Posey Sitter Elite User Manual

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8345,

8345AC

Sitter Elite®

The Posey Sitter Elite Alarm is an important part of your fall management protocols.

Ensure all parts of this system are operational before leaving a patient unattended.

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.

Instruction Manual

Table Of Contents

Before You Begin . . . . . . . . . . . . . . . . .												3
Features of the Sitter Elite . . . . . . . . . . . . .										.	4-5
Each Sitter Elite is shipped to you with . . . . . . .										.	.	6
Preparing the Sitter Elite for Use . . . . . . . . . .										.	7-8
Storing the Sitter Elite, Battery Instructions and Care										.	.	.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 . . . . . . . . . . . . . . . . .												15
The SUSPEND Button . . . . . . . . . . . . . . .										.	.	16
Connecting to AC Power (Optional) . . . . . . . .										.	.	17
Nurse Call Interface with Optional Cord . . . . . .										.	.	18
Mounting the Sitter Elite . . . . . . . . . . . . .										.	.	19
Bed Mount . . . .	.	. .	. .	.	. .	. .	.	. .			19
Wall Mount . . .	.	. .	. .	.	. .	. .	.	. .	.		20
Chair Mount . . .	.	. .	. .	.	. .	. .	.	. .	.			21
Choosing the Right Method for Patient Monitoring .										.	. 22
Monitoring with a Sensor . . . . . . . . . . . . .										.22-24
Steps to Apply Over Mattress Sensor Pad . . . . . .										.	.25
Steps to Apply Chair Sensor Pad . . . . . . . . . .										.	.26
Monitoring in Optional Cord and Magnet Mode . .										.	. 27
Connecting Optional Magnet Cord to Patient . . . .										.	.28
The Sitter Elite and Use of Physical Restraints . . .										.	. 29
Warnings and Cautions . . . . . . . . . . . . . 30-32
Sensor Not Functioning . . . . . . . . . . . . . .										.	.32
Adapter Cable Replacement . . . . . . . . . . . .										.	.32
Alarm Cleaning, Storage and Battery Maintenance . .										.		33
Troubleshooting Guide . . . . . . . . . . . . . .										.34-36
System Components and Options . . . . . . . . .										. 37-38
Product Specifications . . . . . . . . . . . . . . .										.		39
Warranty and Repair Information . . . . . . . . . .										.		39

2	Sitter Elite

Before You Begin

The Posey Sitter Elite is an easy to use, restraint free addition to your fall management program. The Sitter Elite provides an early warning when a patient attempts to rise from a bed, chair or toilet. This system does not prevent falls or injury from falls and is not a substitute for patient care, rounding and a comprehensive fall 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, senile, or those with neurologic deficits.

•Patients receiving medications that may cause disorientation, drowsiness, dizziness, or frequent 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 fall management measure. See Posey catalog for options such as floor mats, and/or hip protectors among other fall management products.

Response Policy:

Make sure your facility has a clearly defined policy for response to fall 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 fall 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 (see pages 22-24).

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 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 (see pages 22-24).

Sitter Elite

Features of the Sitter Elite and the Sitter Elite AC

System

HOLD/SUSPEND

MODE

LED

MICROPHONE MIC

MAGNET

PLATE

FRONT VIEW	Rear View (Open Battery Door)
HOLD/SUSPEND			ON/OFF
	ON	OFF	ON/OFF

SWITCH

Sitter

™

BATTERY

COMPARTMENT

RIGHT SIDE VIEW

LEFT SIDE VIEW

	9V
AC POWER
ADAPTER	2
	0
	1
OUTLET	NURSE
	NURSE
	CALL
NURSE	TONE
NURSE
CALL
OUTLET
	SENSOR
SENSOR
OUTLET

DELAY

MODE

TONE

VOLUME

RECORD

4	Sitter Elite

Features of the Sitter Elite and the Sitter Elite AC

System (Continued)

•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 bed or chair without the need to turn off the alarm (e.g., for therapy, toileting or socializing). Alarm will resume monitoring when patient returns to the bed or chair.

•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, above bed mattress and chair belt sensor. Bed sensor pads work with most institutional mattress styles and mattress overlays. Alarm activates when weight is removed from sensor pad, 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 any nurse call system notification points.

Note: Order Cat. 8282 (Nurse Call Cable) for nurse call interface.

•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. There are no complicated cords or risk of power shortages or shock.

•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 power connection.

•AC Adapter. The Sitter Elite 8345AC enables user to operate on AC electrical power. The AC adapter is part of the 8345AC.

•Impact resistant cover. Helps minimize damage if dropped.

NEVER connect other manufacturers’ sensors to a Posey alarm. Use of another manufacturers’ sensors may damage the Posey alarm, cause the fall monitoring system not to function as intended, and will void the factory warranty.

Sitter Elite

Each Sitter Elite is shipped to you with:

•Alarm (1)

•“AA” Alkaline Batteries (4)

•Standard Bed Bracket (Cat. 8276) (1)

•Wall/Chair Bracket without wire clip (Cat. 8276) (1)

•“Hook” and “Loop” Adhesive Strip (Attach bracket to wheelchair)

NOTE: If you require the ability to run on AC power, order 8345AC.

6	Sitter Elite

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.	OFF
3. Insert four (4) new “AA” alkaline

Fig. 1

SIZE

Qty4AAAlkaline

ANSI-15AIEC-LR6

batteries as pictured inside the	ON
batteries as pictured inside the		SIZE
		AA
battery compartment (fig. 3).
Take care not to damage battery	Fig. 2	Fig. 3
contacts.	Fig. 2	Fig. 3
contacts.

4. Reattach the battery compartment door. Slide it shut, locking it into place.

DELAY MODE TONE VOLUM RECOR

•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 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 (see pages 22-24).

NOTE: If alarm loses power for more than four (4) minutes, all settings, including customrecorded voice message, will revert to factory default. If power is lost for less than four (4)

minutes, custom settings are preserved.

Sitter Elite

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 (see page 7). 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 (see page 34).

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.

Battery Leakage. If there is ANY evidence of battery leakage, remove 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.

DO NOT allow batteries to deplete while in the alarm. Change batteries 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 to avoid corrosion.

Remove batteries when storing the alarm for an extended period to prevent depleting the batteries and potential corrosion.

The Posey Sitter Elite is an electronic device. It may fail to work if subjected to severe shock, such as being dropped, or immersed in liquid. To reduce the risk of serious injury or death, 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. DO NOT use the alarm, sensor or 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 (see pages 22-24).

8	Sitter Elite

Setting Alarm Mode

The Sitter Elite has four (4) alarm modes. These allow you to select an alarm signal 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: 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.

TONE: 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.

VOICE ONLY: (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 repositioned 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 (see page 18).

MUTE: (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 (see page 18).

When using a nurse call cable, ensure the nurse call cable is plugged in to both the alarm and the wall jack before leaving the patient unattended. Verify that an 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).

	0
	1
TONE	TONE

Fig. 4

Fig. 5

Sitter Elite

Setting Alarm Mode (Continued)

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.

MODE

LED

HOLD/SUSPEND

Fig. 6

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.

10	Sitter Elite

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	TONE
	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	Fig. 7
	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.

TONE

Fig. 8

MODE

LED

HOLD/SUSPEND

Fig. 9

Sitter Elite

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.

ALWAYS check to ensure staff can hear alarm at the furthest possible distance before leaving patient unattended.

NEVER place alarm closer than two feet from patient’s ear. Doing so may 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.

TONE	TONE

Fig. 10

Fig. 11

12	Sitter Elite

+ 28 hidden pages