Authorized European Union Representative:
HILL-ROM SAS
B.P. 14 - Z.I. DU TALHOUET
56330 PLUVIGNER
FRANCE
TEL: +33 (0)2 97 50 92 12
No part of this text shall be reproduced or transmitted in any form or by any
means, electronic or mecha nical, including photocopying, recording, or by any
information or retrieval system without written permission from Hill-Rom
Services, Inc. (Hill-R om).
The information in this manual is confidential and may not be disclosed to third
parties without the prior written consent of Hill-Rom.
Fifth Edition
First Printing 2003
Printed in the USA
Active Integrated Response™ is a trademark of Hill-Rom Services, Inc.
CSA® is a registered trademark of Canadian Standards Associati on, Inc.
FlexAfoot™ is a trademark of Hill-Rom Services, Inc.
Hill-Rom® is a registered trademark of Hill-Rom Services, Inc.
IntelliDrive® is a registered trademark of Hill-Rom Services, Inc.
Line-of-Site® is a registered trademark of Hill-Rom Services, Inc.
OneStep® is a registered trademark of Hill-Rom, Inc.
PLEUR-EVAC® is a registered trademark of Deknatel, Inc.
Point-of-Care® is a registered trademark of Hill-Rom Services, Inc.
SideCom® is a registered trademark of Hill-Rom Services, Inc.
The UL logo is a registered trademark of Underwriter’s Laboratories, Inc.
VersaCare™ is a trademark of Hill-Rom Services, 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 (USR119), refer to the back cover for
contact information. For countries not listed on the back cover, contact your
distributor.
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.
This manual contains different typefaces and icons designed to improve readability and increase
understanding of its content. For a list of symbols used on the product, see “Product Symbol Definition”
on page 50.
Note the following examples:
•Standard text—used for regular information.
•Boldface text—emphasizes a word or phrase.
•NOTE:—sets apart special information or important instruction clar ific ation.
•The symbol below highlights a WAR NING or CAUTION:
Warning and Caution
–A WARNING identifies situations or actions that may affect patient or user safety . Disregarding a
warning could result in patient or user injury.
–A CAUTION points out special procedures or precautions that personnel must follow to avoid
equipment damage.
•The symbol below highlights a CAUGHT HAZARD WARNING:
Caught Hazard Warning
•The symbol below highlights a CHEMICAL HAZARD WARNING:
Chemical Hazard Warning
•The symbol below highlights an ELECTRICAL SHOCK HAZARD WARNING:
Electrical Shock Hazard Warning
5
Intended Use
The VersaCare™ Bed is intended for low to moderate acuity patients in the medical/surgical area of the
hospital. The VersaCare™ Bed can also be used as a general-purpose variable height hospital bed for
general care, post-operative care, and general medicine wards.
Introduction
This manual provides the information required for normal operation of the VersaCare™ Bed from
Hill-Rom. Before operating the V ersaCare™ Bed, be sure that you have read and understood in detail the
contents of this ma nual. I t is impor ta nt that you read and strictly adhere to 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.
Some configurations of the VersaCare™ Bed may be 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, taking into account the scale performance parameters specified in this manual.
6
Features
O
N
R
Q
U
A
T
B
S
C
D
E
P
F
M
L
K
J
I
H
G
ItemDescriptionItemDescription
ASpeakerLLine-of-Site® Trendelenburg Angle Indicator
BPatient Siderail Control PanelMPoint-of-Care® Brake and Steer System
CPatient Hip Position IndicatorNCPR/Emergency Trendelenburg Release
Mechanism
DPatient Pendant (Optional)OPatient Restraint Point
EShort Stay Sleep Surface or Treatment Sur-
PLine-of-Site® Head Angle Indicator
face (Optional)
FFootboardQHeadboard
GDrainage Bag HolderRI ntelliDrive® Transport System Handle
(Optional)
HFlexAfoot™ Retractable Foot MechanismSOneStep® Siderail Release Mechanism
IIntelliDrive® Tra nsport System (Optiona l)TAir System/Scale/Bed Exit Alarm System
When activated, the CPR release decouples the head section actuator so that the head section may lower
to the horizontal position. This function is gas-assisted to cushion the movement and can be used when
power is not available. If a treatment surface is installed, it will go into Max-Inflate to support a CPR
board. After 30 minutes of Max-Inflate, the treatment surface will go into Pressure Relief mode.
The emergency CPR controls are handles located under
the sleep deck, between the head and intermediate
siderails on both sides of the bed.
To Activate
1. Pull and hold the handle.
2. Hold the handle until the head and knee section
come to a stop in the flat position and the foot
section stops raising.
3. Release the handle.
During activation, releasing the CPR control handle will cause the head section to stop lowering.
The head section actuator is automatically re-enable d after the CPR control handle is releas ed.
Emergen cy Trendelenburg
The emergency Trendelenburg allows the head end of the bed to lower to a maximum inclination of 15°.
The emergency Trendelenburg controls are handles
located under the sleep deck, between the head and
intermediate siderails on both sides of the bed. They are
the same controls as the emergency CPR.
The emergency Trendelenburg control works only
when the bed is connected to AC power or when battery
power is activated.
To Activate
1. Make sure the bed is plugged into AC power or
the battery is activated.
2. Pull the CPR control handle with one hand.
3. Hold the handle until the head and knee sections come to a stop in the flat position, if not currently
in the flat position.
4. Continue to hold the CPR control handle until the desired inclination is reached.
8
The head section actuator is automatically re-enable d after the CPR control handle is releas ed.
Caregiver Siderail Controls
The Caregiver Siderail controls are located on the outside of each head end siderail.
There are two sets of Caregiver Siderail controls. The first set is mounted on the outside of both siderails
and control the bed position functions. The second set, for the optional bed functions, is mounted on a
flip-up control pod in the head end siderails. The second set of controls is for the scal e, t reatment surface,
and the Bed Exit Alarm System.
Instruct visitors not to attempt operation of caregiver controls. They may assist the patient with patient
controls.
Standard Caregiver
Bed Function
Control Panel
Optional Caregiver
Bed Function Flip-Up
Control Pod (A model)
Optional Caregiver
Bed Function Flip-Up
Control Pod (B model)
Enable Control
The Enable control is located on the outside of both siderails and on the optional flip-up
control pod. The Enable control deters unauthorized operation of certain caregiver controls.
The Enable control must be activated before the caregiver controls will operate. When
activated, the Enable indicator stays on for 60 seconds. During this time, the caregiver can
use any caregiver controls outside of the blue section of the caregiver control panel. Controls located
inside the blue section do not require the Enable control to be activated.
The Enable control doe s not enable the caregiver foot controls.
To Activate
1. Press the Enable control. An indicator illuminates and the Enable control is active for 60 seconds.
2. During the 60-second period, press the desired caregiver control. The 60-second period starts over
when another control is pressed.
See “Lockout Control” on page 10 for instructions for using the lockout controls.
The following caregiver controls do not require activation of the Enable control: Bed Up/Down, Head
Up/Down, Knee Up/Down, and Nurse Call.
Bed
Up/Down
Head
Up/Down
Knee
Up/Down
Nurse Call
9
Lockou t Con tr o l
The Lockout controls, located on the caregiver siderail
control panel, disable the bed’s articulating functions.
To Activate
Simultaneously press and hold the Enable control, and
then press the desired lockout control. Both patient and
caregiver controls are locked out, including the foot
controls. An indicator illuminates when a lockout is
active.
To Deactivate
Simultaneously press and hold the Enable control, and
then press the respective Lockout control. The indicator
will go out.
The Lockout control disables all articulation controls except for the emergency CPR.
Bed Head
Up/Down
Lockout
All Motors Lockout
Up/Down
Lockout
Bed Up/Down
The VersaCare™ Bed adjusts in height from a low position for patient exit to a high
position for examination. The Bed Up/Down controls are located on the head end siderails.
To Activate
1. Press and hold the Bed Up control to raise the bed. When the desired height is
reached, release the control.
Knee
Up/Down
Lockout
2. Press and hold the Bed Down control to lower the bed. When the desired height is
reached, release the control.
3. T o disable the Bed Up/Down control, activate the Bed Up/Down Lockout control. See
“Lockout Control” on page 10.
Obstacle Detectio n
The VersaCare™ Bed is equipped with an
obstacle detection system that runs along the
three open sides of the base frame. This
system detects objects that are between the
upper frame and the base frame.
If an object is detected while the bed sleep
deck is lowering, the bed will stop lowering,
and then raise automatically for 2 seconds.
The Bed Not Down indicator on both
siderails will flash.
If an object is detected before the Bed Down
control is pressed, the obstacle detection
indicator on both siderails will flash, and the
sleep deck will not lower.
10
Head Up/Down
Using the Head Up/Down controls, the caregiver can adjust the head section to specific
angles. There are Line-of-Site® Angle Indicators located in the head end siderails to show
the position of the head section.
The maximum travel for the head section is 65°.
To Activate
1. Press and hold the Head Up control to raise the head section. When the desired position
is reached, release the control.
2. Press and hold the Head Down control to lower the head section. When the desired
position is reached, release the control.
Automatic contour is not active when using the caregiver controls, it is only active with the patient
controls. See “Automatic Contour” on page 25.
Knee Up/Down
Using the Knee Up/Down control, the caregiver can raise or lower the knee section.
The knee section has a maximum travel of 16°.
To Activate
1. Press and hold the Knee Up control to raise the knee section. Release the control when
the desired position is reached.
2. Press and hold the Knee Down control to lower the knee section. Release the control
when the desired position is reached.
Trendelenburg and Reverse Trende lenburg
The VersaCare™ Bed is capable of 15° Trendelenburg and
10° Reverse Trendelenburg. The Trendelenburg and
Reverse Trendelenburg controls can be activated at any bed
height.
The Trendelenburg and Reverse Trendelenburg Line-ofSite® Angle Indicators are located in the foot end siderails.
To Activate
1. Press the Enable control.
2. For Trendelenburg, press and hold the Trendelenburg
control until the foot end of the bed raises relative to
the head end.
Trendelenburg
or
For Reverse Trendelenburg, press and hold the Reverse Trendelenburg control until the head end of
the bed raises relative to the foot end.
11
3. To return to the flat position, press the opposite
control (Trendelenburg or Reverse Trendelenburg) or
press the Bed Up/Down control until the bed reaches
the full up or full down position.
Reverse
Trendelenburg
Bed Flat
The Bed Flat controls are provided so that a caregiver can easily return the sleep deck to the
flat position (head and knee section down, and foot section up if it is down) from any
articulated position. The Bed Flat control returns only the sleep deck to the flat position, it
does not change the angle of the bed.
To Activate
1. Press the Enable control.
2. Press and hold the Bed Flat control. When all sections are flat, the system stops.
Chair Positioning Controls
WARNING:
Make sure the area below the foot section, especially if the footboard is removed, is clear of
equipment and persons prior to operating the chair control. Failure to do so can result in injury
or equipment damage.
WARNING:
Do not use mattress overlays while in the chair position. Patient injury or equipment damage
may occur.
WARNING:
Check periodically to make sure that the patient remains in the proper position. The use of
pillows can help maintain a side-to-side position. Failure to do so may result in patient injury.
The chair positioning controls are located on the outside of the head end siderails. When activated, the
bed will articulate to a maximum of 65° for the head section, 16° for the knee section, and -27° for the
foot section.
To Activate
1. Set the brake.
2. Press the Enable control.
3. Press the Chair control. The patient deck transitions to the chair
position.
12
If additional chair inclination is required, use the reverse Trendelenburg control to provide an additional
10° of forward chair movement.
Vascular Position
The vascular position allows the caregiver to place the patient’s
legs above the level of the patient’s sternum.
To Activate
1. Lower the head section to the desired position.
2. Raise the knee section to the desired position.
3. Use the Trendelenburg control to position the sleep deck in
the desired position.
To Return to the Flat Posit i on
1. Use the Reverse Trendelenburg control to return the bed frame to the horizontal position.
2. Use the Bed Flat control to return the sleep deck to the flat position.
Battery Cont rol
The Battery control is located at the head end of the bed, on the right side,
under the headboard just below the power cord.
To Activate
Press the Battery control. All functions, except the controls on the
control pod, are available. The battery stays active for 10 minutes
after the last control is activated.
If the battery charge level is low, an indicator will flash. T o rec harge the battery, plug the bed into an
appropriate power source.
WARNING:
Keep the bed plugged into the power source until the battery indicator steadily illuminates
(charging time is approximately 10 hours). Failure to do so could re sult in the inability to operate
the bed when power is not available.
While the battery is charging, the indicator flashes. When the indicator steadily illuminates the battery is
fully charged. When plugged into an appropriate power source and the indicator is not illuminated, the
battery has lost all of its charge or is disconnected.
Point-of-Care® Brake and Steer Control
WARNING:
Unless trans porting the p atient, a lways set the brakes when t he bed i s occupied. Recon firm t hat
the brakes are set before any patient transfer. Failure to do so may result in personal injury or
equipment damage.
The Point-of-Care® Brake and Steer controls are located on the four corners of the bed frame. There are
three positions: Brake, Steer, and Neutral. The brake position keeps the bed from moving. The steer
position helps move the bed in a straight line. The neutral position allows the bed to be moved sideways
in rooms or small enclosed areas.
13
The head end brake and steer control is a butterfly styled control. Stepping down on either side of the
NOTE:
control will activate a brake or steer function. The foot end brake and steer control is a single sided
control. Pressing down or lifting up the control will activate a brake or steer function.
To Activate
Head End Control
Foot End Control
Step down on the
brake and steer
control until it stops.
NeutralBrake (orange control)
Using your foot, lift or press
the brak e an d steer co n trol
until it travels to the m iddle
detent.
Steer (green peda l )
Using your foot, li ft or pres s
the brake and steer cont rol to
the full up posit ion.
Head and Foot Siderails
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 that all siderail s are full y latche d w h en in th e r ai sed positi on . F ailure to
do either of these could result in serious injury or death.
Siderails are intended to be a reminder to the patient of the bed's edges, not a patient-restraining device.
When appropriate, Hill-Rom recommends that medical personnel determine the proper methods
necessary to make sure a patient remains safely in bed.
The VersaCare™ Bed sider ai ls have been designed wi th the OneStep® Siderail Release Mechanism for
one-step operation.
14
Siderails in the raised position are intended to make the patient aware of the proximity of the edge of the
sleep surface and to assist in patient entry and exit.
Siderails in the down position, below the patient surface, make a patient’s entry or exit from the bed
easier. This design feature also makes it easier for the caregiver to have unobstructed access to the
patient.
The head end siderails contain the Line-of-Site® Head Angle Indicators. The foot
end siderails house the Line-of-Site® Trendelenburg/Reverse Trendelenburg
Angle Indicators.
To Raise a Siderail
1. Pull the siderail up until it latches into the locked
position. A click will be heard when it latches into the
locked position.
2. Once the click is heard, gently pull on the siderail to
make sure it is latched properly.
To Lower a Siderail
Grasp the release handle and pull out. The siderail
automatically lower s below the slee p surface
perimeter.
Sleep Sur fa ces
Two types of sleep surfaces can be used with the VersaCare™ Bed: prevention foam and Active
Integrated Response™ treatment surface. Both sleep surfaces are uniquely designed to match the
contours of the bed frame during all bed functions.
It is recommended to use 84" (213 cm) fitted sheets with the sleep surfaces for the VersaCare™ Bed.
WARNING:
Some safety featur es of the VersaCare™ Bed may not function or ma y not op erat e as i nten ded
with surfaces manufactured by other companies. Check with the surface manufacturer to
determine those safety features of the bed that have been tested and verified to work properly
with the repl aceme nt surf ace. Fa il ure to do so cou ld result i n serious p erson al injury or dam age
to equipment.
15
NOTE:
Hill-Rom recommends the use of Hill-Rom surfaces that have been designed and tested specifically for
the VersaCare ™ Bed. Customer s el ecti ng to purchase replacement sur f aces from other manufacture rs
should confirm that the replacement surface, when used in conjunction with the VersaCare™ Bed, meets
applicable regulations, regulatory guidance and technical standards and does not create unacceptable
risks of injury to patients or caregivers. Specifically, Hill-Rom suggests that surfaces utilize dimensions
and construction to minimize gaps where entrapment could occur, provide for sufficient height between
the surface and the top of the siderail to prevent accidental roll-over events, provide appropriate firmness
at the edges of the surface to facilita te safe tra ns fers into and out of the bed, and do not interfere with the
proper operation of siderails.
Prevention Foam Sleep Surface
The prevention foam sleep surface accommodates a patient weight up to 500 lb (227 kg), a width up to
35" (89 cm), and a height between 59" and 84" (150 cm to 213 cm).
The prevention foam sleep surface consists of two parts: the upper section and the lower section. The
lower section retra cts a nd e xtends with the bed and helps to prevent pressure ulcers on the patient's heels.
To achieve heel relief, position the patient, then activate the Foot Extend or Foot Retract caregiver
control until the heels are properly aligned.
Active Integrated Response™ Treatment Surface
WARNING:
Contraindication: The Active Integrated Response™ treatment surface is not for use with
patients who have unstable spinal cords. Patient injury could occur.
The Active Integrated Response™ treatment surface accommodates a patient weight up to 500 lb (227
kg), a width up to 35" (89 cm), and/or a height between 59" and 84" (150 cm to 213 cm). This surface
helps to prevent pressure ulcers for patients weighing up to 300 lb (136 kg).
The Active Integrated Response™ treatment surface consists of three air zones and one foam zone. The
three air zones control interface pressure in the head and torso, seat, and heel areas of the patient to help
prevent pressure ulcers. The foam zone, located betwee n the seat and heel zones, retracts and extends
with the bed. The treatment surface has six modes: pressure relief, max-inflate, right turn assist, left turn
assist, sleep, and off.
Active Integrated Response™ Surface Controls
Pressure Relief
When the bed is connected to AC electrical power, the system automatically puts the
surface into Pressure Relief mode and adjusts the air pressure in the zones according to the
patient's size and the head section elevation.The controls are located on the left and right
siderail flip-up pod.
To Activate
1. Press the Enable control.
2. Press and release the Pressure Relief control. An indicator will illuminate when the
mode is active.
16
Max-Inflate
Max-Inflate mode causes the sleep surface to become very firm. This mode should be used for short
periods of time such as bed entry, bed exit, or meals. This mode is automatically activated whenever the
Emergency CPR is activated or when the Max-Inflate control is activated. After 30 minutes, if no other
NOTE:
NOTE:
mode is selected, the Pressure Relief mode activates automatically.
To Activate
1. Press the Enable control.
2. Press and release the Max-Inf late con trol. An indicator will illum inate when the mode
is active.
To Deactivate
Press the Pressure Relief control.
Heel Relief
Heel Relief is achieved by extending or retracting the bed foot
section to align the patient's heels in the heel relief zone.
To Activate
•Press the Enable control.
•Press and hold the Foot Extend or Retract control to move
the foot section in or out as required.
Turn Assist
Turn Assist mode is used to assist caregivers in turning the
patient left or right. When this mode is activated, the head and
seat bladders will be adjusted. An internal air bladder will inflate to start the turning process. After the
patient reaches approximately 20°, it will stabilize for 10 seconds. After the 10 seconds, an alarm will
sound and the bladder will quickly deflate. Turn Assist mode assists the caregiver in turning the patient
for linen changes, dressing changes, bed panning, back care, or other nursing procedures.
The siderails on the side that the patient is turning toward must be in the up position. For instance, if
turning the patient right, the right siderails (both head and intermediate) must be up and locked.
To Activate
1. Make sure the head angle is below 25°.
2. Make sure the siderails are in the up and locked position on the
side the patient is turning toward. Turn assist will not start until
the siderails are up.
Left Turn
If the siderails are not in the correct position or the head section is not
Enable Control
Right Turn
below 25°, an indicator will flash and an alarm will sound.
3. Press the Enable control.
4. Press and release the Left Turn or Right Turn Assist control. The
indicator will illuminate.
Siderail Not
Up Indicator
Pressure
Relief Mode
5. The turn assist bladder will inflate and rotate the patient approximately 20°, which takes about 30
seconds. The system will hold the pressure for ten seconds. After ten seconds, an alarm sounds,
then the turn assist bladder deflates and returns to Pressure Relief mode.
If the surface is in the Turn Assist mode and a siderail is lowered, a brief alarm will sound to indicate that
the patient is at risk of rolling out of the bed.
17
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