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© Ferno-Washington, Inc.   234-3346-00   March  2006

7

PRO

Flex

X

®

 Series

2 - OPERATOR SKILLS AND TRAINING

2.1 Skills

Operators using the cot need:

a working knowledge of emergency patient-
handling procedures.

the ability to assist the patient.

a complete understanding of the procedures
described in this manual.

2.2 Training

Trainees need to:

follow a training program designed by their
training officer.

read this manual. For additional free users’
manuals, contact your Ferno distributor or Ferno
Customer Relations (page 38).

Operator Skills and Training

practice with the cot before using it in regular
service.

be tested on their understanding of the cot.

record their training information. A sample
training record sheet is provided on page 39.

Untrained operators can cause injury or be
injured. Permit only trained personnel to
operate the cot.

WARNING

!

2.3 Height and Strength Considerations

When unloading the cot, the foot-end operator must
lift and hold the weight of the cot, patient, and
equipment high enough for the wheels to remain off
the ground until the undercarriage legs completely
unfold and lock into place.

Supporting this weight requires greater strength from
short operators than from tall operators because short
operators must raise their arms higher in relation to
their shoulders.

Be aware that if the ambulance is parked on an uneven
surface, the foot-end operator (and any helpers) may
need to lift the cot higher than normal to allow the legs
to unfold completely and lock.

Bariatric transport requires special operating
procedures. See 

Bariatric Transport, 

pages 29-31.

Note: Use additional help as needed to lift the weight
of the cot, patient, and equipment (see 

Using Additional

Help, 

page 24).

Summary of Contents for PROFlexX

Page 1: ...March 2006 GLO Users Manual Pub No 234 3346 00 PROFlexX ...

Page 2: ...e event of transfer to new users Additional free copies are available upon request from Customer Relations Proprietary Notice The information disclosed in this manual is the property of Ferno Washington Inc Wilmington Ohio USA Ferno Washington Inc reserves all patent rights proprietary design rights manufacturing rights reproduction use rights and sales use rights thereto and to any article disclo...

Page 3: ...ons 19 20 6 5 Changing Positions One Operator Empty Cot Only 21 6 6 Transferring the Patient to the Cot 21 6 7 Rolling the Cot 22 23 6 8 Using Additional Help 24 7 Loading and Unloading the Cot 25 28 7 1 Fastener Compatibility 25 7 2 Preparing to Load the Cot 25 7 3 Loading Cot 26 7 4 Unloading the Cot 27 7 5 One Operator Loading Unloading 28 8 Bariatric Transport 29 31 8 1 Bariatric Transport Def...

Page 4: ...21 Changing Positions From the Side 19 Figure 22 Two Stage Position Changes 20 Illustrations Figure 23 Changing Cot Positions With One Operator 21 Figure 24 Securing the Patient 21 Figure 25 Rolling the Cot 23 Figure 26 Rolling the Cot as a Sled 23 Using Additional Help 24 Figure 27 Examples of Antler and Rail and Stat Trac Fasteners 25 Figure 28 Safety Bail Past Safety Hook 26 Figure 29 Loading P...

Page 5: ...gned by Ferno WARNING Untrained operators can cause injury or be injured Permit only trained personnel to operate the cot Improper use of the cot can cause injury Use the cot only for the purpose described in this manual Failure to use the safety hook can cause injury Install and use the safety hook as described in this manual Improper operation can cause injury Operate the cot only as described i...

Page 6: ...rent manufacturers products into a mixed component cot cot fastener system can increase the user s risk of injury and damage Ferno Washington Inc strongly recommends that only Ferno manufactured cots be used in Ferno manufactured cot fasteners and that only Ferno manufactured cot fasteners be used for securing Ferno manufactured cots in ambulances ANY COMBINATION OF A FERNO COT OR COT FASTENER WIT...

Page 7: ...ors can cause injury or be injured Permit only trained personnel to operate the cot WARNING 2 3 Height and Strength Considerations When unloading the cot the foot end operator must lift and hold the weight of the cot patient and equipment high enough for the wheels to remain off the ground until the undercarriage legs completely unfold and lock into place Supporting this weight requires greater st...

Page 8: ...ity page 6 The cot is for use with ambulances that meet the requirements of the Federal Ambulance Specification KKK A 1822 For information Federal Supply Services Specifications Section Suite 8100 470 E L Enfant Plaza SW Washington DC 20407 About the Cot 3 2 General Specifications Height1 Bed Position 8 39 in 98 cm Loading Position 2 31 in 79 cm Bed Position 7 37 in 93 cm Loading Position 1 27 in ...

Page 9: ...ow bariatric transport procedures pages 29 31 when working with loads in excess of the standard load limit Inspect the cot if the Standard Load Limit has been exceeded see Inspecting the Cot page 33 STANDARD LOAD LIMIT 700 lb 318 kg 1100 lb 500 kg BARIATRIC LOAD LIMIT To request additional free users manuals or videos contact Ferno Customer Relations page 38 Users manual all models Training video ...

Page 10: ...ition 8 39 in 98 cm Bed Position 7 37 in 93 cm Transfer Positions Positions 2 4 Use these positions to transfer the patient Bed Position 4 28 in 71 cm Bed Position 3 24 in 62 cm Bed Position 2 20 in 51 cm Folded Position Position 1 Use this position to transfer the patient roll during bariatric transport or store the cot Bed Position 1 14 in 35 cm Rolling Positions Positions 5 and 6 Use these posi...

Page 11: ...ndercarriage during loading or unloading Installing the safety hook requires the skills of a mechanic familiar with ambulance construction Before installing the safety hook consult the ambulance manufacturer about the location of wiring oxygen or fuel lines and other elements under the ambulance floor and about the ambulance warranty Failure to use the safety hook can cause injury Install and use ...

Page 12: ...e Position the safety hook at least 11 in 28 cm from the door frame Figure 3 so the cot s safety bar will engage the hook when the cot is loaded or unloaded Position the safety hook no more than 19 7 8 in 50 5 cm from the front edge of the hook to the rear of the ambulance including the bumper and folding bumper step in the extended open position Note If the safety hook is installed too far inside...

Page 13: ...ance floor by an old style rectangular mounting block Figure 5 and knob Do not update your fastener if the antler is permanently mounted to the floor by a bolt OR your removable antler already uses the new style low profile mounting blocks Figure 5 TO UPDATEYOUR FASTENER The parts provided allow you to replace the block and turn knob at the rear of the antler To update an existing fastener 1 Remov...

Page 14: ...le the torso restraint Support the weight of the backrest and patient Press the red control handle toward the backrest Figure 9 Raise or lower the backrest to the desired position Release the control handle to lock The gas spring is under pressure to ease raising and lowering Control the upward movement of the backrest so it does not move too quickly Figure 7 Patient Restraints Torso Restraint 1 G...

Page 15: ...he handle push to retract Use both handles when lifting the cot Retract the handles when using the side control handle to raise or lower the cot Figure 11 shows one option for hand placement for lifting the cot Alternatively grasp the lift handles with both hands Underhand Grip on Main Frame Cylinder Grip on Lift Handle Figure 11 Using the Side Lift Handles Figure 12 Wheel Lock Lock Lever 5 4 Fast...

Page 16: ...ase handle before the sidearm reaches the 90 point To raise lift the sidearm until it locks You do not need to use the release handle 5 9 Sidearms Universal Optional Sidearms provide patient security and comfort Keep sidearms raised except during patient transfer Universal sidearms fold along the main frame Figure 15 or swing down like a traditional sidearm To fold press release lever and fold the...

Page 17: ...Figure 16 The positions allow the operators to load and unload the cot safely using the attached safety bar Position 0 choose the best position for lifting Positions 1 1 shorten the cot when space is limited Positions 2 2 Do not fold the cot with the drop frame in the 1 or 2 position Use a higher position Adjust the drop frame by squeezing the release bar moving the drop frame to the new position ...

Page 18: ...fall off the cot and be injured Use restraints to secure the patient on the cot WARNING False locking can cause injury After changing positions lift the cot until all the wheels are off the ground This allows the lock to engage if it has not already done so WARNING An unattended patient can be injured Stay with the patient at all times WARNING 6 2 General Guidelines for Use Medical advice is beyon...

Page 19: ...l the normal downward movement of the cot which occurs when a control handle is squeezed RAISING OR LOWERING THE COT 1 Both Operators Lift the cot slightly to take the weight off the locking mechanism 2 Both Operators As the control operator squeezes and holds the control handle both operators raise or lower the cot If the control handle is difficult to squeeze both operators lift the cot a little...

Page 20: ... or damage the mechanism To recover both operators raise the cot into a higher position Adjust the drop frame to the extended position and then fold the cot Figure 22 Two Stage Position Changes Two Stage Raising or Lowering To maintain proper lifting techniques the operators may choose to adjust the cot height in two stages Figure 22 To do this 1 Use one set of lifting positions to raise or lower ...

Page 21: ...24 7 Before moving the cot or changing its position make sure sheets and other articles will not interfere with cot operation 6 5 Changing Positions One Operator Empty Cot Only When the cot is empty no patient one operator can change the cot position Tip the empty cot onto its loading wheels Figure 23 operate the control handle and raise or lower the cot to the desired position Then let go of the ...

Page 22: ...perators and helpers should grasp the cot with both hands Side helpers can place both hands on the main frame or lifting handles or place one hand on each Use additional help as needed to safely control the load see Using Additional Help page 24 When using additional help trained operators stand at the head and foot ends of the cot and work the controls Helpers can extend the side lifting handles ...

Page 23: ...he side of cot near the patient s torso grasping the main frame Figure 25 Attend the patient and assist in rolling and steering the cot ROLLING THE COT AS A SLED The cot s long lead handle and multi position drop frame allow the cot to be rolled as a sled This is the preferred way to roll the cot when the load exceeds the cot s standard load limit See Bariatric Transport pages 29 31 To roll the co...

Page 24: ... Operator H Helper P Patient Changing Levels Helpers Loading Unloading Rolling Two Operators Four Helpers Two Operators Two Helpers STANDARD LOAD LIMIT Follow bariatric transport procedures pages 29 31 when working with loads in excess of the standard load limit Inspect the cot if the Standard Load Limit has been exceeded see Inspecting the Cot page 33 700 lb 318 kg 1100 lb 500 kg BARIATRIC LOAD L...

Page 25: ...oading and unloading Important Stat Trac fasteners installed before June 1 2000 required only 16 inches of clearance from the ambulance wall to the center of the Stat Trac The 6 inch wheels on the PROFlexX require the fastener to be positioned at least 17 inches 43 cm from the wall to allow room for the wheels to swivel as the cot is removed If you installed a Stat Trac at the old minimum you must...

Page 26: ...ndle and tell theAssisting Operator to lift the undercarriage 4 Assisting Operator Grasp the undercarriage grip Figure 30 When the Control Operator communicates that he she is ready lift the undercarriage all the way up and hold it in the folded position Figure 31 5 Control Operator Let go of the undercarriage control handle to lock the undercarriage in the folded position Push the cot into the am...

Page 27: ... the ground 5 Control Operator Let go of the control handle Important Verify that the undercarriage is locked before operating the fastener release lever or release handle An unlocked undercarriage will allow the cot to fold 6 Control Operator Lift the cot until all four transport wheels are off the ground to make sure the undercarriage has unfolded completely and is locked Set the cot on the grou...

Page 28: ...the undercarriage to lock 5 Grasp the undercarriage frame with one hand and pull upward on the undercarriage to make sure the cot has locked in the folded position Figure 36 6 Lift the foot end of the cot until it is level with the patient compartment floor Figure 37 Push the cot into the ambulance 7 Secure the cot in the cot fastener ONE OPERATOR UNLOADING 1 Raise the ambulance folding bumper and...

Page 29: ...delines When undertaking a bariatric transport Follow your local protocols for bariatric transport Use as many additional operators and helpers as needed to safely transport the patient Refer to Using Additional Help page 24 for recommended placement of additional helpers Follow the instructions in this section Keep the cot in the folded position when the load exceeds 700 pounds 318 kg Properly re...

Page 30: ...onal Ferno approved items restraint extenders additional restraints or longer restraints as needed to properly secure the patient Figure 39 8 4 Bariatric Transport Rolling the Cot Roll the cot in the folded position when the load exceeds the Standard Load Limit If the patient s size and medical condition permit raise the backrest and the drop frame and use the drop frame to help push and steer the...

Page 31: ...ot with a bariatric patient 1 Station one operator or helper inside the ambulance to release the cot from the safety hook or Stat Trac safety stop when needed 2 Outside Operators Helpers Release the cot from the cot fastener 3 Outside Operators Helpers Roll the cot slowly out of the ambulance allowing the operators and helpers to grasp the main frame or LBS frame 4 Inside Operator When the safety ...

Page 32: ...commended disinfectant from your Ferno distributor or Ferno Customer Relations page 38 Maintenance 9 2 Disinfecting and Cleaning the Restraints Remove the restraints form the cot Disinfect and clean only as directed in the restraint users manuals provided with the restraints Additional free users manuals can be ordered from Ferno Customer Relations page 38 Improper maintenance can cause injury Mai...

Page 33: ...causes corrosion Use caution when cleaning moving parts such as joints and hinges 9 5 Cleaning the Cot 1 Remove the restraints mattress and any accessories 2 Hand clean all surfaces of the cot with warm water and a mild detergent 3 Use a brush with stiff bristles to remove stains Do not use a metal wire brush 4 Rinse with warm clear water Dry the cot with a towel or allow it to air dry 9 6 Waxing ...

Page 34: ...e nuts and bolt at the other end and loosen the adjustment nut 3 Rotate the adjustment arm to affect the distance the handles must move to activate the undercarriage lock Note Adjust the arm evenly at each end so that there will be plenty of threads of engagement at each end of the adjustment arm 4 Reattach tighten all bolts washers and nuts Recommendation Adjust the handles so that when pulled th...

Page 35: ...008 7172 PROFlexx locking mattress 031 3920 PROFlexX locking mattress w pocket 031 4028 PROFlexx oxygen cylinder holder 081 9958 PROFlexx Sof Net drop frame storage 081 9874 PROFlexx high position lockout kit 082 1927 PROFlexx sidearm cover 1 ea 082 1953 Ratchet bar cover kit 082 1950 Large Body Surface LBS 081 9991 LBS foldable mattress 031 4025 LBS IV pole 008 7173 Model 132 Manta Rescue Aid bur...

Page 36: ...190 1605 Lead handle w E clips 1 9 190 1592 Foot end release handle w hardware 1 10 190 1594 Release handle adjustment linkage 1 11 190 1610 Shock frame guide w hardware 2 12 190 1607 Slide cover w hardware 2 13 190 1596 Tech label sheet 1 14 190 1598 Foot end clearance block w hardware 2 15 190 1600 Wheel fork with lock no wheel 1 16 190 1602 Caster assembly with lock 1 17 190 1601 Wheel fork no ...

Page 37: ...346 00 March 2006 37 PROFlexX Series 7 6 9 8 4 5 3 2 1 10 13 12 11 14 19 20 21 24 23 22 25 26 27 28 29 30 31 32 17 16 15 18 37 38 Parts and Service 11 4 Parts Diagrams 40 39 8 10 9 21 27 11 6 36 7 13 34 30 35 26 25 34 29 33 32 1 ...

Page 38: ...bottom excluded and backboards are warranted for lifetime replacement Damage caused by accident abuse misuse or improper care will be repaired at a reasonable charge for which you will be informed prior to the repair work being done Integrated Charging System ICS is warranted for 2 years Ferno repairs are warranted for 90 days from the date of repair This limited warranty applies only when the pro...

Page 39: ... Ferno Washington Inc 234 3346 00 March 2006 39 PROFlexX Series MAINTENANCE RECORD By Date Maintenance Performed Training Method TRAINING RECORD Date Name ...

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