Introduction; Indications; Contraindications; Risks And Precautions - Arjohuntleigh First Step Select Manuel De L'utilisateur

Introduction

the first step select mattress replacement system (mrs) is a pressure relieving overlay and mattress replacement system
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(mrs) designed to suspend the patient on a low air-loss support surface, providing effective pressure redistribution and early
intervention for patients with skin breakdown.
the mattress overlay is constructed of a nylon fabric with moisture vapor permeable backing and is divided into three
sections: HeaD, BoDY and LeG. the therapy control unit consists of a single variable speed blower with a warmer to provide air
temperatures that can be adjusted for patient comfort. each overlay surface can be adjusted for each overlay section to meet
individual patient needs.

Indications

the first step select mrs is indicated for patients who would benefit from a pressure redistribution surface assisting in the early
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intervention of skin breakdown.

Contraindications

patient conditions for which the application of pressure redistributing therapy on the first step select
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 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 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 deflation of surface.
• Oxygen Use - Danger: risk of explosion if used in the presence of flammable anesthetics. Use of this product's therapy
control 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 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. refer to qualified service personnel.

Safety Information

Bed Frame - always use a standard health care bed frame with side rails and any other safeguards or protocols that may be
appropriate. frame and side rails (if used - see Risks and Precautions) 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.
mrs are contraindicated
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