User's Manual
Business Guidelines – Processes and Procedures
Version: 2.3 72 10/15/2009
the leg and ankle around the bracelet daily as part of a shower. This includes the
application of soap and water and thoroughly rinsing and drying the skin between
the leg and bracelet. Any bracelet removed from an individual must be properly
cleaned and disinfected prior to being placed on another individual. Cleaning and
disinfecting must be done in accordance with the AMS-supplied materials and
instructions.
Individuals with diabetes are potentially at greater risk of discomfort and potential
adverse health effects than non-diabetic individuals. At this time, it is advised that these
individuals should not wear the SCRAM Bracelet for the following reasons:
• Individuals with diabetes are prone to vascular disease in their extremities and
should not wear the SCRAM Bracelet. These conditions are more common in
Type I diabetics.
• Pregnant women may experience ankle swelling in the later stages of pregnancy,
and should not wear the SCRAM Bracelet.
AMS is not trying to cause undue worry or concern about the health risks associated with
the SCRAM Bracelet. It is not feasible to understand the current health status and
medical histories of every individual assigned to SCRAM and make the determination if
they are an appropriate candidate or not. Therefore, if any serious irritation or redness
appears while an individual is wearing the SCRAM Bracelet, the source of the irritation
should be identified if possible and a determination made at that time if the individual
should remain on the SCRAM Program.
Communicable Diseases
To minimize the possibility that a communicable disease is inadvertently contracted by
anyone handling an infected bracelet, AMS requests that you strictly adhere to the
following policy.
Any bracelet that is removed from a client who is suspected of having any type of
communicable disease must be tagged with a description of the health condition or the
name of the known or suspected disease. The bracelet must be liberally sprayed with
Sporicidin
®
and, without wiping off the spray, placed in the biological hazard bag
provided by AMS so the tag can be read without opening the bag. When AMS reads the
tag, the bracelet will be safely disposed of as a bio-hazardous material. Your adherence to
this policy is mandatory for the protection of all personnel involved in the handling of
SCRAM equipment.
Pacemaker/Defibrillator Advisory
The SCRAM system uses a radio frequency in the 900 MHz range, which is a non-
licensed (i.e. public) frequency. Many wireless products all around you use this same
frequency range every day. Most notable is the 900 MHz cordless phones. Significant
research has been performed on the impact that cordless phones and cellular phones may
have on pacemakers and/or defibrillators.
For 900 MHz cordless phones, research performed by Wireless Technology Research,
LLC and supported by the FDA recommended that patients who have an implanted
pacemaker or defibrillator: