Hill-Rom Excel Care User manual
USER MANUAL
Excel
Care™
Bariatric
Bed
From Hill-Rom
usr135ra
© 2004 by Hill-Rom Services, Inc. ALL RIGHTS RESERVED.
Distributed by:
HILL-ROM COMPANY, INC.
4349 CORPORATE ROAD
CHARLESTON, SC 29405
No part of this text shall be reproduced or transmitted in any form or by any
means, electronic or mechanical, including photocopying, recording, or by any
information or retrieval system without written permission from Hill-Rom
Services, Inc. (Hill-Rom).
The information in this manual is confidential and may not be disclosed to
third parties without the prior written consent of Hill-Rom.
Second Edition
First Printing 2004
Printed in the USA
Excel Air™ is a trademark of Hill-Rom Services, Inc.
Excel Care™ is a trademark of Hill-Rom Services, Inc.
Hill-Rom® is a registered trademark of Hill-Rom Services, Inc.
Microvent Technologies™ is a trademark of SenTech Medical Systems, Inc.
PLEUR-EVAC® is a registered trademark of Deknatel, Inc.
Point-Of-Care® is a registered trademark of Hill-Rom Services, Inc.
SenTech Medical Systems® is a registered trademark of SenT ech Medical
Systems, Inc.
The information contained in this manual is subject to change without notice.
Hill-Rom makes no commitment to update or keep current, the information
contained in this manual.
Hill-Rom reserves the right to make changes without notice in design,
specifications, and models. The only warranty Hill-Rom makes is the express
written warranty extended on the sale or rental of its products.
To order additional copies of this manual (usr135), refer to the back cover for
contact information. For countries not listed on the back cover, contact your
distributor.
1
NOTE:
The back cover is a comprehensive list of Technical Support contact
information for Hill-Rom. The product discussed in this manual may not be
available in all of the countries listed.
Revision Letter Pages Affected Date
Original Issue July 2004
A All October 2004
2
Table of Contents
Document Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Features. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Instructions for Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Put the Bed into the CPR Position . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Use the Siderails . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Adjust the Vertical Height of the Siderail . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Raise and Lower the Siderail . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Remove and Install the Headboard. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Use the Equipment Sockets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Use the Drainage Bag and Patient Restraint Holders . . . . . . . . . . . . . . . . . . . . . . 12
Use the Footboard Caregiver Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Raise and Lower the Head and Knee Sections. . . . . . . . . . . . . . . . . . . . . . . . 13
Raise and Lower the Bed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Use the Enable Control. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Lock Out the Bed Controls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Put the Bed in the Bed Flat or Trendelenburg or
Reverse Trendelenburg Position
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Use the Patient Pendant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Install and Remove the Patient Pendant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Raise and Lower the Head and Knee Sections. . . . . . . . . . . . . . . . . . . . . . . . 16
Weigh the Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Scale Controls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Zero the Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Change Bed Items and Move the Bed or Patient . . . . . . . . . . . . . . . . . . . . . . 18
Correct the Shown Patient Weight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Disconnect Power When the Scale is in Use . . . . . . . . . . . . . . . . . . . . . . . . . 19
Adjust the Width of the Bed. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Use the Bumpers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Set the Brakes or Steer the Bed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Use the Battery Backup Control. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Charge the Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Transport the Patient on the Bed. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Mattress Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Install the Mattress and Air Supply Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
3
Use the Air Supply Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Excel Air™ Low Airloss Therapy Surface (P611CA). . . . . . . . . . . . . . . . . . . . . 25
Set Up the Unit for the Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Therapy Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Lock or Unlock the Control Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Deflate and Inflate the Mattr ess Assembly. . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Solve a System Alarm Condition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Excel Air™ Foam Mattress with Inflatable Side Bolsters (P612EA) . . . . . . . . . 30
Deflate and Inflate the Side Bolsters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
IV Pole (P2217) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Infusion Support System (P158). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Oxygen Tank Holder, E-Size ( P276) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
General Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Steam Cleaning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Cleaning Hard to Clean Spots. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Disinfecting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Clean the Mattress Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Coverlet (Excel Air™ Low Airloss Therapy Surface Only) . . . . . . . . . . . . . 35
Bottom Shell and Vapor Barrier. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Clean the Excel Air™ Low Airloss Therapy Surface Filter . . . . . . . . . . . . . . . . . 36
Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Product Symbol Definition. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Regulations, Codes, and Standards. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
Safety Tips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Bed Positions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Brakes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Fluids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Siderails/Restraints/Patient Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Electricity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Parts and Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Operating Bed/Surface Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Transport. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Sleep Surface/Mattress . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Flammability. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Bed Articulations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
4
Visitor Notification. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
Cleaning and Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
5
Document Symbols
This manual contains different typefaces and icons designed to improve readability and
increase understanding of its content:
• Standard text—used for regular information.
• Boldface text—stresses a word or phrase.
• NOTE:—sets apart special information or important instruction clarification.
• The symbol below identifies a WARNING or CAUTION:
Warning and Caution
– A WARNING identifies situations or actions that may affect patient or us e r safe ty.
Ignoring a warning could result in patient or user injury .
– A CAUTION points out special procedures or precautions that persons must obey
to avoid equipment damage.
• The symbol below identifies a CAUGHT HAZARD WARNING:
Caught Hazard Warning
• The symbol below identifies a CHEMICAL HAZARD WAR NING:
Chemical Hazard Warning
• The symbol below identifies an ELECTRICAL SHOCK HAZARD WARNING:
Electrical Shock Hazard Warning
6
Intended Use
WARNING:
Do not use the Excel Care™ Bariatric Bed with patients who weigh more than
1000 lb (454 kg) or extend past the fully-extended surface width. Patient injury or
equipment damage could occur.
The Excel Care™ Bariatric Bed is for bariatric patients of all age groups with varying
medical and physical conditions. The Excel Care™ Bariatric Bed supports patient weights
between 250 lb and 1000 lb (113 kg and 454 kg). Do not use the bed with patients who
weigh less than 250 lb (113 kg), weigh more than 1000 lb (454 kg), or who extend past the
fully-extended surface width.
Introduction
This manual contains information necessary for normal operation of the Excel Care™
Bariatric Bed from Hill-Rom . Before operating the Excel Care™ Bariatric B ed, make sure
you read and understand in detail the contents of this manual. It is important that you read
and obey the aspects of safety contained in this manual. Any reference to a side of the bed
is from the patient’s view lying in the bed on his or her back.
The Excel Care™ Bariatric Bed is equipped with an integral scale intended to weigh the
patient in the bed. The scale may be used for diagnostic or therapeutic purposes as
determined by medical professionals, as long as the scale performance parameters
specified in this manual are understood.
7
Features
r
Equipment
socket
CPR
handle
Brake and
steer pedal
Adjustable
width sleep
deck
Patient
pendant
Excel Air™ Low
Airloss Therapy Surface
air mattress
Adjustable,
drop-down style
siderail
Heavy duty
6" (15 cm)
caster
Weigh
scale
Caregive
controls
The Excel Care™ Bariatric Bed has these features:
• 115 V AC power transformer that converts the system to 24 V DC
• Three-prong, hospital-type power plug, with grounding that meets National Fire
Protection Association (NFPA) standards
• Adjustable, drop-down style siderails that stow below the sleep deck during transport
• 88" (224 cm) long sleep deck, with width adjustable from 40" to 50" (102 cm to
127 cm)
• Heavy duty 6" (15 cm) casters
• Equipment sockets—one IV socket and two round sockets on each corner of the bed
• Optional weigh scale with a 999 lb (453 kg) capacity
• Optional Excel Air™ Low Airloss Therapy Surface air mattress or standard foam
mattress with inflatable side air bolsters
8
Instruct ion s for Use
Put the Bed into the CPR Position
The CPR controls are handles installed under the sleep deck on the
right-hand side of the bed, at both ends of the bed.
The Excel Air™ Low Airloss Therapy Surface also has an
emergency CPR pull so the mattr ess assembly may deflate quickly.
The CPR pull is located at the foot end of the mattress assembly.
1. If the bed has an Excel Air™ Low Airloss Therapy Surface,
pull up on its CPR pull until a yellow CPR Open label is
visible. The mattress assembly will begin to deflate.
2. Pull and hold the CPR control until the head section comes to a
stop in the flat position.
NOTE:
When operated, the CPR control lowers the head section to the
horizontal position. This function can be used when power is not
available.
NOTE:
If you release the CPR control during operation, the head section will stop lowering.
NOTE:
The rate at which the air leaves the mattress depends on the weight of the patient.
After CPR, to start the normal operation of a bed with the Excel Air™ Low Airloss
Therapy Surface, do as follows:
1. Firmly push the CPR pull down until it is flat against the mattress.
2. At the air supply unit, press Max Firm to quickly inflate the mattress assembly.
9
Use the Side rails
WARNING:
Evaluate patients for entrapment risk according to
facility protocol, and monitor patients appropriately.
WARNING:
Evaluate patients for entrapment risk according to
facility protocol, and monitor patients appropriately.
Make sure all siderails are fully latched when in the
raised position. Failure to do either o f these could result
in serious injury or death.
NOTE:
Siderails are intended to be a reminder to the patient of the
unit’s edges, not a patient-restraining device. When appropriate, Hill-Rom recommends
that medical personnel determine the correct methods necessary to make sure a patient
remains safely in bed.
Adjust the Vertical Height of the Siderail
• Raise—
1. Pull up on the siderail latch, and pull the siderail up until its latches in the extended
height.
2. Make sure the siderail stays in the raised position.
• Lower—
1. Pull up on the siderail latch, and push the siderail down until it latches in its lowest
vertical position.
2. Make sure the siderail stays in the lowest position.
Raise and Lower the Siderail
• Raise—Pivot the siderail up until it locks in the raised
position.
• Lower—
1. Completely lower the vertical height of the siderail.
2. Pull out on the knob on the lower side of the siderail.
CAUTION:
Do not attempt to raise the vertical height of the siderail while pivoting it to the
stowed position under the bed. Equipment damage could occur.
3. Pivot the siderail away from the bed until it hangs in the stowed position against the
stop under the bed. Do not attempt to raise the vertical height of the siderail while
pivoting it to the stored position.
10
Remove and Install the Headboard
The headboard is at the head end of the bed. It attaches to the head end of the frame, and
does not move with the sleep deck.
• Remove—For increased access to the patient’s head, grasp the headboard, and lift
straight up to remove it.
• Install—
1. Align the headboard’s pins with the sockets in the frame.
2. Lower the headboard into the sockets, and push the headboard down until its bottom
rests on the frame.
Use the Equipmen t Sockets
There are four equipment sockets for the attachment of
accessories. The equipment sockets are at each corner of the bed.
The equipment sockets can be used to mount IV poles, IS S poles,
traction equipment, and oxygen tank holders.
NOTE:
The equipment sockets for the IV poles are identified with labels.
11
Use the Drainage Bag and Patient Restraint Holders
WARNING:
Patient restraints are not intended as substitutes for good nursing practices.
Physical restraints, even correctly installed, can result in entanglement, physical
injury, and death, particularly with agitated and disoriented patients. Monitor
patients whe n using physical restraints in acco rdan ce with legal r equire men ts and
facility protocol.
WARNING:
Restraints must be attached to the articulating sections of the system at the
correct attachment points. Failure to do so may result in patient injury.
CAUTION:
Do not exceed the load capacity of t he drainage bag holders. Equipment damage
could occur.
Drainage bag holders are mounted on the
center of the bed. The safe working load of
each drainage bag holder is 5.5 lb (2.5 kg).
The holders may be used for any
combination of these drainage devices:
•Fecal incontinence bag
•250/2000 ml Foley collection bag
•PLEUR-EVAC®1 on foot end holders
(during transport only)
When the bed is docked, put the PLEUR-EVAC® device or other chest drainage devices
on the floor, clear of the bed so there is space for bed movement.
The drainage bag holders facilitates the use of vest, wrist, waist, and ankle restraints.
Hill-Rom makes no recommendation re garding the us e of physical restraints. Users should
refer to legal restrictions and applicable facility protocols before physical restraints are
used.
1. PLEUR-EVAC® is a registered trademark of Deknatel, Inc.
12
Use the Footboard Ca regiver Con trols
WARNING:
Mechanical parts under the bed pose a ri sk of serious injury. Exercise control over
visitors, especially children, to keep people out from under the bed and prevent
unauthorized access to the bed position i ng controls. Failure to do so could result
in patient injury, personal injury, or equipment damage.
The caregiver controls are installed
in the footboard.
Raise and Lower the Head and Knee Sections
Head Section
WARNING:
To help prevent inadvertent bed
movement, make sure the casters are locked before
raising or lowering the head section. Failure to do so
could result in patient injury, personal injury, or
equipment damage.
• Raise—Press and hold the Head Up control until the head
section is at the applicable angle.
• Lower—Press and hold the Head Down control until the
head section is at the applicable angle.
NOTE:
The head section stops at any angle between the flat
horizontal position and an upright position of approximately
50°.
Knee Section
• Raise—Press and hold the Knee Up control until the knee section is at the applicable
angle.
• Lower—Press and hold the Knee Down control until the knee section is at the
applicable angle.
13
Raise and Lower the Bed
The bed adjusts in height from a low position, for patient entry or exit, to
a high position, for examination.
• Raise—Press and hold the Hilow Up control until the bed is at the
applicable height.
WARNING:
Use caution when lowering the bed frame. To avoid injury, keep
extremities from under the lowering bed frame.
• Lower—Press and hold the Hilow Down control until the bed is at the
applicable height.
Use the Enable Contr ol
The Enable control is on the footboard caregiver controls only. The Enable
control helps prevent unauthorized operation of certain caregiver controls.
The Enable control must be engaged before the caregiver controls will
operate. When engaged, the Enable indicator stays on for 60 seconds.
During this time, the caregiver can use any caregiver Trendelenburg positioning or bed
function lockout control.
Lock Out the Bed Controls
The Lockout controls on the caregiver
siderail control panel lock out the bed’ s
articulating functions. Each function can
be locked out individually , or using the All
Knee
Head
Hilow
All
Motors Lockout control, all functions can
be locked out at the same time.
• Lock—Press and hold the Enable control, and then press the applicable lockout control.
The control’s lockout indicator will come on.
• Unlock—Press and hold the Enable control, and then press the applicable lockout
control. The control’s lockout indicator will go off.
14
Put the Bed in the Bed Flat or Tr endelenburg or Reverse Tr endelenburg Position
Bed Flat
Bed
Flat
Trendelenburg
The Bed Flat control puts the sleep deck
in the flat position (head and knee section
down).
Reverse
NOTE: Trendelenburg
The Bed Flat control does not take the
bed out of the Trendelenburg or Reverse T rendelenbur g posi tion.
1. Press the Enable control.
2. Press and hold the Bed Flat control until all sections are flat and the system stops.
Trendelenburg or Rever se Trendelenburg
The Excel Care™ Bariatric Bed is capable of 12° Trendelenburg and 10° Reverse
Trendelenbur g. The T rendelenbur g and Reverse T rendelenburg controls can be operated at
any bed height.
1. Press the Enable control.
2. For Trendelenburg, press and hold the Trendelenburg control until the foot end of
the bed rises relative to the head end.
or
For Reverse Trendelenburg, press and hold the Reverse T rendelenburg control
until the head end of the bed rises relative to the foot end.
3. To change the bed position to Trendelenburg or Reverse Trendelenburg, do one of
these:
• Press the opposite Trendelenburg control: Trendelenburg or Reverse
Trendelenburg.
•Press the Hilow control (see “Raise and Lower the Bed” on page -14).
15
Use the Patient Pendant
Install and Remove the Patient Pendant
• Install—
1. Connect the patient pendant
to the bed at one of the
connectors on either side of
the bed.
2. Put the pendant into position
next to the opening in the
head end siderail.
3. Set the top edge of the
pendant into the siderail so it engages the upper section of the siderail.
4. Turn the lower edge of the pendant in until it clicks into place inside the siderail.
• Remove—Gently pull on the lower edge of the pendant until it pops out of the siderail.
Raise and Lower the Head and Knee Sections
Head Section
WARNING:
To help prevent inadvertent bed movement, make sure the casters are locked
before raising o r lowerin g the head secti on. Failure to do so could result in patient
injury, personal injury, or equipment damage.
• Raise—Press and hold the Head Up control until the head section is at the applicable
angle.
• Lower—Press and hold the Head Down control until the head section is at the
applicable angle.
NOTE:
When the head section is articulated, the automatic contour function also articulates the
knee section.
Knee Section
• Raise—Press and hold the Knee Up control until the knee section is at the applicable
angle.
• Lower—Press and hold the Knee Down control until the knee section is at the
applicable angle.
16
Weigh the Patient
Use the scale to get and monitor the weight data of the patient.
Scale Controls
• Zero—Changes the weight display to zero. Do not press when the patient
is in the bed.
• Weigh—Weighs the patient.
• Pounds/Kilograms (lb/kg)—Switches the display mode to either pounds
(lb) or kilograms (kg).
• Hold—Lets items be added or removed from the bed without affecting
the shown patient weight value, or if a known error exists, to lets the
caregiver manually correct the shown patient weight.
• Add (+)/Subtract (-)—When in the Hold mode, lets the
caregiver manually adjust the shown patient weight, if a
known error exists.
17
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