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Introduction

1-2

First Step

®

 Plus™ Operations Manual

MAXIMUM PATIENT WEIGHTS

Maximum Patient Weight: 250 lbs. (114 kg.).

SAFETY TIPS

Bed Frame – 

Always use a standard healthcare bed frame with Side Rails and any other safeguards or protocols 

that may be appropriate. Frame and Side Rails must be properly sized to eliminate any gaps that might entrap a 
patient’s head or body.

Brakes –

 Caster brakes should always be locked once the bed is in position. Verify wheels are locked before any 

patient transfer to or from the bed.

Bed Height –

 To minimize the risk of falls or injury the bed should always be in the lowest possible position when 

the patient is unattended.

Side Rails/Patient Restraints

 – Whether and how to use Side Rails is a decision that should be based on each 

patient’s needs and should be made by the patient and the patient’s family, physician and caregivers, with facility 
protocols in mind. Consider not only the clinical and other needs of the patient but also the risks of death or 
serious injury from falling out of bed and from patient entrapment in or around the Side Rails, restraints or other 
accessories. For a description of entrapment hazards, refer to FDA Safety Alert dated August 23, 1995, the 
JCAHO Sentinel Event Alert #27, dated September 6, 2002, and other information referenced at http://
www.kci1.com/products/FDASafetyAlert. Consult a caregiver and carefully consider the use of bolsters, 
positioning aids, floor pads or KCI

®

 Padded Side Rail Accessories, especially with confused, restless or agitated 

patients. It is recommended that Side Rails (if used) be locked in the full upright position when the patient is 
unattended. Make sure a capable patient knows 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

.

Skin Care -

 Monitor skin conditions regularly, especially at bony prominences and areas where moisture or 

incontinence may occur or collect, and consider adjunct or alternative therapies for high acuity patients. Early 
intervention may be essential to preventing serious skin breakdown.

Fluids

 – Avoid spilling fluids on Air Supply Unit. If spills do occur clean fluids from bed and Air Supply Unit 

wearing rubber gloves to avoid any possibility of shock. Once fluid is removed, check operation of components in 
area of spill.

NOTE:

Fluids remaining on the controls can cause corrosion, which may cause components to fail or operate 
erratically, possibly producing potential hazards to patient and caregivers.

Lock-Outs

 – The Lock-Out feature on the Air Supply Unit should be used at the caregivers discretion to ensure 

against unintentional or unauthorized tampering with unit settings.

Avoid Fire Hazards

 – To minimize risk of fire, connect the bed’s power cord directly into a wall-mounted outlet. 

Do not use extension cords or multiple outlet strips. Review and follow FDA’s Safety Tips for Preventing Hospital 
Bed Fires (dated 12/18/03) and other information referenced at http://www.kci1.com/products/FDASafetyAlert.

No Smoking in Bed

 – Smoking in bed can be dangerous. To avoid the risk of fire, smoking in bed should never 

be allowed.

Tobacco Smoke

 – If routine laundering and cleaning procedures as described in the 

Preventive Maintenance

 

section of the 

Maintenance

 chapter of the 

First Step

®

 Select™ Maintenance Manual

 are not followed, tobacco 

smoke build-up may conceivably reduce the amount of air flow through the product. Severe air restrictions 
(whatever the source) may cause the Air Supply Unit to overheat and automatically deactivate.

Power Cord

 – Ensure power cord is kept free from all pinch points and moving parts and is not trapped under 

casters. Improper handling of the power cord can cause damage to the cord, 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.

Rev. B 05/05

Содержание FIRST STEP Plus

Страница 1: ...KCI USA Inc San Antonio Texas 78265 9508 Call Toll Free 1 800 275 4524 Fax www kci1 com P O Box 659508 1 800 275 3417 R TM Plus ...

Страница 2: ......

Страница 3: ... out only by qualified personnel authorized by KCI 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 St...

Страница 4: ...First Step Plus Operations Manual ...

Страница 5: ...irst Step Plus Product 3 1 Patient Transfer From First Step Plus Product 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 5 Incontinence Drainage 3 5 Skin Care 3 5 General Operation 3 5 CARE AND CLEANING 4 1 Daily Care And Cleaning Of First Step P...

Страница 6: ...Table of Contents ii First Step Plus Operations Manual ...

Страница 7: ...atient 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 Specialty surfaces have different shear and support characteristics than conventional surfaces and may increase the risk of patient movement sinking and or migration into hazardous positions...

Страница 8: ...conditions regularly especially at bony prominences and areas where moisture or incontinence may occur or collect and consider adjunct or alternative therapies for high acuity patients Early intervention may be essential to preventing serious skin breakdown Fluids Avoid spilling fluids on Air Supply Unit If spills do occur clean fluids from bed and Air Supply Unit wearing rubber gloves to avoid an...

Страница 9: ... mattress with hose connections and tote bag at foot of mattress with elastic harness 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 GORE TEX Cover Sheet Draw sides of sheet down each side of bed and tuck under ma...

Страница 10: ...irflow control knobs located on front of air supply unit to a low setting 10 Transfer patient as described below PATIENT TRANSFER TO FIRST STEP PLUS PRODUCT Ambulatory Patient Transfer 1 Adjust height of both surfaces to comfortable levels for patient 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 ambu...

Страница 11: ...for individual patient See Air Pressure Adjustment section below 9 Raise and lock Side Rails on both sides of bed If decision has been made to use Side Rails Refer to Risks and Precautions and Safety Tips section in the Introduction chapter of this manual 10 With air pressures set verify patient comfort 11 Lower bed height to lowest level 12 Activate warmer and adjust temperature if desired AIR PR...

Страница 12: ...t section COMPLETION OF PATIENT PLACEMENT 1 Adjust head of bed for patient comfort 2 With air pressures set verify patient comfort 3 Lower bed height to lowest level 4 Activate Warmer and adjust temperature if desired 5 Verify caster wheel brakes and caster wheel steering is locked 6 Assess entrapment and fall hazards and carefully consider the use of bolsters positioning aids low beds floor pads ...

Страница 13: ...es if used refer to Safety Tips to their original position PATIENT TRANSFER TO FIRST STEP PLUS PRODUCT Refer to Patient Placement chapter of this manual if patient is being transferred to First Step Plus product for the first time PATIENT TRANSFER FROM FIRST STEP PLUS PRODUCT Ambulatory Patient Transfer 1 Press green Power Button to turn Off Air Supply Unit Surface will begin to deflate 2 Adjust h...

Страница 14: ...s overlay to maximum by turning all three air flow control knobs to a high setting to provide a firm surface for patient bathing 4 Lower Side Rail on caregivers side 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 posterio...

Страница 15: ...ition 8 Raise and lock Side Rails If decision has been made to use Side Rails Refer to Risks and Precautions and Safety Tips section 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 caregivers side 3 Grasp bedpan firmly with one han...

Страница 16: ...original configuration INCONTINENCE DRAINAGE 1 First Step Plus Gore Tex cover sheet should be placed over mattress overlay 2 Dri Flo breathable 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 air flow 3 Watch for i...

Страница 17: ...up and locked 2 Inflate surface fully by adjusting all three air flow control knobs to their highest setting 3 If Side Rails are used lower Side Rail only on Caregiver s side of bed 4 Log roll patient to opposite side of surface 5 Clean patient as required NOTE Avoid spilling fluids on any part of the air supply unit Fluids remaining on the electronic controls can cause corrosion which may cause t...

Страница 18: ...First Step Plus Operations Manual 4 2 Care and Cleaning ...

Страница 19: ...control knob The 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 The Air Supply Unit has a thermal cutoff that will automatically deactivated the unit after a period of time if the air intake is blocked or if the unit is operated with all 3 airflow ...

Страница 20: ...First Step Plus Operations Manual 5 2 Operating Instructions ...

Страница 21: ...rlay inflated 82 L x 35 W x 5 H Air Supply Unit 12 W x 10 3 4 H x 7 D Weight Mattress Overlay inflated 3 lbs Air Supply Unit 11 lbs Electrical Voltage 115 VAC Frequency 60Hz Power 1 5 Amps Max Electrical Leakage 50 Micro Amps Power Cord Length 16 Feet Hospital Grade Specifications subject to change without notice Rev B 05 05 ...

Страница 22: ...First Step Plus Operations Manual 6 2 Specifications ...

Страница 23: ...A Inc P O Box 659508 San Antonio Texas 78265 9508 Call Toll Free 1 800 275 4524 FAX 1 800 275 3417 http www kci1 com GORE TEX is a registered trademark of W L Gore and Associates All other trademarks and service marks designated herein are property of KCI Licensing Inc and it s affiliates This product is patented and or subject to pending patent 2005 KCI Licensing Inc All Rights Reserved 05 05 P N...

Страница 24: ...First Step Plus Operations Manual 7 2 Questions and Information ...

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