Posey 8345 User Manual
Sitter Elite
Instruction Manual
The Posey Sitter Elite Alarm is
an important part of your falls
management protocols.
Ensure all parts of this
system are operational
before leaving a
patient unattended.
8345
®
Optional magnet and cord
available upon request by
contacting Posey customer
service at 1.800.447.6739
Before using the Posey Sitter Elite, read this entire manual and save for future reference.
Contents
Before You Begin .........................................................................................................................3
Features of the Sitter Elite and the Sitter Elite AC System ..........................................................4-6
Preparing the Sitter Elite for Use ................................................................................................7- 8
Setting Alarm Mode ................................................................................................................ 9-10
Setting Alarm Tone. ....................................................................................................................11
Adjusting Alarm Volume. ............................................................................................................ 12
Time Delay ................................................................................................................................. 13
To Record a Message ................................................................................................................ 14
The HOLD Button (Sensor Use ONLY)......................................................................................... 15
The SUSPEND Button (Sensor Use ONLY) .................................................................................. 16
Connecting to AC Power (Optional) ............................................................................................. 17
Nurse Call Interface...............................................................................................................18-19
Choosing the Right Method for Patient Monitoring ...................................................................... 20
Monitoring with a Sensor.......................................................................................................20-22
Steps to Apply: Over-Mattress Sensor Pad ............................................................................22-23
Steps to Apply: Chair Sensor Pad ............................................................................................... 23
Steps to Apply: Chair Belt Sensor Pad ........................................................................................ 24
Steps to Apply: Toilet, Commode and Stretcher Sensor Pad ........................................................ 24
Monitoring in Optional Cord & Magnet Mode .............................................................................. 25
Connecting Optional Magnet Cord to Patient ...............................................................................26
The Sitter Elite and Use of Physical Restraints ............................................................................ 27
Warnings and Cautions ........................................................................................................ 28-30
Sensor Not Functioning .............................................................................................................. 30
Adapter Cable Replacement ....................................................................................................... 30
Mounting the Sitter Elite ........................................................................................................31-34
Alarm Cleaning, Storage and Battery Maintenance ..................................................................... 35
Troubleshooting Guide .......................................................................................................... 36-38
Alarm Specifications................................................................................................................... 39
Limited Lifetime Warranty...........................................................................................................39
Repair Service ............................................................................................................................ 39
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Sitter Elite
BEFORE YOU BEGIN
Before You Begin
The Posey Sitter Elite is an easy to use, restraint free addition to your falls management program.
The Sitter Elite provides an early warning when a patient attempts an unassisted exit from a sensor.
This system does not prevent falls or injury from falls and is not a substitute for patient care,
rounding and a comprehensive falls management protocol in your facility.
The Sitter Elite activates as the patient attempts to rise and removes pressure from the sensor or
disconnects the optional magnet. The Sitter Elite may be used with an optional cable to connect to
the nurse call system.
Indications for Use:
Persons who may benefit from the use of the Posey Sitter Elite include:
•
Patients with diminished cognitive or mobility skills. For example, the frail, disabled, or those with
neurologic deficits
•
Patients receiving medications that may cause disorientation, drowsiness, dizziness, or
f requent urination
•
Patients (new or existing) with a history of falls, or who are assessed to be at risk of falling based
on your selected fall-risk assessment
•
Patients who are restless or prone to get up in the middle of the night, e.g., due to incontinence,
or with nighttime voiding habits
•
Patients who require mandatory bed rest
Contraindications:
NOTE: The Sitter Elite may not be suitable for all high fall-risk patients. See Posey
catalog for other options for such patients.
The Sitter Elite should NEVER be used as the only means of surveillance for:
•
Agitated, combative or suicidal patients
•
Patients at extreme risk of a life-threatening fall (ex. patients with bone injuries or previous
hip fractures)
For these patients, Posey recommends use of the Sitter Elite along with a more intensive falls management measure. See Posey catalog for options such as floor mats, and/or hip protectors among
other falls management products.
Response Policy:
Make sure your facility has a clearly defined policy for response to falls management and fall
alarms. This may include contacting the patient over the nurse call intercom system and telling
them to return to their bed or chair and waiting for assistance, and/or sending staff immediately to
the patient’s location for assistance. Be sure to place a flag or notification device on the patient’s
door, in their room, and next to the respective patient’s room light at the nurse’s station to identify
high fall risk patients and alert staff to respond quickly to fall alarm situations.
Facility falls management policy should address the frequency of visits by nursing staff to:
•
Confirm patient is safe.
•
Attend to patient needs for nutrition, toileting, exercise, and therapy.
•
Check alarm function every time before leaving patient unattended.
If the alarm and/or sensor do not function properly, remove the alarm and sensor from service and
replace them with a properly functioning alarm and/or sensor. DO NOT use the alarm, sensor or
optional magnet if it does not activate each time weight is removed from the sensor, the chair belt
sensor is unfastened, or magnet is removed from face plate.
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3
FE ATU R E S
Features of the Sitter Elite
HOLD/SUSPEND
MODE LED
MICROPHONE
MIC
MAGNET PLATE
AC POWER
ADAPTER
INPUT
NURSE
CALL
OUTLET
FRONT VIEW
HOLD/SUSPEND
REAR VIEW
(OPEN BATTERY DOOR)
ON
OFF
ON/OFF
SWITCH
®
BATTERY
Sitter
™
RIGHT SIDE VIEW LEFT SIDE VIEW
9V
0
1
NURSE
CALL
SENSOR
2
TONE
COMPARTMENT
DELAY
MODE
TONE
VOLUME
RECORD
SENSOR
4
INPUT
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Sitter Elite
FE ATU R E S
Features of the Sitter Elite (Cont.)
•
Five alarm tones. There are five different alarm tone options which can be used in
different patient rooms, or to discern between different caregivers or levels of fall risk for
easy patient identification.
•
Four alarm modes. Four alarm modes allow for facility or alarm choices regarding caregiver
notification in the event the alarm is triggered. The alarm modes are “Voice and Tone”, “Tone
Only”, “Voice Only” and “Mute.”
•
Three alarm volumes. Three alarm volume settings allow for facility or alarm choices
regarding caregiver notification in the event the alarm is triggered. The volume options are low,
medium and high.
•
Voice feature. Allows a family member, friend or caregiver to record a personal message that will
sound if pressure is removed from the sensor pad, chair belt sensor is unfastened, or the magnet
is removed and the alarm mode is set to “Voice” or “Voice and Tone”. This feature can provide
patient communication in their language, or by a caregiver or family member for familiarity.
•
HOLD/SUSPEND Button. Allows you to remove a patient from a sensor pad without the need to
turn off the alarm (e.g., for therapy, toileting or socializing). Alarm will resume monitoring when
patient returns to the sensor pad.
•
Optional alarm delay of 0, 1, or 2 seconds. Allows you to adjust alarm timing for each patient.
The delay allows you to determine, by alarm, the number of seconds between the time pressure is
removed from the sensor, chair belt sensor is unfastened, and the time the alarm activates.
•
Sensor monitoring. This alarm connects to any Posey sensor pad, including chair, toilet,
commode, stretcher, over-mattress and chair belt sensors. Alarm activates when weight is
removed from sensor pad, or chair belt sensor is unfastened.
•
Optional Cord & Magnet monitoring. Alarm activates when magnet is removed. Magnet pull
cord adjusts to range of mobility and “safety zone” best suited for each patient.
•
Nurse Call Interface. Provides dual alarm notice at patient’s room and nursing station. Provides
the ability to mute the alarming function at the patient’s bedside and just alarm at nurse call
system notification points.
Note: Order Cat. 8282 (Nurse Call Cable) for nurse call interface, or the appropriate nurse call
adapter system, if needed.
•
Failsafe sensor alarm. The Posey Sitter Elite activates if the alarm is on and a sensor cord is
removed from the alarm. The failsafe will not function if the magnet is attached to the magnet plate.
•
Battery operated. The alarm utilizes four (4) “AA” alkaline batteries.
•
Audible low battery warning. Alarm “chirps” about every 15 seconds when batteries need
changing. This sound is different than any of the alarm tones and easily alerts caregivers of the
need to change batteries.
•
DC Jack. For AC connection.
•
AC Adapter. The Sitter Elite 8345 adapter connection enables users to operate on AC electrical
power. To obtain the AC adapter with the 8345 alarm, order the 8345AC.
•
Impact resistant cover. Helps minimize damage if dropped.
another manufacturer’s sensors may damage the Posey alarm, cause the fall monitoring
system not to function as intended, and will void the factory warranty.
NEVER connect other manufacturers’ sensors to a Posey alarm. Use of
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5
CONTENTS AND BRACKET OPTIONS
Each Sitter Elite is
shipped to you with:
•
Alarm (1)
•
“AA” Alkaline batteries (4)
NOTE: If you require the ability to run
on AC power, order 8345AC.
Customer may order the following
bracket systems:
8208G GCX Alarm Mounting
Bracket Assembly –
vertical wall mounts
8269 Alarm Attachment
Bracket with BioThane
bed and wheelchair mounting
8278N Narrow Saddle Bracket –
wheelchair mounting
*3M and Command™ are the worldwide trademarks or registered trademarks of 3M.
®
strap –
6
8208H Modular Services Alarm
Mounting Bracket – horizontal
wall mounts
8289 Wheelchair Bracket –
mounting on back of wheelchair
8208 Wall Bracket –
wall mounting
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™
8208CS Command
Alarm Mounting System –
wall mounting
8276 Wire Bracket –
headboard or footboard bed
mounting, or chair mounting
8288 Alarm Bracket –
IV pole
Strip*
Sitter Elite
ON
OFF
AA SIZE
OFF
PRESS
AA SIZE
AA SIZE
OFF
ON
ANSI-15A IEC-LR6
Qty 4AA Alkaline
DELAY
MODE
TONE
VOLUM
RECOR
PREPARING
Preparing the Sitter Elite for Use
Battery Installation:
The battery-operated Sitter Elite is portable and long lasting.
Fresh alkaline batteries have an estimated life of 30 days of
daily use. Actual life depends on alarm mode, tone and volume
you select.
Alarm will “chirp” about every 15 seconds when new batteries
are needed. Change batteries at once.
1. Slide the power switch to the OFF position before inserting/
changing batteries (Fig. 1).
2. Press down on the arrow and slide the battery compartment
door completely off (Fig. 2). Set battery door aside.
3. Insert four (4) new “AA” alkaline batteries as pictured inside
the battery compartment (Fig. 3). Take care not to damage
battery contacts.
4. Reattach the battery compartment door. Slide it shut, locking
it into place.
•
Take care when installing new batteries. The alarm will
not work if batteries are installed improperly.
•
ALWAYS install a completely new set of batteries
when the chirping, due to low battery power, sound
begins. DO NOT replace a single cell, but all cells
in the alarm. DO NOT mix old and new batteries, or
battery brands within a battery pack (4 batteries). Use
of mixed batteries, battery leakage, or batteries installed
incorrectly may cause battery damage, and may damage the alarm. Remove any alarm
from use and send to the appropriate facility authority if batteries are damaged or
corroded or the battery compartment has signs of previous battery corrosion such as
white powder residue.
•
Batteries can explode or leak and cause damage to alarm if installed incorrectly, fully
discharged, or exposed to liquid, fire or high temperatures. If battery damage has
occurred, or you see any corrosion, remove the alarm from use IMMEDIATELY. DO NOT
use the alarm if battery damage has been detected.
•
After changing batteries, test the alarm and sensor for proper operation prior to putting
in service with a patient, and each time before leaving the patient unattended. If the
alarm and/or sensor do not function properly, remove the alarm and sensor from service
and replace them with a properly functioning alarm and/or sensor.
NOTE: If alarm loses power for more than four (4) minutes, all settings, including custom-recorded
voice message, will revert to factory default. If power is lost for less than four (4) minutes, custom
settings are preserved.
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Fig. 1
Fig. 2
Fig. 3
7
PREPARING
Preparing the Sitter Elite for Use (Continued)
Storing Your Sitter Elite:
If you are storing the Sitter Elite for an extended period of time, you should turn the alarm off and
remove the batteries. Batteries start to corrode after an extended period of time (just like a flashlight). Corroded batteries will damage the alarm and may cause it not to function, or to function
intermittently.
ALWAYS close the battery door during storage to prevent damage.
NOTE: After four (4) minutes without battery power, all settings will revert to factory
default.
Store the alarm in a secure place so it will not be dropped or damaged. DO NOT use if:
battery door is missing; battery door is damaged; alarm case is damaged; or alarm case
is cracked.
the alarm from use and notify the appropriate facility authority. The alarm should be
disposed of according to your facility disposal requirements. DO NOT use the alarm and
DO NOT attempt to clean it if there are any signs of battery leakage such as corrosion,
rust or white powder residue.
immediately when hearing the low battery “chirp.” Depleted batteries may leak and
corrode, causing damage to the electronics and reliability. When storing the alarm for a
short period with power “on” to maintain custom voice messages and settings, check
the alarm every week to make sure the batteries are still operable and the alarm is
still on. If the alarm low battery alert is chirping, or the alarm does not power up, the
batteries are depleted and must be removed. DO NOT leave depleted (“dead”) batteries
in the alarm as this will cause corrosion.
Remove batteries when storing the alarm for an extended period to prevent depleting
the batteries and potential corrosion.
to severe shock, such as being dropped, or immersed in liquid. To reduce the risk of serious
injury or death,
patient, and each time before leaving the patient unattended. If the alarm and/or sensor do not
function properly, remove the alarm and sensor from service and replace them with a properly
functioning alarm and/or sensor
activate each time weight is removed from the sensor, the chair belt sensor is unfastened,
or magnet is removed from face plate.
Battery Leakage. If there is ANY evidence of battery leakage, remove
DO NOT allow batteries to deplete while in the alarm. Change batteries
The Posey Sitter Elite is an electronic device. It may fail to work if subjected
test the alarm and sensor for proper operation prior to putting in service with a
. DO NOT use the alarm, sensor or magnet if it does not
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Sitter Elite
TONE
TONE
0
1
2
SETTING MODE
Setting Alarm Mode
The Sitter Elite has four (4) alarm modes. These allow you to select an alarm notification best
suited to patient and facility needs. The LED blinks green above the mode that the alarm is set to
when the alarm is on (Fig. 6, page 10). The LED above the MUTE indicator blinks yellow when the
alarm is on and in “Mute” mode (Fig. 6, page 10).
Mode Features
VOICE &
TONE
TONE
VOICE
ONLY
MUTE
Depending on whether a custom voice recording is made, either the factory default
voice or a custom voice recorded message plays once, followed by the selected
alarm tone. The tone continues to play until alarm is placed on hold or patient is
repositioned with the magnet or sensor.
This is the factory default mode. Selected alarm tone plays until alarm is placed on
hold or patient is repositioned with the magnet or sensor.
This mode requires the nurse call cable to be plugged into your alarm and the
appropriate wall jack from your nurse call system. Custom voice or factory default
voice message plays repeatedly until alarm is placed on hold or patient is reposi
tioned with the magnet or sensor. This mode also activates the facility nurse call
system. Automatically switches to VOICE & TONE if a nurse call cable is removed
from the alarm.
This mode requires the nurse call cable to be plugged into your alarm and the
appropriate wall jack from your nurse call system. THERE IS NO AUDIBLE VOICE
MESSAGE OR ALARM TONE AT THE PATIENT’S BEDSIDE. This mode activates the
facility nurse call system. Automatically switches to VOICE & TONE if the nurse call
cable is removed from the alarm.
to both the alarm and the wall jack before leaving the patient unattended. Verify that an
When using a nurse call cable, ensure the nurse call cable is plugged in
alert is received at the nursing station if the cable is unplugged from the wall jack.
NOTE: There will be no alert at the nursing station or at the bedside if the nurse call cable is
unplugged from the alarm.
To Change/Select Mode
NOTE: “Voice Only” and “Mute” can be set only when
the nurse call cable is plugged into your alarm. With this
feature, all mode options are available. Be sure to plug the
nurse call cable into wall and test. YOU MUST PLUG THE
NURSE CALL CABLE INTO THE ALARM AND THE WALL
JACK IN ORDER TO ACTIVATE NURSING STATION ALERTS.
Follow these steps to change or select alarm mode:
1. Lift the programming control protective cover (Fig. 4).
2. Ensure alarm is on and either sensor pad, chair belt
sensor, or magnet is attached to alarm. Ensure pressure
is on sensor pad, chair belt sensor is connected, or
magnet is on face plate.
3. Press MODE button on left side of alarm to scroll
through the mode selections (Fig. 5).
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Fig. 4
Fig. 5
9
SETTING MODE
HOLD/SUS PEND
®
Setting Alarm Mode
4. LED light blinks green to indicate selected mode is in use
(Fig. 6). LED blinks yellow if the alarm mode is set to “Mute”
(Fig. 6).
5. If alarm is set to “Voice Only” or “Voice and Tone” mode
and custom recorded message does not play, re-record
message. If this does not work, remove batteries for at
least 1 hour to reset alarm to factory default. You can then
re-record the message.
The last option selected is the mode utilized when the
sensor is activated or magnet is removed from the face
plate, depending on which monitoring mode is selected.
6. If you are using the nurse call cable, check to make sure it is
plugged into the correct wall jack and the alarm. Make sure
the mode you select alerts at the nurse’s station when the
alarm is activated.
7. When “Voice Only” or “Mute” are selected, you must have the nurse call cable plugged into
your alarm and the appropriate wall jack for your nurse call system. Ensure that the nurse call
system indicators (nursing station and wall light) are activated when the cable is unplugged
from the wall jack.
8. Replace the programming control protective cover, securing it into place.
To test the modes requiring nurse call interface, remove pressure from the sensor, unfasten
the chair belt sensor, or remove the magnet from the face plate. Check at the nurse’s station
to ensure that the indicator for the appropriate patient alarms on the nurse call system and the
wall light, indicating there is no pressure on the sensor, chair belt sensor is unfastened, or the
magnet has been removed from the face plate.
(Continued)
Mode LED
Fig. 6
10
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Sitter Elite
TONE
TONE
0
1
2
HOLD/SUS PEND
®
SET TING TONE
Setting Alarm Tone
The Sitter Elite has five (5) available tones. This allows you to differentiate between patients and
other equipment alarms.
To Select Tone:
1. Lift the programming control protective
cover (Fig. 7).
2. Ensure alarm is on and either sensor
pad, chair belt sensor, or magnet is
attached to alarm. Ensure pressure
is on sensor pad, chair belt sensor
is connected, or magnet is on face
plate (green LED flashes above mode
selection, yellow LED flashes if mode is
set to “Mute” (Fig. 9).
3. Alarm mode must be set to either
“Voice and Tone” or “Tone” (see pages
9-10) in order to hear the selection.
4. Press TONE button on left side of alarm
to scroll through the tone selections
(Fig. 8).
5. Each time you press the button, tone
will change and a two (2) second
sample plays. The last sample heard
is the tone utilized for the alarm when
the sensor is activated or the magnet
is removed from the face plate,
depending on which monitoring mode
is selected.
6. Replace the programming control
protective cover, securing it into place.
Fig. 7
Fig. 8
Mode LED
Sitter Elite
Fig. 9
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11
TONE
TONE
0
1
2
ADJUSTING VOLUME
Adjusting Alarm Volume
There are three (3) alarm volume settings: low, medium and high. These allow you to select the
right volume for facility and/or patient needs.
All volume settings are within OSHA standards. For maximum staff alert in noisy areas, use
HIGHEST (loudest) volume setting.
distance before leaving patient unattended.
cause hearing loss or other injury. For more information, see: OSHA OCCUPATIONAL
NOISE EXPOSURE STANDARDS 1910.95.
To Change Volume:
1. Lift the programming control protective cover (Fig. 10).
2. Ensure alarm is on and either sensor pad, chair belt sensor, or magnet is attached to alarm.
Ensure pressure is on sensor pad, chair belt sensor is connected, or magnet is on face plate.
3. Alarm mode must be set to either “Voice and Tone” or “Tone” (see pages 9-10) in order to hear
the selection.
4. Press VOLUME button on left side of alarm to scroll through the volume selections (Fig. 11).
5. Each time you press the button, the volume changes and a two (2) second sample plays.
6. Continue to press the VOLUME button until you hear the desired volume. The last sample heard
is the volume in use.
7. Replace the programming control protective cover, securing it into place.
ALWAYS check to ensure staff can hear alarm at the furthest possible
NEVER place alarm closer than two feet from patient’s ear. Doing so may
12
Fig. 10
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Fig. 11
Sitter Elite
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