8070 Professional User Manual Only for Joerns Bed model number 2003DC #B684DC modified for the Posey Bed U.S. Pat. No. 7,735,167 Rx ONLY Posey Company • 5635 Peck Road, Arcadia, CA 91006-0020 USA Phone: 1.800.447.6739 or 1.626.443.3143 • Fax: 1.800.767.3933 or 1.626.443.5014 • www.posey.
How to Use this Manual Introduction This User’s Manual is intended for professionals providing care to patients in the Posey Bed who have successfully completed the Posey Bed In-Service Training Program. In addition to this manual, you should also review: • The Assembly Instructions • The In-Service Training Manual Symbols The symbols below are used throughout this manual and should be carefully read.
Table of Contents Topic See Page Welcome to the Posey Bed 8070 . ........................................................................................................................ 4 About the Posey Bed 8070 ........................................................................................................................................5 Contraindications . ..........................................................................................................................................
Welcome to the Posey Bed 8070 Introduction The Posey Bed 8070 is a hospital bed, canopy, and mattress system designed to help provide a safe, controlled environment for patients at extreme risk of injury from a fall or unassisted bed exit. Prescription Only and Required Training Because the bed is a restraint, its use must be prescribed by a licensed physician.
About the Posey Bed 8070 Indications for Use The Posey Bed is a hospital bed, canopy, and mattress system designed to help provide a safe, controlled environment for patients at extreme risk of injury from a fall or unassisted bed exit. The Posey Bed is a less restrictive alternative to physical restraints such as belts, vests, or jackets for patients at least 46 inches tall, weighing between 46 and 300 pounds. The Posey Bed is a restraint, and must be prescribed by a licensed physician (Rx ONLY).
Contraindications When Not to Use the Device Given the nature of some patients’ diagnoses, activity level, or uncontrolled movements, the Posey Bed is not suitable for every patient. The Posey Bed is not intended for use with: • Patients who weigh less than 46 pounds, or are shorter than 46 inches. – These patients are at risk of serious injury or death, and the Posey Bed 8070 has not been tested for use by such patients. • Patients who weigh 300 pounds or more.
A Special Note Background All hospital beds pose safety and entrapment risks. The U.S. Food and Drug Administration (FDA) received approximately 803 entrapment reports in the U.S. for standard hospital beds over a period of 24 years from January 1, 1985 to January 1, 2009.3 The FDA formed the Hospital Bed Safety Workgroup (HBSW) to develop solutions to reduce the risk of patient entrapment in hospital beds.
Patient Reassessment Reassess the need for use of the Posey Bed as the patient’s mental or physical health or status changes. Use the Posey Bed only if there is not a less restrictive alternative. Always use the least restrictive device available for the shortest time while you seek a less restrictive alternative. Alternatives to Restraint Use Review the patient’s mental and physical status often to ensure that the benefits of using the Posey Bed as a restraint outweigh the risks.
Description of the Posey Bed 8070 Bed Features and Benefits • Fully Automatic Low Hospital Bed Mattress level can be lowered to 19 inches (48 cm), and can be raised to 30 inches (76 cm). • 6 inch (15 cm) Enclosed Mattress Compartment Helps avoid the risk of a patient being trapped under the mattress • Nylon Canopy System A 70 cubic foot (2 cubic meters) rectangular green canopy surrounds the bed. The nylon is biocompatible.
Parts of the Posey Bed 8070 System 1. Enclosed Mattress Compartment. Accommodates a 6 inch (15 cm) mattress. 2. Nylon Canopy. The nylon material is water-repellent. 3. Two ‘U’ Side Panels. One (1) panel on each side with a single zipper on each panel for easy patient access. 4. Head (4a) and Foot (4b) Access Panels. Helps provide easy access to the head and foot of the bed with a single zipper on each panel. 5. Quick-Release Buckles. Clipped to zipper pull-tabs for added patient security. 6.
Warnings and Precautions Canopy Gaps Entrapment risk for certain at-risk patients Filler Cushions include canopy gaps. Raising the head of the Posey Bed will create “gaps” or Torso “pockets” between the head of the bed Cushion and the canopy. These areas pose an extreme risk of serious injury or death from entrapment to certain at-risk patients. Keep the mattress flat with the head of the bed down, when an at-risk patient is unattended. Use Posey Filler Cushions (Cat.
Warnings and Precautions (Continued) Importance of Patient Monitoring Alterations to the Posey Bed Check the Canopy Never leave a patient unattended without proper monitoring. Failure to monitor per your facility’s policy, the physician’s orders, or the care plan could result in serious injury or death. Never modify the bed for any reason. • Never add side rails or head or footboard to the bed. Doing so will increase the risk of entrapment or serious injury from contact with these parts.
Warnings and Precautions (Continued) Check the Zippers • Never use the bed if a zipper slider is bent open or damaged and the zipper is not securely closed. • Never use the bed if the zipper pull-tab is missing or broken. • Never leave the patient’s bedside until all access panel zippers are securely closed. QuickRelease Buckles must be connected and closed on all four (4) access panels before leaving the patient unattended.
Basic Bed Operation Introduction This section will address basic bed operations that you will do routinely when accessing and caring for a patient. These basic operations include how to: • Install or replace mattress, • Adjust bed height and head and knee positions, • Lock and unlock the casters, • Engage transfer brakes, • Zip and unzip the access panels, • Use the perimeter guards, • Use the tube ports.
Adjust the Bed Introduction The Posey Bed 8070 has an electronic bed control that adjusts bed height and head and knee positions. The double insulated power cord can be plugged into a 110-volt receptacle. Bed Control The bed control should be stored in the bed control pocket. The cord can be clipped out of the way using the bed control clip. This ensures that the bed control is out of the patient’s reach.
Lock and Unlock the Casters Introduction The Posey Bed has four (4) swivel-wheeled Locking Casters. Lock the brakes to help reduce the risk of unwanted bed movement. During patient care and transfers, lock all four (4) casters. How to Lock and Unlock the Casters To lock a caster, press down on the metal clip with your foot until it locks and you hear it click. NOTE: Look for the red brake sticker to verify the lock is disengaged.
Zip and Unzip the Access Panels Introduction The Posey Bed has four (4) zippered access panels each labeled: • 2 ‘U’ side panels (right and left) • 1 head panel • 1 foot panel All panels unzip for easy patient access. Using the QuickRelease Buckles There is a Quick-Release Buckle at the start of each zipper. To open the buckle, pinch the 2 sides together and pull the clip apart. To close the buckle, push the male and female ends of the Quick-Release Buckle together until you hear a click.
Zip and Unzip the Access Panels (Continued) How to Properly Zip and Unzip Panels Each zipper has a pull-tab for opening and closing zippers. Always use the pull-tabs to open and close the zippers. Always make sure that all zipper teeth are engaged. Refer to page 13 for zipper warnings and precautions.
Use Perimeter Guards Introduction The Posey Bed has a nylon fabric Perimeter Guard on each side of the patient compartment. These are temporary barriers only while the ‘U’ side panel is open for patient care. Never leave a patient unattended while the access panel is open and a Perimeter Guard is in use. The Perimeter Guard will not prevent the patient from falling out of the bed.
Use the Tube Ports Introduction Tube ports allow for tubes (food, drainage, etc.) and IV lines to be delivered to and from the patient while in the bed. How to run Tube/ Line To run a tube or line into the patient compartment, unzip the port, run the tube or line through the zipper opening into the patient compartment, and zip the port closed. A tube port in use: Do not place the tube through the netting. .2 23 Make sure zippers are fully closed when ports are not in use.
Before First-Time Use Purpose Before using the Posey Bed for the first time, it’s important to check that the bed has been properly assembled, is in an appropriate area, and anyone who interacts with a patient in the bed successfully completes training.
Guidelines for Proper Bed Location Purpose Patient safety requires that the bed is located in an area that provides easy access to the patient under both normal and emergency conditions. Who Should Do This? Head or Attending Nurse. Checklist Note: Each No (in table below) must be corrected before allowing a patient to occupy the bed. Prior to use with a new patient, photocopy and retain this checklist to record that each item has been verified. Check Yes No 1. Is the bed clean? 2.
New Patient Selection and Monitoring Purpose To make sure that the bed is appropriate for the new patient and that their first hours in the bed are safe and secure. Who Should Do This? Head or Attending Nurse.
Emergency Patient Access and Exit Purpose Under certain conditions such as when a patient experiences an emergency (such as respiratory failure or cardiac arrest), it is necessary to access the patient quickly and possibly exit the patient from the bed safely. Procedure Note: At least 2 people are needed for quick access and possible exit. Steps Disaster Planning 24 Do This 1. Access patient a. Raise the bed to disengage the transfer brakes. b.
Regular Daily Patient Care Introduction Patients using the Posey Bed should be carefully monitored and cared for according to the physician’s orders and the patient’s care plan.
Transfer Patient Into the Bed Purpose To safely get a new or existing patient into the Posey Bed. Do not use a patient lift unless previously tested. This will ensure there is enough clearance under the canopy frame to transfer the patient safely without damaging the canopy. During patient care and transfers, lock all four (4) casters or lower the bed to the lowest point to engage the transfer brakes. Procedure Note: Additional persons may be needed for a safe transfer. Step Do This 1.
Access and Care for Patient in the Bed Purpose To access safely and provide care to a patient in the Posey Bed including feeding, IVs, catheters, respiratory therapy, positioning, visitors and medicating. Make sure the patient is a safe distance from the side panel before accessing them. Serious injury may occur due to the added distance if the patient falls when the bed is raised. During patient care and transfers, lock all four (4) casters.
Transfer Patient Out of the Bed Purpose To safely assist a patient to exit the Posey Bed for toileting or other reasons. Do not use a patient lift unless previously tested. This will ensure there is enough clearance under the canopy frame to transfer the patient safely without damaging the canopy. During patient care and transfers, lock all four (4) casters. Procedure Note: Additional persons may be needed for a safe transfer. Step 28 Do This 1. Access the patient.
“Quick-Check 10” Before leaving a patient unattended, walk around the bed to e nsure that each condition is met. Introduction 4 7 3 10 1 5 2 8 Posey Bed 8070 6 9 1 Exterior: Area around the bed is clear of any tripping hazards. Interior: Clean and free of clutter and hazards. 2 Mattress (At-risk patients not able to reposition themselves): To avoid entrapment, keep the head of the bed flat and use a cushion to elevate the torso if necessary.
Quick Clean the Posey Bed Purpose Procedure To keep the Posey Bed clean and disinfected between complete bed and canopy cleanings. Steps Do This 1. Wipe the fabric with cleaning agent Note: Never use a concentration of cleaning agent greater than recommended by the manufacturer. a. Prepare a solution of diluted disinfectant or a water-based germicide. b. Use a damp cloth. c. Rinse with water to remove excess cleaning agent. 2. Dry fabric Either wipe or air dry before use. 3.
Posey Accessories The following accessories are appropriate for use with the Posey Bed 8070. NEVER use any accessory with the Posey Bed other than those recommended by Posey. A failure to heed this warning may result in serious injury or patient death. Posey Support Surface (8007) To provide additional padding and to help secure sheets by tucking them underneath the support surface. Posey Incontinence Pad (8005A) To help protect mattress and bedding from urine spills.
Troubleshooting and Frequently Asked Questions Canopy 1. Q: Why is the zipper difficult to open or close? A: It could be one or more of the following reasons: a. Fabric, bedding, or other material caught in the slider. To release material, back the slider off by pulling the tab in the opposite direction until the slider is free. Make sure the canopy is intact and there are no tears or holes in the fabric. b. Check the zipper teeth to make sure none of the coils are kinked. c.
Posey Limited Warranty What Does This Warranty Cover? Posey warrants to the original purchaser that the Posey Bed 8070 is free of defects in materials and workmanship. If the product is found to be defective in workmanship or materials, we will repair or replace it at our option at no charge, other than certain transportation and cleaning charges.
Notes
Notes
Your Local Authorized Posey Bed Dealer: Posey Company • 5635 Peck Road, Arcadia, CA 91006-0020 USA • www.posey.com Phone: 1.800.447.6739 or 1.626.443.3143 • Fax: 1.800.767.3933 or 1.626.443.5014 © 2013 Posey Company. All rights reserved.
