceracseuesentenseavoceecsxacsees 15 Emereen Y Patient KEICOSE cnrrancapsninin n 15 CHOOSING THE RIGHT BED FOR USE WITH THE POSEY BED 9000 sscssscsassssasshvascasbasusceusducenssnastesecsonccses 16 17 Compatible Hospital BOOS scccvesutstessvasdsensaeeasaacereeosdensateenes 16 Beds with Removable Head Footboards ssscssssscceeesseees 17 Beds with NON Removable Head Footbodrds css0ssseeeees 17 2 TC OMED AIC DOAS renens wenn a NE EO 17 CHOOSING THE RIGHT MATTRESS FOR USE WITH IHE POSEY BED 8060 ss cincsacasausiatetensmecananteasventisiadrdsseneesd 18 MATTRESS ACCESSORIES ssncssaysessstinssnapnedbpacssinaenuessevsovs 18 QUICK CHECK 10 BEFORE LEAVING PATIENT UNATTENDED 00000 19 COMPONENTS OF THE POSEY BED 8060 20 22 POCO T OE EE E R 20 Secure the Side Panel S sacsisscnsertsqesnvwiedsysavanssseaviarceeluedecesed 20 Canopy Ben SOD sicvswaccconsnencavscassvcinacssibsusseesavsscneeneyessesee 20 Quick Release Buckles sssssisissssssisssssossvssscsssssssrsesassssossssss 21 lubeana Drainage POTS scour sauetatveaunsscusecusadarmuacaeusesesesse 21 Zippers and Pull T005 sects osnteacupimeseetessaareusnsedehesaensnuetentees 22 CLEANING INSTRUCTIONS oossesseessssssssssssscesssseeessses 23 24 Foam Canopy Pads and Hospital Mattress s sscesessceoesees 23 I E EEE EE E E E 23 Preparaiton Jor Was ine srsisrisor oin r 23 Separate Mattress Compartmen
21. ailure to select the proper hospital bed or mattress may result in serious injury or death ATTACHING THE A FRAME TO THE HOSPITAL BED Hospital Beds with Removable Head and Footboards ALWAYS use the IV Post Mount Brackets RP8060IV on a hospital bed with Removable head and footboards Mounting the IV Post Mount Bracket to the IV Post Socket will firmly attach the A Frame to the bed Hospital Beds with NON Removable Head and Footboards ALWAYS use the Posey Bed Universal Straps Cat 8018 for a hospital bed with NON Removable head and footboards to firmly attach the frame to the bed NEVER attach the Universal Straps to a bed with Removable head and footboards Doing so will cause the A Frame to detach from the hospital bed when the bed is raised and may result in serious injury or death from a fall or unassisted bed exit ALWAYS use Posey Bed Headboard Footboard Pads Cat 8002 Page 27 to cover the head and footboards to help prevent injury from direct contact with solid head and footboards Failure to do so may result in serious patient injury IMPORTANCE OF ADHERING TO A CARE REGIMEN Failure to comply with the physicians order the patients CARE PLAN and all instructions Warnings and Cautions in this Manual the In Service DVD and on all labels on the Posey Bed could result in patient death or serious injury Monitor the patients condition per your facility s policy the physicians orders and the CARE PLAN IMPORTANCE OF PATIEN
22. anel open See Fig 2A as this may damage the access panel or the zipper slider by bending it open See Fig 3A If a zipper slider is damaged or if zipper teeth are broken or missing the zipper may not close securely and the patient will be able to open the panel and fall e NEVER use the bed if a Crown Tab zipper slider is bent open Holder or damaged See Fig 3A as this may prevent the zipper from closing securely m e NEVER use the bed if a Body zipper slider is damaged or the pull tab is missing Fig 2 Kinks in zipper ull Tab Fig 3 Undamaged Zipper Slider Fig 3A Zipper Slider Damaged Fig 4 ALW S iest that the Apper from ripping the access panel open is securely closed by pressing or broken against the entire length of the e NEVER leave the patients bedside until all access panel zippers are securely Hane zipper to make oe it will closed Test the entire length of each zipper by pressing against the panel not open when pressure is applied near the zipper to make sure it is securely closed and the access panel will not open when pressure is applied See Fig 4 Quick Release Buckles must be clipped to all four access panel zippers before leaving the patient unattended See Fig 21 Page 21 e NEVER use the bed if a zipper coil is kinked or misaligned Remove the patient from the bed if a zipper is damaged or a panel will not close securely Call your Authorized Posey Bed Dealer or call Posey at 1 8
23. cial Services PURPOSE OF THE DEVICE INDICATIONS FOR USE The Posey Bed model 8060 is an A Frame canopy system When attached to a compatible hospital bed not included the 8060 is 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 passive alternative to direct restraints such as belts vests or jackets for adult and pediatric patients at least 46 inches tall weighing between 46 and 300 pounds However the Posey Bed is still a restraint and must be prescribed by a licensed physician Rx ONLY APPROVED CARE PLAN Each patient must have an approved CARE PLAN prior to using the Posey Bed The Posey Bed must be used in accordance with e All State Regulations e Federal Center for Medicare amp Medicaid Services CMS Regulations e The patients CARE PLAN e The policies of your facility and e The physicians orders Patients who may benefit from the use of the Posey Bed include patients 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 Current use of anticoagulants e A history of severe trauma in a prior fall CLINICAL CONDITIONS Certain at risk patients may also benefit from the use of the Posey Bed This includes patients with behavioral physical mental or other symptoms identified by a physician or the IDHT such as
24. contact Posey Technical Service at 1 800 44 POSEY 1 800 447 6739 MONTHLY VISUAL INSPECTION Your maintenance department needs to inspect all moving bed parts at least monthly Check for and tighten any loose hardware Bottom Center Piece The Allen Head Screws on the bottom center piece of the Posey Bed 8060 should be secure but loose enough so the A Frame slides freely when raising or lowering the head or foot of the hospital bed See Fig 36 A failure to heed this warning may interfere with proper operation of the hospital bed Allen Head Screws If you have any questions about the condition of the Posey Bed canopy or frame contact Posey Technical Service at 1 800 44 POSEY 1 800 447 6739 If you have any questions about the hospital bed contact your bed manufacturer for service and warranty details Fig 36 Allen Head Screw Location STORAGE AND HANDLING e This device is designed for use in normal indoor environments e This device may be stored in ambient warehouse temperatures at normal humidity levels Avoid excess moisture or high humidity that may damage product materials USEFUL LIFE OF THE POSEY BED CANOPY The useful life of the Posey Bed canopy will vary depending on e Cleaning agents used e Frequency of wash e Wash conditions and e Product usage ALWAYS follow the Cleaning Instructions on Pages 23 24 to optimize the life of the bed If any component fails during use IMMEDIATELY remove the
25. e Musculoskeletal problems that cause an unsteady gait or impair strength or biomechanics e Altered awareness due to medication or neural illnesses that impair alertness and balance and or dementing illnesses e Visual or peripheral neuropathies that impair positional sense 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 Posey Bed 8060 3 DESCRIPTION OF THE DEVICE e Patented six inch 15 cm Enclosed Mattress Compartment The Enclosed Mattress Compartment helps avoid the risk of a patient being trapped under the mattress The six inch 15 cm mattress compartment is expandable to accommodate a ten inch 25 cm air mattress e Nylon Canopy System The nylon material is light and skin friendly 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 lines Zippers secure with Quick Release Buckles for patient security WHEN THE DEVICE SHOULD NOT BE USED CONTRAINDICATIONS 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 8060 has not been tested for use by such patients e Patients who weigh more than 300 pounds or patients whose
26. ecome second nature to you BED LOCATION Make sure the room is large enough for the Posey Bed 8060 e In an emergency you must have enough room to easily access or remove the patient from the bed e Position the Posey Bed so the patient cannot injure themselves by hitting walls furniture or other equipment while inside the canopy e Make sure the power cord is out of the way to avoid a tripping hazard Smoking and High Heat e NEVER allow smoking in a room where the Posey Bed is used Although the Posey Bed 8060 components are flame retardant per California Technical Bulletin 117 a strict No Smoking policy must be enforced e NEVER expose the Posey Bed or bedding materials to open flame smoking materials or high heat sources Keep baseboard heaters space heaters and other portable heating devices away from the bed at all times TRANSFER TO THE POSEY BED Assist the patient into and out of the bed Speak gently and assure the patient that the Posey Bed is for his or her protection Provide music or television to help reduce boredom DO NOT leave the patients bedside unless you are sure that the patient is safe comfortable and is responding well to the Posey Bed ACAUTION Safe transfers and patient care inside the Posey Bed involve a number of factors including patient size medical condition disability and mobility Transfers will vary for patients who are able to stand as opposed to patients who must be lifted to or fro
27. ed is higher than seventeen inches 17 from the floor will create gaps or pockets between the head of the bed and the canopy These areas pose an extreme risk of serious injury or death from ENTRAPMENT to certain at risk patients NEVER raise the head of the bed for at risk patients unless the Posey Filler Cushions Cat 8021 Page 27 are used ALWAYS monitor at risk patients according to facility policy to make sure they DO NOT remove the Posey Filler Cushions AT RISK PATIENTS INCLUDE e A small child or frail adult who because of mental or physical disability cannot reposition or remove him or herself from a confined area in the bed e A patient who tries to burrow between the raised head of the bed and the canopy netting e Any other patient identified by the physician the CARE PLAN or IDHT to be at risk of ENTRAPMENT in the gaps created when the head of the bed is UP e Patients who exhibit escape behaviors TO HELP REDUCE THE RISK OF ENTRAPMENT Keep the Head of the Bed DOWN Lower the head of the bed until the mattress is FLAT when an at risk patient is unattended If you need to elevate the patient s head or torso for example for watching TV or if required by the physicians orders or the CARE PLAN Posey recommends that you keep the mattress FLAT and use the Posey Torso Cushion Cat 8025 Page 27 to position the patient Lower the deck of the bed to sixteen or seventeen inches 16 or 17 from the f
28. esssn capasesensaseasens 35 A Special Note about ENTRAPMENT risks ccesessceessseoes 35 Maraca EINCTOCIICY isesi nease 35 Importance of Patient Monitoring sesssssssssssssssssossssssssesseess 35 RCC ESIC he Posey Ded area sacines cass r asee enaa eri a 35 Posey Bed 8060 DEFINITIONS The symbols below signal a WARNING or CAUTION PAVA SOINE A Warning alerts you to a safety hazard or unsafe practice which if not avoided could result in serious injury or death ACAUTION 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 The following words have special meaning when they are used in this Manual BIOHAZARDOUS means matter that is contaminated with human blood tissues certain body fluids re combinant DNA or pathogens Check with the patient s physician if you have any questions about this hazard CARE PLAN means the patient s Individualized Care Plan or ICP as written by the IDHT see below ENTRAPMENT means 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 compression or lack of proper blood flow IDHT means the Interdisciplinary Healthcare Team who writes the CARE PLAN and supervises patient care The team may include among others Physicians Nursing Occupational Therapy Physical Therapy and So
29. he patient tries to damage the Posey Bed e Be aware that a sudden mood swing may cause agitated or aggressive behavior Follow your facility s security policy the CARE PLAN or the physician s orders for such patients e An agitated or aggressive patient may require constant monitoring or alternative methods of restraint e No level of monitoring may avoid risk of serious injury to certain agitated or aggressive patients 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 Consult the physician the CARE PLAN the IDHT or facility policy for instructions on extra monitoring for such a patient 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 Posey Bed 8060 11 WARNINGS AND PRECAUTIONS CONTINUED BED SELECTION AND SETUP Selecting the Right Hospital Bed and Mattress for Use with the Posey Bed 8060 The Posey Bed 8060 canopy system DOES NOT include a bed or a mattress See Pages 16 through 18 for WARNINGS and instructions for selecting the correct hospital bed and mattress for proper and safe use with the Posey Bed 8060 F
30. id damage to fabric only use detergents intended for use in machine laundering e ALWAYS fasten mating Hook and Loop strips together before laundering a bed canopy The rough hook side may damage the netting and collect lint during the laundry process DRYING Hang dry at room temperature or machine dry on air only cycle no heat ACAUTION e Use of heat in drying may cause the backing to separate from the canopy fabric ruining the water repellent quality of the fabric e After drying check and remove any lint from the Hook and Loop strips with a stiff brush This will help ensure a tight closure CLEANING THE A FRAME The A Frame may be wiped with a damp well wrung cloth Be sure the cloth is damp not wet Excess water in or around the motors of the hospital bed or the bed control damages these components ACAUTION Shock Hazard Unplug the power cord of the hospital bed before cleaning the frame gt The Centers for Disease Control CDC Guidelines for Laundry in Healthcare Facilities states that normal washing and drying cycles including hot or cold cycles are adequate to ensure patient safety Instructions of the manufacturers of the machine and the detergent or wash additive should be followed closely http www cdc gov ncidod dhqp bp_laundry html 24 Posey Bed 8060 INSTALLING THE CANOPY AFTER WASHING 1 Unfold the canopy and place it on the bed frame Top Rail Zipper ACAUTION Locate the Po
31. ip the side panel for patient entry Secure the panel to the top of the canopy using the Hook and Loop Tabs and the Center Strap See Figs 13 15 Page 20 14 Posey Bed 8060 TRANSFER TO THE POSEY BED CONTINUED 6 10 11 2 Now you are ready to move the patient to a safe position on the mattress Make sure the patient is not at risk to fall out of bed Depending on the size and weight of the patient you may need additional persons for safe transfer ALWAYS access the patient from the open frame side of the bed to avoid a tripping hazard Speak gently and explain that the Posey Bed is for the patient s protection If the physician s orders or the patients CARE PLAN requires IV lines drainage tubes monitoring lines or a Nurse Call Button make sure to connect them properly using the built in access port s Tube and Drainage Port use with Agitated or Aggressive Patients 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 Consult the physician the CARE PLAN the IDHT or facility policy for instructions on extra monitoring for such a patient Once you are ready to close the canopy release the side panel from the top of the canopy by releasing the pin on the Center Strap and unhooking the
32. loor to keep the canopy compartment taut and to help reduce gaps The Posey Filler Cushions If you must leave the head of the bed UP while an at risk patient is unattended use the Posey Filler Cushions Cat 8021 Page 27 j to help reduce the risk of ENTRAPMENT Posey Filler Extra Monitoring Monitor per facility policy or at least hourly to ensure that a Cushions the Posey Filler Cushions stay in place and that an at risk patient cannot crawl under or around the Posey Filler Cushions Consult the physician or the IDHT to find an alternative method of treatment for any at risk patient who is able to remove or burrow under or around the Posey Filler Cushions Alternative methods to help reduce the risk of ENTRAPMENT include lowering the head of the bed until the mattress is FLAT removing the Posey Filler Cushions and using only a Posey Torso Cushion to support the patient Stretching of Canopy Material The canopy may stretch over time during normal use if the bed platform is lowered so that the mattress is not fully supported and hangs suspended from the frame 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 Replace any canopy that has excessive wear or damage Part Number 8060T RISK OF SUFFOCATION OR CHOKING NEVER put a mattress inside the patient area Doing so may allow the patient to crawl under the matt
33. losed zipper to make sure it will not open when pressure is applied Posey Bed 8060 CLEANING INSTRUCTIONS FOAM CANOPY PADS AND HOSPITAL MATTRESS Replace the foam mattress and the Foam Canopy Pads as needed for mattress replacement follow your facility policy If they become extremely soiled BIOHAZARDOUS follow instructions on Page 26 for disposal ACAUTION DO NOT remove the foam mattress from its cover for cleaning and DO NOT clean the Posey Foam Canopy Pads Doing so will damage the foam and make it unusable FOR QUICK CLEANING Wipe the fabric of the Posey Bed with a damp cloth If needed use a diluted disinfectant or a water based germicide as specified on the product label NEVER use a concentration greater than recommended by the manufacturer Rinse the fabric with water to remove all excess cleaning or spot cleaning agents Wipe or air dry before use PREPARATION FOR WASHING 1 Remove all waste from the Posey Bed 2 Remove all instructions from the Instruction Storage Pocket 3 Remove the mattress from the Mattress Compartment 4 Separate the Mattress Compartment from the Patient Compartment 5 Remove the canopy SEPARATE MATTRESS COMPARTMENT FROM PATIENT COMPARTMENT The Mattress Compartment and the Patient Compartment can be easily separated by unzipping the RED zipper pulls completely around the canopy The RED zipper pulls are located behind a flap above the Drainage Port See Figs 29 and 30 The Mattress Compart
34. lp you meet the special needs of your patient A SPECIAL NOTE ABOUT ENTRAPMENT RISKS REFER TO PAGES 8 9 Be aware that for certain at risk patients there is a risk of ENTRAPMENT when the head of the bed is raised This creates gaps or pocket areas between the head of the bed and the canopy on each side At risk patients for whom special care must be taken to reduce this risk include e Patients who exhibit burrowing or escape behaviors This refers to any attempt to escape or to burrow between the raised head of the bed and the canopy netting e Small children frail adults or any patient who cannot reposition or remove himself herself from a confined area For at risk patients ALWAYS use Posey Filler Cushions Cat 8021 See Page 27 Refer to Pages 8 9 in this manual for detailed information about reducing ENTRAPMENT risks including the use of Posey Filler Cushions IN A PATIENT EMERGENCY immediately address the patients needs or remove the patient from the bed Contact your doctor or call 911 IMPORTANCE OF PATIENT MONITORING If possible Posey recommends that the caregiver sleep in the same room If you cannot be physically present to monitor the patient at certain times you MUST use a device such as a child monitor for CONSTANT audio or audio video monitoring Test to be sure that you can hear low levels of activity in the room Failure to do so could result in serious injury or death REGISTER THE POSEY BED To register
35. m the bed NEVER use a patient lifter for transfer unless it has been tested to make sure there is enough z clearance under the canopy frame to do so safely The clearance of the opening side access panel is 69 W x 71 H 175 cm x 180 cm See Fig 5 Page 11 Note that the frame at the bottom of the Posey Bed is open on one of the four sides See Fig 7 The caregiver must access the patient from the open frame side The e open frame allows easy access for using lifts or scales i Fig 7 Open Side of Frame When using a lift to transfer patients ALWAYS use the lift on the open frame side of the bed Failure to do so may result in patient injury or equipment damage Be sure to follow facility policies the CARE PLAN and the physician s orders to meet the special needs of each patient 1 Check the area around the bed for any tripping hazards Make sure you have access for a safe and easy transfer 2 Check that all casters on the hospital bed are locked to help reduce the risk of unwanted bed movement 3 Make sure that the bed is in a FLAT position and the mattress is fully supported The Posey Bed can be raised between sixteen inches 16 and twenty five inches 25 to accommodate a patient transfer 4 ALWAYS use Posey Head and Footboard Pads Cat 8002 Page 27 to help protect the patient from injuries that can result from direct contact with head or footboards of the hospital bed 5 Unclip the Quick Release Buckle and unz
36. ment and the Patient Compartment must be replaced as a set Fig 29 Red Zippers Fig 30 Zipper Hidden HOOK AND LOOP CLEANING The hook of hook and loop strips has a tendency to collect lint after repeated use and or laundering reducing the grip strength of the hook and loop Test for secure hold before each use ALWAYS fasten the mating hook and loop strips together before laundering a bed canopy The rough hook side may damage the netting and collect lint during the laundry process Fastening the hook to the loop during laundering will help to prevent lint buildup Occasionally go over the hook side with a stiff brush to remove lint Posey Bed 8060 23 MACHINE WASHING THE CANOPY ALWAYS wash the canopy between each patient use for infection control and to help prevent transmission of infectious disease e Wash the canopy on gentlest cycle in COLD water 65 85 F or 18 to 30 C for approximately 25 minutes e Use a mild laundry detergent as recommended on the detergent container e Load the panels LOOSELY in the washing machine for effective cleaning e Rinse thoroughly with water ACAUTION e DO NOT use industrial extractor type laundry equipment Pressure from the extractor will damage the zippers and buckles e NEVER use bleach harsh cleansers or solvents These products may cause the backing to separate from the fabric and ruin the water repellent quality of the fabric e To avo
37. nts for the Posey mattress compartment The mattress must be fully zippered into the mattress compartment at all times Please refer to the Choosing the Right Mattress section on Page 18 GENERAL FAQ S 1 Q Where do I find the serial number of the Posey Bed canopy A The serial number label is on the bottom right of one end of the bed See Fig 46 and on the Metal Retainer See Fig 47 Fig 46 Serial Number Label Fig 47 Serial Number Label 2 Q Can I use a patient lifter with the Posey Bed A Yes however NEVER use a patient lifter for transfer lt x eT 7 unless it has been tested to make sure there is enough f oeae clearance under the canopy frame to do so safely The P WGinopy Widthe N67 1ZH1 180 cm clearance of the opening side access panel is 69 W x Pte 92W 175 cm atl 71 H 175 cm x 180 cm See Fig 48 DISEASE AND SELF CARE INFORMATION To help reduce the chance of transmitting infectious disease all caregivers must wash their hands after patient care Fig 48 Posey Bed Clearance Posey Bed 8060 29 PACKING LIST AND PARTS CHECKLIST TO ORDER REPLACEMENT PARTS CALL POSEY AT 1 800 44 POSEY 1 800 447 6739 REPLACEMENT PARTS Part No Description Qty Cat No A Base Assembly Right l piece RP8060BAR A Base Assembly Left l piece RP8060BAL B2 Center Piece with Caster 1 unit RP8060CPC Cl Top Piece Preassembled 1 unit 8011 D Slider Bar 1 piece RP8060SB E Metal Retainer 1 piece R
38. o use a Posey Torso Cushion Cat 8025 Page 27 to help reduce the risk of ENTRAPMENT when an at risk patient is unattended See Warnings and Precautions Pages 8 12 If the head of the bed is raised for patients at risk of ENTRAPMENT use Posey Filler Cushions Cat 8021 Page 27 to help reduce the risk Monitor per facility policy or at least hourly to ensure that the Posey Filler Cushions stay in place 6 Side Rails ALWAYS make sure all side rails are in the fully DOWN position See Page 8 This will help reduce the risk of serious injury or death from ENTRAPMENT or patient injury from contact with side rails 7 Locking Casters To help reduce the risk of unwanted bed movement the casters of the hospital bed must be fully locked when the patient is in bed 8 Zippers and Quick Release Buckles Test that all zippers open easily and close securely and there are no gaps or openings when pressure is applied to the zippers ALWAYS use the zipper pull tabs and clip the Quick Release Buckles WHITE to WHITE or BLACK to BLACK on all access panels See Fig 10 Test the entire length of all zipper closures by pressing against the access panel or canopy material near each zipper to make sure they are securely closed 9 Drainage and Tube Ports Make sure zippers are fully closed when ports are not in use If in use check that the flow is not impeded See Figs 23 and 24 Page 21 10 Nurse Call Button If permitted by the patients CARE PL
39. obtain approval of any extra charge Repair turn around Normally we will ship the product back to you within two 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 Canopies that are returned dirty or smelly will be returned immediately and will not be inspected or repaired 34 Posey Bed 8060 A SPECIAL NOTE ABOUT HOME USE THE POSEY BED MAY BE USED IN A HOME CARE SETTING ONLY e For the length of time it is prescribed for use by a licensed medical doctor Rx ONLY e If each caregiver has reviewed and understands ALL instructions and warnings for safe home use in this entire User Manual and the DVD Review them often until they become second nature to you e Ifa person fully trained in the use of the Posey Bed is present in the house and monitoring the patient whenever the patient is in the bed DOCTOR S ORDERS You must carefully follow the doctor s orders and the CARE PLAN written by the medical team attending the patient when using the Posey Bed This includes all orders for monitoring and patient release A NOTE ABOUT CARE PLAN If your patient was using a Posey Bed during hospitalization or while in a nursing home you should ask the facility for a copy of the CARE PLAN It will help guide you with safe use of the Posey Bed Check with the doctor if you have any questions whether a CARE PLAN is needed to he
40. ocket created between the mattress and the canopy when the head of the bed is raised Such patients are at serious risk of ENTRAPMENT ENTRAPMENT risks and how to help reduce them are discussed in more detail in the Warnings and Precautions section on Pages 8 9 POSSIBLE ADVERSE REACTIONS Although it is a passive restraint use of the Posey Bed could cause emotional 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 condition e An increase in aggression or self destructive behaviors Get help from the physician or the IDHT if symptoms of any of these appear and DO NOT improve as the patient becomes used to the Posey Bed You may need to find a different method of treatment ADVERSE EVENTS Any injury to a patient or caregiver that MAY relate to use of the Posey Bed as well as any product malfunction should be reported to Posey as soon as possible but no later than five business days after the event Also we want to hear from you about any activity or type of product use that you feel may cause a risk of injury or product malfunction Please provide details about any injury malfunction or other concern Known and possible adverse events involving Enclosed Bed Systems include but are not limited to one or more of the following whether or not there is injury to a patient or caregi
41. pper If a zipper has been damaged See Fig 26A it may not fully close e ALWAYS use the zipper pull tabs when opening and closing panels See Fig 27 NEVER rip the panels open as this may damage the fabric or the zippers See Fig 27A e NEVER use the bed if a zipper slider is damaged or the pull tab is missing or broken Call Posey at 1 800 44 POSEY 1 800 447 6739 for repair instructions e NEVER use the bed if a zipper coil is kinked or misaligned Crown Tab Holder Fig 26 Undamaged Zipper Slider rn Fig 26A Zipper Slider Damaged from ripping the access panel open Fig 27 ALWAYS use the zipper pull tabs when opening and closing the access panels NEVER leave the patient s bedside until all access panel zippers are securely closed Test the entire length of each zipper by pressing against the panel near the zipper to make sure it is securely closed and the access panel will not open when pressure is applied See Fig 28 A failure to heed this warning could result in serious injury or death from a fall or unassisted bed exit See Check the Zippers section Page 10 22 He 2 2 2 2S CELIAN e 43 si hh 1 hia K ME I CN Fig 27A DO NOT rip panels open as this will damage the zipper slider See Fig 26A and prevent the zipper from closing securely Fig 28 ALWAYS test that the zipper is securely closed by pressing against the entire length of the c
42. prevent nee TE PDE be aa i a EIE the zipper from closing securely See Fig 45 it will not open when pressure is applied Fig 42A ALWAYS test that the zipper is securely closed by n OO Fig 44 Zipper Slider Damaged from Fig 43 Zipper Separating ripping the access panel open Fig 45 DO NOT Rip Panels Open Posey Bed 8060 3 Q What can I do if patient is rubbing against the netting A Take the patient out of the Posey Bed and consult the doctor or the CARE PLAN about proper care 4 Q How do I clean the canopy if it becomes soiled A For cleaning instructions please refer to Pages 23 24 5 Q How do I clean lint or foreign material from the hook and loop tabs and strips A Use a stiff brush to remove any lint or foreign material Close hook and loop strips whenever possible before laundering to prevent lint buildup in hook material 6 Q How can I get extra training materials or the Posey Bed DVD A Please call Posey Technical Service at 1 800 44 POSEY 1 800 447 6739 or go to www posey com 7 Q Where do I run IV lines A Please refer to Tube amp Drainage Ports section on Page 21 8 Q Can I use an inflatable air type mattress A You can use an inflatable air type mattress only with the Posey Bed 8060 Please refer to the Choosing the Right Mattress section on Page 18 9 Q Can I use our facility mattress during cleaning of the Posey Bed mattress A Yes if it meets the size requireme
43. ress and suffocate The mattress must be fully zippered into the mattress compartment at all times To Help Reduce the Risk of Suffocation or Choking e Keep the Posey Bed free of clutter and foreign objects that may pose a risk of self injury or suffocation e Tubes or monitoring lines and the Nurse Call Button may be placed inside the Posey Bed only if authorized by the CARE PLAN e NEVER hang suspend or attach toys or other items to the netting or canopy Posey Bed 8060 9 WARNINGS AND PRECAUTIONS CONTINUED RISK OF FALL OR UNASSISTED BED EXIT 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 CHECK THE CANOPY 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 CHECK THE ZIPPERS Inspect zipper coils for any kinks or misalignment See Fig 2 Test that all zippers open easily and close securely and there are no gaps or openings when pressure is applied along the entire length of each zipper ALWAYS use the zipper pull tabs and ensure that zippers are fully closed See Fig 27 Page 22 NEVER try to rip a p
44. rs April 2007 page 62 Hitcho Eileen B et al Characteristics and Circumstances of Falls in a Hospital Setting JGIM Volume 19 July 2004 6 Posey Bed 8060 A GUIDE TO THE POSEY BED 8060 COMPONENTS l ot a NO 10 11 Posey Bed 8060 Enclosed Mattress Compartment The six inch mattress 15 cm compartment is expandable to accommodate a ten inch 25 cm air mattress Nylon Canopy The nylon material is light skin friendly and water repellent A Frame A sturdy A shaped metal frame supports the Nylon Canopy Two U Side Panels One panel on each side with two zippers on each panel for easy patient access Head 5a and Foot 5b Access Panels Helps provide easy access to the head and foot of the bed with two zippers on each panel Quick Release Buckles Clip to zipper pull tabs for added patient security Foam Canopy Pads Six pads fit around the canopy frame to help reduce the risk of injury from contact with the frame Tube Ports Eight ports two on each of the four sides of the canopy to run tubes into the patient compartment Drainage Ports Two ports one on each side of the U Side Panels IV Post Mount Brackets Four brackets two on each side of the A Frame to firmly attach the frame to the IV socket on the hospital bed Posey Bed Instruction Storage Pocket Stores all product Manuals the Quick Check 10 and the In Service DVD for easy reference Fig 1 Feature
45. s of the Posey Bed 8060 Hospital Bed and Mattress NOT included DUTIES OF ALL CAREGIVERS PROCEDURE ASSOCIATED WITH THE DEVICE BEFORE USE OF THE POSEY BED e The Posey Bed must be prescribed by a licensed physician e All caregivers must be fully trained before use of the Posey Bed See the Caregiver Training section on Page 14 e Make sure you are familiar with the patients CARE PLAN and know how closely and how often to monitor the patient Follow all instructions Warnings and Cautions in this Manual the In Service DVD and all labels on the Posey Bed DURING USE OF THE POSEY BED Use the Quick Check 10 list on Page 19 each time before you leave the patients bedside Monitor the patient very closely to make sure that the Posey Bed meets the patient s needs Make sure the patient is comfortable and responds well to the Posey Bed 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 no less restrictive alternative ALWAYS use the least restrictive device available for the shortest time while you seek a less restrictive alternative Remove patients who are or who become claustrophobic while in the Posey Bed Remove the patient immediately if there is a risk of self injury injury to others the bed tipping over or if the patient tries to damage the Posey Bed Review all instructions Warnings and Cautions in this Manual the In Service
46. sey Bed Instructions Storage pocket lt lt The orientation of this storage pocket must be positioned on the A T open side of the frame See Fig 31 2 Unzip the Top Rail zipper of the canopy See Fig 31 Poteybed 3 Wrap the top of the canopy over the Padded Frame Li sip torage 4 Fasten the Support Straps on each side of the Top Rail of the canopy before zipping See Fig 32 5 Insert the zipper pins properly into the box See Figs 33 and 34 and close the zipper Make sure the zipper pins are properly seated See Figs 33 and 34 Failure to do so will prevent the zipper from closing securely which may lead to unassisted bed exit and patient injury ACAUTION To avoid damage to zippers or fabric be sure to pull the fabric close as you fully zip each panel Fig 31 Posey Bed Instruction Storage Pocket Location a SS l Fig 32 Support Straps Fig 33 Zipper Pins Properly Seated Fig 34 Zipper Pins NOT Properly Seated 6 Unzip the zippers on the side pieces Wrap the side piece around the Padded Frame Legs and close the zippers See Fig 35 Repeat on all four sides Fig 35 Zipping Side Pieces Posey Bed 8060 25 MAINTENANCE CANOPY AND FRAME Your maintenance department should inspect the Posey Bed whenever the canopy is disassembled for laundry or at least monthly to ensure the canopy and frame are intact and safe for use If you have any questions about the condition of the Posey Bed
47. sk For Certain At Risk Patients Canopy Gaps 9 AU RISK Pallenis IRCA sstvcsiseursnsasvenusentiuncasasdiunssusundaveneds 9 To Help Reduce the Risk of ENTRAPMENT ccsesssceeeeseees 9 Risk of Suffocation or Choking vesevsnasixnsoicsspensctccaseureneseusaans 9 Risk of Fall or Unassisted Bed Exit cccsssccccssssccccesssccceeess 10 Check tie Canopy exetaciscuccnessusenusvaesosscoessesctesuuecteascedvesees 10 CCC E E E E 10 Avoiding Risks of Injury or Damage from use of Certain Hospital Bed FeatUufeS seesssessssssssssssesssessssosssssssess 11 Precautions During Transfers and Patient Care ssceeeeeee 11 Agitated or Aggressive Patients s sssssssssssssesssesssseosseosssesss 11 Bed Selecion and Set UParrnrsirerrarn 12 Attaching the A Frame to the Hospital Bed ssccssesssceees 12 IMPORTANCE OF ADHERING TO A CARE REGIMEN 12 Importance of Patient Monitoring cc scccesscccesscccessccoesees 12 OPERATING INFORMATION ssssscecesssssseeeeeeees 13 15 Sef Up ana Use INSIFUCTIONS wcxsuceouctcessscvenssantensaseozsecoanesats 13 E a E T TE EA E 13 Alterations to the Posey Bed 8060 sscccssssccccsssccccesscees 13 Checklist Before First USE sncecssuucscassmeseesewadassnesseertenevesenes 13 Cares iver TIAN sirsiran aa 14 Ded Local Oi ccviscterssysusnacnsentavevonainxes ruiende aisiaren 14 Transfer to the Posey Bed cevsceosaucttvsenciatasscosswtacnacvecsees 14 15 ACCESS Jor Palinit GATE oresvisvesres iscia s iris eik
48. ss 5 You can download any of the instructions or view the video online by visiting our website at www posey com BED ASSEMBLY ACAUTION DO review the assembly instructions each time you assemble the bed or replace the canopy after cleaning A failure to assemble the Posey Bed properly could result in injury to the patient ALTERATIONS TO THE POSEY BED 8060 NEVER modify the Posey Bed 8060 for any reason 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 Posey Bed 8060 other than those recommended by Posey See Page 27 CHECKLIST BEFORE FIRST USE ALWAYS make sure the Posey Bed is in good working order and do a full visual inspection of the bed before first use with each patient Check to see that The bed is clean and unsoiled The bed is properly assembled with all parts in good condition The canopy frame is not bent or broken All zippers open easily and close securely and there are no gaps or openings when pressure is applied along the entire length of each zipper e The canopy metal frame is completely padded and all foam canopy pads are in place and undamaged e The canopy is not torn and the panels have no tears abrasions or broken stitches e The A Frame is securely attached to the hospital bed using the four IV Post Mount Brackets or the two Posey
49. st time while you seek a less restrictive alternative ALTERNATIVES TO RESTRAINT USE 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 modifying 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 enlist the aid of family members Depending on the patient s condition alternatives to restraint may include one or 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 A NOTE ABOUT FALLS Most falls do not cause death or serious injury The two most common serious injuries are hip fractures and head trauma 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 Clugston David Falls by Older Adults Advance for Nurse Practitione
50. t from Patient Compartment 23 Hook ud Loop CLE lt a cavtivcenttoscates iian Sargexteasneras 23 Machine Washing the CANOPY sscccccevsseiveensccescesdessssansessssses 24 DEVINO ssvsdesneesacessceeecs secussececntweccunstaaeaveddcassdgensasaeanendsasese 24 CICA MING TG FOLIA ONEA 24 INSTALLING THE CANOPY AFTER WASHING 25 MAINTENANCE cysccssassesssatuna eestatesonnsonveiscapadovesyssuanisenseove 26 Canopy nd TVONE cca iscessceccusetercclstevacesvesuescanseneedeaisoaceees 26 Monthy Vistai Inspection sirsiran a 26 STORAGE AND HANDLING ossssseeesssssesssssesssssscsesssssseossss 26 USEFUL LIFE OF THE POSEY BED CANOPY esses 26 INSTRUCTIONS TO SAFELY DISPOSE OF THE DEVICE 26 USE OF POSEY ACCESSORIES WITH THE POSEY BED 8060 27 TROUBLESHOOTING INFORMATION AND FAQ S 28 29 CUNODY wiasses E E E 28 29 Gencal PAO Sa siccsceice nN E EEE 29 Disease and Self Care Information sssssssssssssssssssessssesssseoo 29 PACKING LIST AND PARTS CHECKLIST 30 31 TECHNICAL SPECIFICATIONG ccsccsssssesssecceseesseesense 32 DIMENSIONS sacicsawesss sess enmrshatioonin in aa 32 POSEY LIMITED WARRANTY scccscccccessscceeceeessscees 33 TECHNICAL SERVICE ssevssvscesssnsderasasunqnssasasesortesseaousiseossnes 34 A SPECIAL NOTE ABOUT HOME USE ccccceesseeeees 35 The Posey Bed may be used in a Home Care setting only 35 DOCS A oie anemia eee 35 A Noleuboul Care PION wveven lt isesnnwucsinagesesv
51. tely for a hospital bed with NON Removable head and footboards to firmly attach the frame to the bed NEVER attach the Universal Straps to a bed with Removable head and footboards Doing so will cause the A Frame to detach from the hospital bed when the bed is raised and may result in serious injury or death from a fall or unassisted bed exit ALWAYS use Posey Bed Headboard Footboard Pads Cat 8002 Page 27 to cover the head and footboards to help prevent injury from direct contact with solid head and footboards Failure to do so may result in serious patient injury INCOMPATIBLE BEDS Beds which should NEVER be used with the Posey Bed 8060 include e Residential type beds The canopy system of the Posey Bed is not designed to securely attach to residential type beds A failure to heed this warning may result in serious injury or death from ENTRAPMENT or suffocation or from a fall or unassisted bed exit e Any hospital bed which cannot be lowered to seventeen inches 17 from the deck of the bed to the floor It is necessary to lower the bed to at least seventeen inches 17 to keep the canopy taut and avoid a blousing effect and excess material in the patient compartment which will increase the risk of ENTRAPMENT or suffocation e Any hospital bed that allows the head to be raised to an angle greater than seventy degrees gt 70 Raising the head to a greater angle will damage the canopy and increase the risk of serious injur
52. tion e With proof of purchase and e Freight pre paid by you Posey will inspect the product and contact you within five 5 business days 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 Posey Bed 8060 33 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 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 five 5 business days to
53. uce the risk of injury from a fall or unexpected bed movement e Check the area around the Posey Bed for tripping hazards e Make sure to lock all casters on the hospital bed before patient transfer and when leaving patient unattended e Make sure that the bed is in a FLAT position and the mattress is fully supported The Posey Bed can be raised between sixteen inches 16 and twenty five inches 25 to accommodate a patient transfer e NEVER use a patient lifter for transfer unless it has been tested to make sure there is enough clearance under the canopy frame to do so safely The clearance of the opening side access panel is 69 W x 71 H 175 cm x 180 cm See Fig 5 Access Panels A fall may occur while one or more access panels are Fig 5 Posey Bed Clearance Dimensions open during patient care Make sure the patient is in a safe position on the mattress before you open an access panel To help reduce the risk e Before opening the access panel at the head of the bed make sure the mattress is FLAT and the patient is at a safe distance from the panel Serious injury may occur due to the added distance if the patient falls when the head of the bed is raised e Position your body to block the area of the open access panel to help reduce the risk of a fall while you provide care AGITATED OR AGGRESSIVE PATIENTS NEVER leave a patient in the Posey Bed if there is a risk of self injury injury to others the bed tipping over or if t
54. ver e Risk of ENTRAPMENT from patient condition bed position or activity level which may lead to suffocation compression or lack of proper blood flow Fall due to a broken or damaged zipper or torn canopy allowing bed exit Patient able to open panel or port zippers Fall during patient care while panel is open Unexpected movement of hospital bed when casters are locked Impeded flow of tube s or line s Skin irritation from contact with the bed fabric or from excessive rubbing behavior Breathing problems due to ENTRAPMENT or contact with canopy material or bedding Guidance for Industry and FDA Staff Hospital Bed System Dimensional and Assessment Guidance to Reduce ENTRAPMENT March 10 2006 Posey Bed 8060 5 ADVERSE EVENTS CONTINUED Instructions WARNINGS and CAUTIONS found in this manual on the In Service DVD and all labels on the Posey Bed are intended to help avoid or reduce the possibility of these and other adverse events from occurring Be sure to report any safety or performance issue product malfunction or possible risk of injury or malfunction involving the Posey Bed Call Posey Technical Service toll free at 1 800 447 6739 and press 5 REASSESSMENT ACAUTION Reassess the need for use of the Posey Bed as the patients mental or physical health or status changes Use the Posey Bed only if there is no less restrictive alternative ALWAYS use the least restrictive device available for the shorte
55. weight or size exceeds the manufacturer s recommendations for the hospital bed This is the maximum load capacity of the canopy 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 cause 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 Due to the nature of some patients diagnoses activity level or uncontrolled movements the Posey Bed is not suitable for every patient BENEFITS AND RISKS BENEFITS The Posey Bed was designed to help provide these benefits e A controlled patient environment Calming effect for some patients Reduce the risk of unassisted bed exit Reduce the risk of patient falls Avoid the risk of a patient being trapped under a mattress and Fliminate the need for side rails when the patient is unattended This avoids the risk of the patient being trapped in side rails or between the mattress and side rails RISKS Improper use of the Posey Bed
56. y or death from a fall or unassisted bed exit or e Any hospital bed that does not securely attach to the Posey Bed with either 1 the four IV Post Mount Brackets or 2 the Posey Bed Universal Straps as this may result in serious patient injury AWARNING DO NOT allow patient weight to exceed the maximum load per the bed manufacturer s specifications Posey Bed 8060 17 CHOOSING THE RIGHT MATTRESS FOR USE WITH THE POSEY BED 8060 The Posey Bed 8060 mattress compartment is designed to fit either e A standard mattress that is six inches high thirty five inches wide and eighty inches long 6 x 35 x 80 15 cm x 89 cm x 203 cm e An inflatable air type mattress that is ten inches high thirty five inches wide and eighty inches long 10 x 35 x 80 25 cm x 89 cm x 203 cm Mattress Compartment Expansion In order to fit the ten inch 25 cm high air type mattress the Posey Bed mattress compartment must be fully expanded The compartment has an expansion zipper located behind the Instructions Storage pouch on the side panel See Fig 8 The mattress compartment of the Posey Bed 8060 should ONLY be used with either a six inch 15 cm or ten inch 25 cm high mattress To help reduce the risk of ENTRAPMENT or suffocation e NEVER use a mattress of a different size than the compartment is designed to fit Using a smaller mattress will result in gaps between the canopy and mattress Using a larger mattress will stress the
57. your Posey Bed please visit our website at www posey com or call Posey Technical Support at 1 800 447 6739 and press 5 Be sure to let us know if you change your address Posey Bed 8060 35 PoseyBED Your Local Authorized Posey Bed Dealer Posey Company 5635 Peck Road Arcadia CA 91006 0020 USA Phone 1 800 447 6739 Fax 1 800 767 3933 e Web www posey com VT OSCY 2009 Posey Company All rights reserved M6138 030609
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