VersaCare P3200 and P3201 User Manual Rev 9

© 2008 by Hill-Rom Services, Inc. ALL RIGHTS RESERVED. Manufactured by: HILL-ROM 1069 STATE ROUTE 46 E BATESVILLE, IN 47006-9167 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 mechanical, including photocopying, recording, or by any information or retrieval system without written permission from Hill-Rom Services, Inc. (Hill-Rom). The information in this manual is confidential and may not be disclosed to third parties without the prior written consent of Hill-Rom. Ninth Edition First Printing 2003 Printed in the USA Active Integrated Response® is a registered trademark of Hill-Rom Services, Inc. ACUCAIR® is a registered trademark of Hill-Rom Services, Inc. Auto Contour™ is a trademark of Hill-Rom Services, Inc. Boost™ is a trademark of Hill-Rom Services, Inc. CSA® is a registered trademark of Canadian Standards Association, Inc. FlexAfoot™ is a trademark of Hill-Rom Services, Inc. FreedomHill™ 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. LibertyHill™ is a 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 Services, Inc. NaviCare® is a registered trademark of Hill-Rom Services, Inc. PLEUR-EVAC® is a registered trademark of Teleflex-CT Devices Incorporated. Point-of-Care® is a registered trademark of Hill-Rom Services, Inc. PrimeAire® 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 registered trademark of Hill-Rom Services, Inc. VersaCare® Bed User Manual (USR119 REV 9)

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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. Revision Original Issue A 3 4 5 6 7 8 9

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Pages Affected All All All All All All All All

Date December 2003 March 2004 November 2004 December 2004 April 2005 February 2006 July 2006 March 2007 March 2008

VersaCare® Bed User Manual (USR119 REV 9)

Table of Contents Document Symbols... 1 Intended Use... 2 Introduction... 2 Features... 3 Additional Features-G Model and Newer Beds... 4 Standard Features... 5 Emergency CPR... 5 Emergency Trendelenburg... 5 Caregiver Siderail Controls... 6 Enable... 7 Lockout-A through F Model Beds... 8 Lockout-G Model and Newer Beds... 8 Bed Up/Down... 9 Head Up/Down... 10 Knee Up/Down... 10 Trendelenburg and Reverse Trendelenburg... 10 Bed Flat... 12 Chair Positioning... 12 Foot Section Controls... 13 Safety and Information Indicators... 14 Battery Control... 15 Point-of-Care® Brake and Steer Control... 15 Head and Foot Siderails... 16 Sleep Surfaces... 18 Prevention Foam Sleep Surface... 18 Active Integrated Response® Treatment Surface... 19 Sleep Surface Removal and Installation... 22 Surface Overlays... 24 Foot Controls... 24 Patient Hip Position Indicator... 24 Headboard... 25 Footboard... 25 Patient Restraints... 26 Drainage Bag Holders... 26 Equipment Sockets... 27 Night Light... 27 VersaCare® Bed User Manual (USR119 REV 9)

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Standard Patient Controls... 27 Auto Contour™ Feature... 28 Additional Features-G Model and Newer Beds... 29 Boost™ Position System... 29 Head Angle Display... 29 30° Head Angle Alarm... 30 Line Manager... 30 Cord Wrap Clips with IV Pole Storage... 31 Integrated Transport Shelf... 31 Integrated IV Transport Handle... 32 Optional Features... 33 Push Handles... 33 SideCom® Communication System... 33 Nurse Call Control... 34 Patient Pendant... 34 Scale System... 35 Bed Set-Up... 35 Scale Display On/Off... 35 Zeroing the Scale... 36 Weighing the Patient... 36 Bed Exit Alarm System (A model beds) (Non-OIML beds only)... 37 Bed Exit Alarm System (B model and newer beds; Non-OIML beds only)... 40 IntelliDrive® Transport System... 43 Auxiliary AC Receptacle Option (120 V Version Only)... 45 NaviCare® System... 46 Wireless Interface Unit... 46 Optional Patient Controls... 47 Nurse Call... 47 Room Light... 47 Reading Light... 47 Volume Control... 47 Channel Control... 48 Music Control... 48 Television Control... 48 Closed Captioning... 48 Curtain Control... 48 Accessories... 49 IV Pole (P2217)... 49 iv

VersaCare® Bed User Manual (USR119 REV 9)

Infusion Support System (P158 and P158A01)... 50 Oxygen Tank Holder, E-Size (P276)... 51 Patient Helper Adapter Bracket (P844E48)... 52 Fracture Frame Adapter Bracket (P3211B)... 52 Patient Helper Adapter Bracket (P844F01/02) and (P3212)... 53 Permanent IV Pole (P2222A)... 53 Siderail Pads (P855E7 and P855E7H)... 54 Utility Shelf (P417A)... 55 VIP Headboard and Footboard... 55 Continuous Passive Machine Support (P004943)... 56 Siderail Extension Assembly (P3214A)... 56 Safety Tips... 57 Bed Positions... 57 Brakes... 57 Siderails/Restraints/Patient Monitoring... 58 Electricity... 59 Parts and Accessories... 60 Operating Bed/Surface Precautions... 61 Transport... 61 Transport Position and Stability... 62 Sleep Surface/Mattress... 62 Flammability... 63 Bed Articulations... 63 Visitor Notification... 63 Clean and Disinfect... 64 Clean... 64 Disinfect... 65 Preventive Maintenance... 66 Troubleshooting... 67 Bed Functions... 67 The Bed Controls Do Not Work... 67 The Bed Does Not Lower... 67 The Foot Controls Do Not Work... 67 The Display on the Control Pod Is Off... 67 The Head Section Angle Appears to be different than the Head Angle Display Shows (G model and newer beds)... 68 The Bed Exit Alarm Does Not Arm and All Three Mode Indicators are Flashing... 68 VersaCare® Bed User Manual (USR119 REV 9)

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Active Integrated Response® Treatment Surface... 68 The Surface Does Not Inflate or Does Not Inflate Correctly... 68 Turn Assist Does Not Work... 68 The Surface Mode Indicators are Flashing... 68 Product Symbols... 69 Specifications... 79 Wireless Interface Unit... 86

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VersaCare® Bed User Manual (USR119 REV 9)

Document Symbols 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 Symbols” on page 69. 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 clarification. • The symbol below highlights a WARNING 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

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Intended Use The VersaCare® Bed System is intended to provide a patient support suited to be used in healthcare environments. The VersaCare® Bed may be used in such settings as acute care, step down/progressive care, medical/surgical, high acuity sub-acute care, post anesthesia care unit (PACU), and sections of the emergency department (ED). The intended users of this product are healthcare employees and patients (use of patient controls only) who have the physical strength and cognitive skills to operate and control the product. Follow facility safety protocols if an intended user does not have the physical strength or cognitive skills to operate and control the product safely.

Introduction This manual provides the information required for normal operation of the VersaCare® Bed from Hill-Rom. Before operating the VersaCare® Bed, be sure that you have read and understood in detail the contents of this manual. It is important 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. In this manual, there are references to different bed models. To identify which model of bed you have, look at the serial number label. The label is on the left side of the weigh frame, under the patient’s shoulder. For example, P3200AXXXX identifies an A model bed.

NOTE: Where we show two versions of a control or symbol in this manual, one or the other will be used on your bed. Although the controls for different bed models may look different, in most instances the instructions for their use are the same. If the instructions are different, you will be given those instructions also. NOTE: Throughout this manual, we identify mains power as AC power.

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VersaCare® Bed User Manual (USR119 REV 9)

Features

Item

Description

Item

Description Line-of-Site® Trendelenburg Angle Indicator Point-of-Care® Brake and Steer System CPR/Emergency Trendelenburg Release Mechanism Patient Restraint Point Line-of-Site® Head Angle Indicator

A

Speaker

L

B C

Patient Siderail Control Panel Patient Hip Position Indicator

M N

D E

Patient Pendant (Optional) Short Stay Sleep Surface or Treatment Surface (Optional) Footboard Drainage Bag Holder

O P

FlexAfoot™ Retractable Foot Mechanism IntelliDrive® Transport System (Optional) Night Light Caregiver Foot Controls

S

F G H I J K

VersaCare® Bed User Manual (USR119 REV 9)

Q R

T U

Headboard IntelliDrive® Transport System Handle (Optional) OneStep® Siderail Release Mechanism Control Pod (Air System/Scale/Bed Exit Alarm System) (Optional) Point-of-Care® Siderail Controls

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Additional Features-G Model and Newer Beds

Item

Description

Item

Description

A

IntelliDrive® Transport System handles or manual push handles with or without the integrated IV holder (Optional)

D

B

Line Manager (Standard on some config- E urations) Control Pod-Air System/Scale/Bed Exit F Alarm System/Head Angle Display/30° Head Angle Alarm/NaviCare® System (Optional; Scale, Bed Exit, and 30° Head Angle Alarm are standard on some configurations)

Point-of-Care® Siderail Controls new features: Brake Not Set Alarm/Safety and Information Indicators (Standard); Boost™ Position System (Standard on some configurations) Cord Wrap Clips with IV Pole Storage

C

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Integrated Transport Shelf (Standard on some configurations)

VersaCare® Bed User Manual (USR119 REV 9)

Standard Features Emergency CPR 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 and the bed has power, the surface will go into Max-Inflate to support a CPR board. After 30 minutes of Max-Inflate, the treatment surface will go into Pressure Relief/Normal mode. The emergency CPR controls are handles located under the sleep deck, between the head and intermediate siderails on both sides of the bed. The headboard can be used as a CPR board. 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. NOTE: During activation, releasing the CPR control handle will cause the head section to stop lowering. The head section actuator is automatically re-enabled after the CPR control handle is released.

Emergency 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. NOTE: The emergency Trendelenburg control works only when the bed is connected to AC power or when battery power is activated.

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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 angle is reached. The head section actuator is automatically re-enabled after the CPR control handle is released.

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 scale, treatment surface, and the Bed Exit Alarm System. Instruct visitors not to attempt operation of caregiver controls. They may assist the patient with patient controls.

Caregiver Control Panel (A through F models)

Optional Control Pod (A model)

Caregiver Control Panel (G model and newer)

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Optional Control Pod (B through F models)

Optional Control Pod (G model and newer)

VersaCare® Bed User Manual (USR119 REV 9)

Enable A through F Model Beds

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 now 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 does 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 the applicable “Lockout” section on page 8 or page 8 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.

A through F Model Beds G Model and Newer Beds

The Enable control is located on the optional flip-up control pod. The Enable control deters unauthorized operation of certain caregiver controls. With the exception of the Weigh control, the Enable control must be activated before the caregiver controls on the pod will operate. When activated, the Enable indicator stays on for 60 seconds. During this time, the caregiver can use any caregiver controls on the pod.

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Lockout-A through F Model Beds The Lockout controls, located on the caregiver siderail control panel, disable the bed’s articulating functions.

All Motors

Bed Up/Down

Head Up/Down

Knee Up/Down

To Activate Simultaneously press and hold the Enable control and 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 the respective Lockout control. The indicator will go out. The Lockout control disables all articulation controls except for the emergency CPR. Lockout-G Model and Newer Beds The Lockout control located on the caregiver siderail control panel disables the bed articulating functions.

To Activate Simultaneously press the Lockout control and either direction control of the applicable function. Both patient and caregiver controls are locked out. An alarm will sound when the lockout is activated and the applicable indicator will come on. NOTE: When you activate the lockout for either the knee up/down or foot longer/shorter control, both knee up/down and foot longer/shorter functions will be locked out. To Deactivate Simultaneously press the Lockout control and the applicable function control. An alarm will sound when the lockout is deactivated. The Lockout control disables all articulation controls except for the emergency CPR.

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VersaCare® Bed User Manual (USR119 REV 9)

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. 2. Press and hold the Bed Down control to lower the bed. When the desired height is reached, release the control. 3. To disable the Bed Up/Down control, activate the Bed Up/Down Lockout control: •

A through F model beds-see “Lockout-A through F Model Beds” on page 8.

•

G model and newer beds-see “Lockout-G Model and Newer Beds” on page 8.

Obstacle Detection

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, the Bed Not Down indicator on both siderails will flash, and you will not be able to lower the sleep deck. 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.

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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. NOTE: Some bed models may have the digital Head Angle Display instead of the Line-of-Site® Angle Indicators. For those bed models, when the angle of the head section is critical to the patient’s care, do not depend on the head angle display only. Look to make sure the head section is at the correct angle. If the angle does not look correct, contact your facility-authorized maintenance person. 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. The Auto Contour™ feature is not active when using the caregiver controls, it is only active with the patient controls. See “Auto Contour™ Feature” on page 28. 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 Trendelenburg 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-of-Site® Angle Indicators are located in the foot end siderails. Trendelenburg

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VersaCare® Bed User Manual (USR119 REV 9)

WARNING: Observe lines closely during articulations. Always use good line management techniques, particularly as the head section rises. Failure to do so could cause patient injury or equipment damage. 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. or For Reverse Trendelenburg, press and hold the Reverse Trendelenburg control until the head end of the bed raises relative to the foot end. NOTE: If the obstacle detection system detects an obstruction, the bed will not lower. 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 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 Position 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.

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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. On A through F model beds, the Bed Flat control returns only the sleep deck to the flat position, it does not change the angle of the bed. On G model and newer beds, the Bed Flat control returns the sleep deck and bed to the flat and level position. 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 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. If additional chair inclination is required, use the reverse Trendelenburg control to provide an additional 10° of forward chair movement.

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VersaCare® Bed User Manual (USR119 REV 9)

Foot Section Controls WARNING: Do not use ankle restraints when activating this feature. Injury to the patient may result. WARNING: The retractable foot section provides multiple patient benefits. However, a retracted/shorter foot section may increase the risk of patient entanglement between the siderails and footboard for certain patients. If a potential for entanglement exists, such as with patients who are agitated or disoriented, or who lack the physical strength to extract themselves should they become entangled, the foot section should be left fully lengthened when the patient is not under direct supervision. The Foot Extend/Longer control allows the foot section to lengthen approximately 12" (30 cm) to accommodate various patient heights. The Foot Extend/Longer control is located on both head-end siderails. To Lengthen the Foot Section 1. A through F model beds, press the Enable control. G model and newer beds, go to step 2. 2. Press and hold the Foot Extend/Longer control until the applicable position is reached. To Shorten the Foot Section

Fully lengthened

1. A through F model beds, press the Enable control. G model and newer beds, go to step 2. 2. Press and hold the Foot Retract/Shorter control until the applicable position is reached.

Fully shortened

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