Introduction; Indications; Contraindications; Risks And Precautions - arjo First Step Select Manuel D'utilisation

Introduction

The First Step Select Therapy System is a pressure relieving overlay (when used on an existing mattress) or a mattress
®
replacement system (MRS) (when used with the optional foam base) designed to suspend the patient on a low air-loss
support surface, providing effective pressure redistribution and for prevention and treatment of pressure injuries (Stages
1-4).
Each therapeutic surface is constructed with a moisture vapor permeable surface which is divided into three sections:
HEAD, BODY and LEG. The pressure in each section can be adjusted to meet individual patient needs.
The therapy control unit consists of a single variable speed blower with an air warmer to provide air temperatures that can
be adjusted for patient comfort.
The First Step Select Therapeutic Surface is a Type BF applied part.
The expected service life for the First Step Select Therapy Unit is ve years.

Indications

The First Step Select Therapy System is indicated for patients who would bene t from a pressure redistribution surface
assisting in the prevention and treatment of pressure injuries (Stages 1-4).

Contraindications

Patient conditions for which the application of pressure redistributing therapy on the First Step Select Therapeutic Surface
are contraindicated include:
• Unstable spinal cord injury.
• Unstable vertebral fracture.
• Cervical traction.

Risks and Precautions

• Transfer - Precaution should be taken during patient transfer, including the locking of caster brakes and de ation of
therapeutic 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 or fatal injury can result from the use (potential entrapment) or non-use (potential patient falls) of
side rails or other restraints. See related Safety Information.
• Patient Migration - WARNING: As with all speciality bed products that are designed to reduce shear and pressure
on the patient's skin, the risk of gradual movement and / or sinking into hazardous positions of entrapment and / or
inadvertent bed exit may be increased.
• Skeletal Traction or Unstable Fracture (if not contraindicated) - With skeletal traction, unstable pelvic fractures or any
other unstable fracture (to the extent not contraindicated), maintain physician directed angle of articulation and guard
against risks of patient migration or inadvertent de ation of surface.
• Oxygen Use - Danger: Risk of explosion if used in the presence of ammable anesthetics. Use of this product's
therapy control unit in an oxygen-enriched environment may produce potential of re hazard. This equipment is not
suitable for use in the presence of a ammable anesthetic mixture with air or with oxygen or nitrous oxide.
Position therapy control unit only at foot end of bed when using oxygen administering equipment.
• Electromagnetic Interference - Although this equipment conforms with the intent of the 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 the manufacturer.
• Shock Hazard - Electrical shock hazard, do not remove cover from therapy control unit. Refer to quali ed service
personnel.
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