Standard PPMS Instructions

SmartCare Index. Page 3…………………………………………….…………….Background Information Page 5……………………………………………………………………………….Introduction Page 6……………………………………………………….…...Important, Prior to use Page 7…………………..Turning Function Handset Operating instructions Page 10...Turning Function Handset Operating Summary Page 11…………….…………Bed Function Handset Operating Instructions Page 12…………………………..…………………………………………………….Bed Ends Page 12………………………………………………………………………….Leg Extension Page 12…………..………………….…………………………………………………… Brakes Page 12…………………………..……………………………………………….Manoeuvring Page 13……………………………………………………………………………………...OH&S Page 14……………………………………………………………………….Troubleshooting Page 15………………………………………………………….………………..Maintenance Page 15……………………………………………………………………………………Cleaning Page 16………………………………….………………………………………….Spare Parts Page 17…………………………………………………………Staff Competencies form Page 18……………………………………………….…Staff Training Feedback form Page 19……………………………………………………………………………….Certificates Page 22………………………………………………………….…………….Contact Details

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SmartCare Programmable Pressure Management System Some Background. The patented, SmartCare Programmable Pressure Management System, (SmartCare) is an Australian invention by Hanna Piazza, a Clinical Nurse Educator in Melbourne. The SmartCare System repositions immobile patients at risk of Pressure Ulcers, automatically through 30 degrees every 30 or 60 minutes, without them being touched. The Bed is fitted with a Safety Cradle that supports the patient at any angle so there is no sensation of “lean” and no “Skin Sheer”.

SmartCare provides vastly improved patient outcomes, reduced Carer workloads and reduced costs to Providers. Contemporary best practice for Woundcare is frequent, small repositioning of the patient rather than “Side to Side” every 2 hours. Pressure Ulcers or decubitus, are lesions caused by unrelieved pressure to any part of the body, especially portions over bony or cartilaginous areas. Although completely treatable if found early, without specialist medical attention Pressure Ulcers can be lifethreatening. In addition to assist managing Pressure Ulcers, SmartCare addresses the critical clinical challenges of Pressure Management, Pain Management and Sleep Deprivation forced upon patients who are immobile for a variety of medical reasons, e.g. Acquired Brain Injury, Spinal injury, Burns, Intensive Care, MS, Huntingtons, Motor Neuron Disease, Dementia, Frail Elderly, etc. SmartCare greatly contributes to the healing of existing Pressure Ulcers and prevents new Ulcers occurring. It is a very cost effective, Clinical Pressure Management device created to improve the quality of life, and life expectancy of immobile patients, suffering from, or at risk of Pressure Ulcers and severe Pain Management problems. Using SmartCare, immobile patients are automatically repositioned, left and right continuously through 30 minute or 60 minute excursions from 15 degrees left to 15 degrees right, or manually up to 30 degrees, without being touched, even during Bed Linen and Incontinence Pad changes or Bed Baths. 3

Air Alternating mattresses, being the current method of treatment offer a 1:1 ratio of pressure on/off. SmartCare offers 1:5 pressure on/off. Thus for every 10 minutes a body part is subjected to some pressure, there is 50 minutes pressure free. SmartCare all but eliminates the difficult physical workload for Carers looking after immobile patients, greatly reducing injuries to Carers thus significantly impacting on Healthcare Budgets and Industrial Accident claims. Traditionally, 2 carers are required to reposition an immobile patient, every 2 hours around the clock. This has a huge impact on patients’ mental and physical wellbeing, as the manhandling can cause feelings of helplessness, and lack of independence as well as physically causing bruising and even deep skin tears. Sleep deprivation also reduces overall wellness. Carers, often being family, have to provide that care, and are equally affected by the physical workload and the sleep deprivation. Healthcare providers, if they can even find enough staff, who are very expensive (AUD$230 per night shift if providing “Active” overnight care), face high injury rates, which pull more workers out of the “available staff” pool and impacts on Worker Insurance Premiums. SmartCare provides “Better Medical Outcomes” for Patients, in equal measure with “Better Carer Practices” and “Reduced Costs” for Carers, Providers & the greater community.

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SmartCare Programmable Pressure Management System Introduction Congratulations on your choice of SmartCare that is designed to provide a total solution for those carers and patients who have a need to turn or be turned on a regular basis. The aim is to improve patient care and assist carers by reducing the physical and emotional demands of nursing highly dependent people. We aim to nurse more and weight lift less. SmartCare offers a fully electric, four function hospital bed and combines those functions with a fully automatic turning function that may be set on either of two turning timers: once every five or ten minutes in 5 degree steps to 15 degrees, A unique feature of SmartCare is its ability to turn a patient from side to side in a patented safety cradle. The turning function provides continuous patient weight transfer reducing the risks of Pressure Ulcers. Additionally, SmartCare offers a big advantage when patient repositioning is required. By rotating the bed to one side, patients are turned with zero effort by carers. Specifications: Length:

2100mm

Width:

950mm

Weight Capacity

250kgs

Fully electric, 24 volt, silent operation, Dewert motors, renowned for their superior quality in hospital beds around the world Control boxes and handsets with battery backup Safety side barriers Removable headboards and footboards 300mm Leg Extension for tall patients.

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Important Prior to use Our SmartCare bed can go quite low to fit into the smallest container possible to reduce your freight costs. Please ensure it is raised a minimum of 100mm prior to using the Turning Functions. It has full battery backup to cover interruptions to the power, please ensure the power leads have been plugged into the mains for at least 24 hours prior to use. For Safety If there has been an interruption to the power to the grey Dewert handset, the handset will be locked when the power resumes. To unlock the handset, simply swipe the magnetic tag across the surface of the lock icon on the face of the handset.

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The SmartCare programmable Pressure Management System Operating instructions SmartCare comes with two (2) handsets. One is for performing the functions of a standard electric hospital bed and the second for performing the safety cradle and Programmable Turning operations.

Handset 1. Programmable Turning Functions 6 Button Controller Turning Functions On power-up the handset will give a rising tone to indicate 'life' and standard operating mode.

5. Automatic, continuous 5 Minute delay for 5 Degree steps

6. Automatic, continuous 10 minute delay for 5 degree steps

To disengage Automatic Continuous touch one of the manual tilt controls. 7

operation,

The blue light will flash rapidly to indicate cradle NOT locked. Tap the cradle-up button to activate. (Fixed time of about 18 seconds) Once cradle is up and locked, the blue light will flash once per second.

Touching the cradle down button will immediately disable all buttons other than the cradle up button (unless the keyboard is 'locked' - see below) Manual Operation:

Manual left or right rocking is enabled.

Auto Operation Modes: Please ensure bed is close to horizontal when looking from either end. 5 Minute Automatic cycles:

Tap the 5minute button and the green light will activate and a tune will play, indicating that the 5minute cycle has been activated. The green light will now flash 1 per second. Touching any other key will terminate this rock cycle immediately. 10 Minute Automatic cycles:

Tap the 10minute button and the red light will activate and a tune will play, indicating that the 10minute cycle has been activated. The red light will now flash 1 per second. Touching any other key will terminate this rock cycle immediately.

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Locking the keyboard:

Press and hold down together the left and right rocking buttons until the lights stop flashing (approx 2 seconds). A low tone followed by a high tone will sound when locking is completed This will de-activate the keyboard and any set rock cycle will be 'locked-in' When keyboard is locked with a rock cycle active, both the blue and (red or green depending on cycle length) will flash. If the keyboard is locked without a rock cycle, the blue light will show a double flash. Pressing any key whilst the keyboard is locked will sound a short beep.

Unlocking the keyboard:

Press and hold down together the left and right rocking buttons until the lights stop flashing (approx 1 second). A high tone followed by a low tone will sound when unlocking is completed (N.B. release the buttons during this sound to retain any set rock cycle) This will return the keyboard to normal operation. Switchable Hand set lights.

The handset lights can be disabled if required. Set the bed to its required operation then press the two top buttons simultaneously for two seconds. This will turn the lights off. Simply touch any button to switch them back on.

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SmartCare Programmable Pressure Management System Turning Summary 1. Press the “Cradle up” button (top left with flashing light)once to engage safety cradle. Safety Cradle must be completely up for turning functions to operate. 2. Bed can manually turn left or right. 3. 10 or 5-minute intervals can be selected. 4. To lower “Safety Cradle” hold top right hand button. Bed will stop functioning if down button is even touched. If bed won’t work please press the “Cradle up” button (top left with flashing light) to reset all functions. Wait for beeping to stop (18 secs).

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HANDSET 2 (Hospital Bed Functions) 10 Button Controller

Functions Led

Reverse Trendelenberg

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BED ENDS The bed ends are easily removed from the bed. On each side of bed ends, there is a “U” clip that secures the bed end in place. To remove a bed end, lift these clips up and lift the bed end from the bed. For OH&S, please ensure proper lifting techniques are used when fitting or removing the bed ends LEG EXTENSION The leg extension is operated by loosening the adjustable Hand wheels located on each side of the bed at the foot end underneath the mattress frame. Pull the extension out to the desired length and tighten the adjustable bolts. When the leg extension is NO longer required, simply loosen the bolts and push the extension in. NB: make sure the Hand wheels are retightened.

Brakes SmartCare is fitted with Locking/Directional castors operated from the either side at the foot end. Depressing the red end of the twoway pedal will lock all the brakes. Depressing the Green end of the two-way pedal will lock the directional castor at the head end. The directional castor allows steering control when pushing the bed. Pushing must always be performed from the food end of the bed. For OH&S, please consider having 2 people push to reduce individual effort.

Manoeuvring. For OH&S, when manoeuvring SmartCare please raise the bed to a height suitable for correct posture. There should be no bending or leaning when pushing. Please consider having 2 people push to reduce individual effort.

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OH&S At all times when the SmartCare Programmable Pressure Management System is being used and operated, OH&S standards and requirements are to be observed. Whenever anything is lifted or pushed, accepted correct technique is to be used. Straight back, no leaning or bending and ALWAYS ask for assistance where you think there may be a risk. When lifting any accessories for the Smartcare, please use slow, considered movements, planned in advance to eliminate potential injuries. When pushing SmartCare, ensure the directional lock castor is engaged (Green Pedal Down) and push form the foot end. If pushing on carpet or Flowtex type surfaces get assistance to push.

Bed height when nursing. Common sense must be applied. SmartCare is generally used for immobile patients to assist with their pressure management requirements. The immobile patient is not usually at risk of falling therefore set the bed height to suit the height of the nurse. This is to reduce the need to bend or lean when providing care or when conversing with the patient. Whenever using or setting up the bed positions, care must be used to ensure safety for all, at all times.

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The SmartCare Programmable Pressure Management System Troubleshooting Guide Important. The first time the bed is plugged into the mains do not unplug for 24hours. This ensures maximum Battery Charge and Life expectancy.

If the either handset fails to operate. 1, Ensure mains are plugged in and switched on. 2, Ensure all plugs and cables are fully pushed home into the 2 control boxes. 3, Check that the function activated is not already at its end point of travel. 4, If the Turning Functions fail to operate, ensure the cradle up button has been pressed and enough time (18 seconds) has been allowed for the diagnostics to complete their cycle.

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Maintenance. Every 3 months Spray minimal, Medical Approved Silicone lubricant on the 2 pivot points and the mounting points of the vertical actuator. Every 6 months 1, ensure all plugs are fully pushed home into the 2 control Boxes 2,Give visual check of mounting bolts and Pivot points. Check for tightness. 4, Test standard bed functions, Head, Knee, Vertical, Trendelenberg. 5, Test Turning Bed Functions. Safety Cradle and Tilt left, Tilt right. 5, Test functionality of brake for Lock and Steer functions. 6, Visually check Head and Foot mounting clips. 7, Ensure cleaning has been maintained.

Cleaning SmartCare requires Standard Hospital Procedures and is compatible with currently available hospital grade commercial cleaners.

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Spare Parts

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The SmartCare Programmable Pressure Management System Competency Form. This form will record staff competencies using the SMARTCARE.

Shown

Yet to show

1. Use of Brakes. 2. Connect to Power. 3. Use of Secondary Safety Devices. 4. Operation of Safety Cradle. 5. Operation of manual left/right controls 6. Operation of 5/10-minute program controls. 7. Operation of handset lock. 8. Operation of handset light switch. 9. Use of Head Raise/Lower. 10. Use of Knee raise/Lower. 11. Use of Bed Raise/Lower. 12. Understand limit of use of Trendelenberg function. 13. Use of Trendelenberg 1. 14. Use of Trendelenberg 2. 15. Operation of foot and headboards. 16. Operation of bed extension. (if fitted)

Staff member…………………………………………………………………… Facility…………………………………………………………………………… Date……………………………………………………………………………… Demonstrated to……………………………………………………………….. Any suggestions for improvement …………………………………………………………………………………………….. …………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… ………

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Smart Tech Training Feed Back. 1. Was the training pertinent? 1 Very Poor 2 Poor 3 Satisfactory 1 2 3

4 Good 4

5Very Good 5

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2. Was the trainer knowledgeable? 2 3

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3. Did the training cover all your needs within the topic. 2 3 4 5

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4. Did the training answer all your questions. 2 3 4

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5. Was the training set at the right pace? 2 3 4

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6. What did you want more of? …………………………………………………………………………………………………… 7. What did you want less of? ……………………………………………………………………………………………………. 1

8. How do you rate this in-service? 2 3

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9. Do you have any suggestions for us to improve our product or service?

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Name…………………………………………………………………………….. Facility……………………………………………………………………………

Date……………………………………………………………………………….

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Certificates.

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SmartCare Programmable Pressure Management System. Manufactured by

Smart Solutions. 17-25 Wedgewood Road. Hallam. Victoria 3803 Australia. +61 3 97035800 www.smartech

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