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INTRODUCTION

First Step

 

Plus

 is a pressure-relieving mattress overlay designed to suspend a patient on a low-air-loss support 

surface, providing effective pressure relief and early intervention for patients with skin breakdown.

First Step

 

Plus

 Overlay is constructed of nylon fabric with moisture vapor permeable backing and is divided into 

three sections: head, body and feet. The Air Supply Unit consists of a single constant speed blower with Warmer to 
provide air temperatures that can be adjusted for each section of Overlay to meet individual patient needs.

INDICATIONS

First Step

 

Plus 

is intended to help treat and reduce the incidence of pressure ulcers, while optimizing patient 

comfort.

CONTRAINDICATIONS

Patient conditions for which the application of pressure relieving therapy on 

First Step

 

Plus

 are contraindicated 

include:

unstable spinal cord injury

unstable vertebral fracture

cervical traction

RISKS AND PRECAUTIONS

Transfer –

 Precaution should be taken during patient transfer, including locking of caster brakes and deflation 

of Overlay surface. (Refer to 

Patient Transfer

 sections in the 

Patient Placement

 and 

Nursing Care

 chapters 

of this manual.)

Side Rails and Restraints –

 Use or non-use of restraints, including Side Rails, can be critical to patient safety. 

WARNING: 

Serious injury or death can result from the use (potential entrapment) or non-use (potential patient 

falls) of Side Rails or other restraints. (See related 

Safety Tips

 section.)

Patient Migration

 

 

WARNING: 

Specialty surfaces have different shear and support characteristics than 

conventional surfaces, and may increase risk of patient movement, sinking and / or migration into hazardous 
positions of entrapment and / or inadvertent bed exit.

Skeletal Traction or Unstable Fracture (if not contraindicated)

 

 With unstable fractures or skeletal 

traction, if not contraindicated, maintain physician-directed angle of articulation, and use care to guard against 
risk of patient migration or inadvertent deflation of air surface.

Oxygen Use –

 

DANGER:

 Risk of explosion if used in the presence of Flammable Anesthetics. Use of this 

product’s Air Supply Unit in an oxygen-enriched environment may produce potential of fire hazard. This 
equipment is not suitable for use in the presence of a flammable anaesthetic mixture with air or with oxygen or 
nitrous oxide.

      CAUTION:

 Position Air Supply Unit only at foot-end of bed when using Oxygen Administering Equipment.

Electromagnetic Interference – 

Although this equipment conforms with the intent of directive 89 / 336 / EEC 

in relation to Electromagnetic Compatibility, all electrical equipment may produce interference. If interference is 
suspected, move equipment away from sensitive devices or contact manufacturer.

Shock Hazard –

 Electrical shock hazard; do not remove cover. Refer to Qualified Service Personnel.

Summary of Contents for First Step Plus

Page 1: ...First Step Plus OPERATIONS MANUAL P N 200676 AH Rev A 09 2013 with people in mind ...

Page 2: ...gh The electrical installation of the room must comply with the appropriate electrical wiring standards The product must be used in accordance with this manual this product s Maintenance Manual and Quick Reference Guide and all applicable labeling The only servicing to be carried out by the user is described in the Maintenance Chapter of the First Step Plus Maintenance Manual Upon customer request...

Page 3: ...p Plus 3 1 Patient Transfer from First Step Plus 3 1 Ambulatory Patient Transfer 3 1 Non Ambulatory Patient Transfer 3 1 Patient Transport 3 2 Patient Bathing 3 2 Bedpan Placement 3 3 Bedpan Removal 3 3 Repositioning Patient Using Dri Flo Underpads 3 4 Incontinence Drainage 3 4 Skin Care 3 4 General Operation 3 4 CARE AND CLEANING 4 1 Daily Care and Cleaning of First Step Plus While in Use 4 1 Wee...

Page 4: ...ii ...

Page 5: ...r death can result from the use potential entrapment or non use potential patient falls of Side Rails or other restraints See related Safety Tips section Patient Migration WARNING Specialty surfaces have different shear and support characteristics than conventional surfaces and may increase risk of patient movement sinking and or migration into hazardous positions of entrapment and or inadvertent ...

Page 6: ...ows how to get out of bed safely and if necessary how to release the Side Rails in case of fire or other emergency Monitor patients frequently to guard against patient entrapment When selecting a standard mattress ensure the distance between top of Side Rails if used and top of mattress without compression is at least 8 66 in 220 mm to help prevent inadvertent bed exit or falls Consider individual...

Page 7: ...moving parts and is not trapped under casters Improper handling of Power Cord can cause damage which may possibly produce risk of fire or electrical shock General Protocols Follow all applicable safety rules and institution protocols concerning patient and caregiver safety ...

Page 8: ...on underside of Overlay Slide elastic harness over each end of mattress Tuck tote bag under foot end of mattress Wrap elastic halter straps located at each end of Overlay under and around end of bed mattress 3 Install First Step Plus nylon fabric with moisture vapor permeable backing Cover Sheet Draw sides of Sheet down each side of bed and tuck under mattress Secure Sheet around hose connections ...

Page 9: ...ow PATIENT TRANSFER TO FIRST STEP PLUS Ambulatory Patient Transfer 1 Adjust height of both surfaces to ensure patient comfort for ingress and egress 2 Lower Side Rails when applicable 3 Lock caster wheel brakes and caster wheel steering on both surfaces 4 Assist patient in ambulatory transfer following all applicable safety rules and institution protocols 5 Center patient side to side on surface P...

Page 10: ...ght to lowest level 12 Activate Warmer and adjust temperature if desired AIR PRESSURE ADJUSTMENT 1 Adjust air flow to each section head body and feet by turning respective air flow control knob Knobs are labeled and color coded NOTE Verify air intake located on back face of Air Supply Unit is not blocked by blanket or other obstructions Air Supply Unit has thermal cutoff that will automatically de...

Page 11: ...eel steering are locked 6 Assess entrapment and fall hazards and carefully consider use of bolsters positioning aids low beds floor pads or padded Side Rail accessories when appropriate especially with confused restless or agitated patients Refer to Risks and Precautions and Safety Tips sections in the Introduction chapter of this manual 7 It is advised that capable patients are instructed on how ...

Page 12: ...manual if patient is being transferred to First Step Plus for first time PATIENT TRANSFER FROM FIRST STEP PLUS Ambulatory Patient Transfer 1 Press green Power Button to turn OFF Air Supply Unit Surface will begin to deflate 2 Adjust height of bed to same level as the surface to which patient is being transferred 3 Lock caster wheel brakes and caster wheel steering on both surfaces 4 Lower Side Rai...

Page 13: ...on caregiver side of bed CAUTION To reduce risk of patient falls during bathing caregiver must never leave patient unattended or turn away during bathing 5 Gently log roll patient toward opposite Side Rail 6 Bathe and rinse patient s exposed side and posterior NOTE Avoid spilling fluids on Air Supply Unit Fluids remaining on controls can cause corrosion which may cause components to fail or operat...

Page 14: ...ips sections in the Introduction chapter of this manual 9 Adjust head of bed for patient comfort and return bed and accessories to original configuration BEDPAN REMOVAL 1 Lower head of bed to a level position 2 Lower Side Rail on caregiver side of bed 3 Grasp bedpan firmly with one hand Using other hand gently roll patient toward opposite side of bed 4 Remove bedpan by pushing bedpan down into sur...

Page 15: ...onfigurations INCONTINENCE DRAINAGE 1 First Step Plus nylon fabric with moisture vapor permeable backing Cover Sheet should be placed over Mattress Overlay 2 Dri Flo Underpads are recommended for incontinent patients NOTE Do not use plastic backed underpads plastic will block moisture vapor transmission and air flow from Mattress Overlay Dri Flo Breathable Underpads are absorbent and do not block ...

Page 16: ...ual 2 Inflate surface fully by adjusting all three air flow control knobs to their highest settings 3 If Side Rails are used lower Side Rail only on caregiver side of bed 4 Log roll patient to opposite side of surface 5 Clean patient as required NOTE Avoid spilling fluids on Air Supply Unit Fluids remaining on controls can cause corrosion which may cause components to fail or operate erratically p...

Page 17: ...nob Knobs are labeled and color coded 2 Adjust each surface control knob until optimum pressures and patient comfort has been obtained 3 Adjust air flow so patient is cradled in a slight depression NOTE Air Supply Unit has a thermal cutoff that will automatically deactivate unit after a period of time if air intake is blocked or if unit is operated with all three air flow control knobs in OFF posi...

Page 18: ...5 in W x 5 in H Air Supply Unit 12 in L x 10 75 in H x 7 in D Weight Mattress Overlay Inflated 3 lb Air Supply Unit 11 lb Electrical Voltage 115 VAC Frequency 60 Hz Power 1 5 Amps Maximum Electrical Leakage 50 Micro Amps Power Cord 16 ft Hospital Grade Specifications subject to change without notice ...

Page 19: ...6 2 ...

Page 20: ...UET specializes in solutions therapies and products for surgical interventions and intensive care 7 QUESTIONS AND INFORMATION For questions regarding First Step Plus supplies maintenance or additional information about ArjoHuntleigh products and services please contact ArjoHuntleigh or an ArjoHuntleigh authorized representative or visit www ArjoHuntleigh com In the US call 1 800 343 0974 Originall...

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