Hill-Rom Century CC In-Service Manual
Contents
1. 36 3 94 Low I 8 Casters 40 5 102 High 22 5 57 Low 6 Casters 39 3 99 High 21 3 64 Low 8 Casters 6 5 17 6 Casters 4 6 12 Y Y p 57 0145 23 5 60 BED CONTROLS Introduction The Century CC Bed is designed to use electric and or manual controls ELECTRIC CONTROLS MANUAL CONTROLS Manual Foot Pedals Knee And Head Push Button Knee Function Lockout enables Hi Lo Function Lockout Reverse Trendelenburg Angle Indicator Head Function Lockout Auto Contour Lockout Hi Lo Bed Control Patient Scale Monitor See Page 8 9 HI LO For Electric For Manual e Locate the Hi Lo control on the outside of either e Turn mode selector dial to Hi Lo section head end siderail or at the foot end nurse control e To raise pump the green pedal located on either panel side of the bed e To raise push the G button then release e To lower push the orange pedal on either side of e To lower push the H button then release the bed SAFETY TIP If the bed is occupied and unattended the bed should stay in the low position and the mode selector dial should not be in the Hi Lo mode HEAD WITH For Electric For Manual AUTOMATIC e When head of bed is raised the knee will e No manual automatic contour control CONTOUR automatically elevate Automatic contour may be eliminated by pushing up the contour lockout SAFETY TIP The au2. Back Cover NOTE An In Service videotape is available Contact your Hill Rom representative or call 1 800 445 3720 FOR SPECIAL ASSISTANCE Hill Rom Account Manager Clinical Consultant Field Service Technician Customer Service Representative Phone Phone Phone Phone FEATURES Siderail SideCome Siderail Patient N Central Communtication System Controls pue O Optional Both Sides Convertible Both Sides Footboard Restraint Strap Holders Head Thigh Foot End DynamicAirew Both Sides Sleep Surface Optional Removable Headboard Patient Scale D Optional IV Pole Sockets One Af Each Corner Trendelenburg Reverse Trendelenburg Controls Permanent IV Pole Electric Controls Lockout Panel Drainage Bag Hooks Integrated Air Support Both Sides System Controls And Foot End Optional Head Elevation Indicator f Motor Power Both Sides 2 Switch IV Pole Storage Area Pump Release Pedals For Manual Control p Central Brake And Steer Both Ends Manual Control Both Sides For Bed Positioning 8 Polyurethane Carpet Casters Including Instant CPR 6 Polyurethane TuckAway Carpet Casters Optional Siderails Measurements Inches centimeters 91 0 231 3 93 5 With Roller Bumpers 243 38 5 98 34 0 86 8 Casters 55 5 140 High 37 5 97 Low 6 Casters 54 3 137 High
3. The weight of the patient or empty bed can be manually overridden if necessary by using the 9 adjust buttons Use these buttons if an incorrect weight needs to be corrected or if the exact weight of an item is known To Adjust Patient Weight For example if a patient has had a cast put on the added weight of the cast must be accounted for To do this you must first record the patient s weight before the cast was put on When the procedure is completed and the patient is back in bed touch and release to reweigh the patient e During the weight display press and hold the appropriate adjust button 9 to increase the weight reading and 9 to decrease the weight reading e Once the correct weight is displayed release the adjust button e Press to verify the patient weight ACCESSORIES OXYGEN TANK HOLDER The Os tank holder will hold an E sized tank and can be mounted either horizontally underneath the head of the bed or vertically in any of the four IV pole sockets To Vertically Mount e Place the holder s mounting bar into one of the four IV sockets located at the four corners of the bed e Place the O tank in the holder e Secure the O tank in the holder by turning the thumb screw to the right or until it stops NOTE The vertical O tank holder will extend the length of the bed To Horizontally Mount Store e Locate the support brackets underneath the head of the bed e Place the hol
4. becomes low the word BAT will appear in the scale s display If the bed is interfaced to the nurse station a nurse call will also be placed The tone stops when the bed is plugged in BED EXIT ON OFF To Remove The Holder e Loosen thumb screw e Remove the O tank from the holder e Grasp the holder and move it to the right e Lift the holder from the support brackets ACCESSORIES X RAY CASSETTE HOLDER Introduction The x ray cassette holder allows for lower abdominal to upper chest x rays with the head of the bed in a flat or upright position The cassette holder accepts a 14 x 17 film cassette which can be placed in the holder either vertically or horizontally Release Tabs Support Bracket Fic B MOUNTING HOLDER TO BED 2 METHODS Method 1 Head Up e Elevate head of bed to approximately 45 60 e Locate the mounting bar on the x ray cassette holder FIG B e Place the mounting bar into the two support brackets e Push in the mounting bar e When correctly inserted the holder will click into place and will pivot within the support brackets To Detach Holder From Bed e Push the mounting bar to one side e Lift up the opposite side e Lift the holder away from the bed NOTE Remember to change the empty bed weight every time the x ray cassette holder is removed or re attached to the bed Film Caddy Method 2 Head Flat Ins
5. items are added or removed from the bed BEFORE OPERATING THE SCALE Weight Interferences For the most accuracy follow these procedures Insure that items such as pillows linens equipment on Sleep Surface Preparation stands etc are not touching the head foot board or Before placing the patient on the bed the sleep surface permanent IV pole It is important that staff or visitors do not must be prepared This includes placing articles onthe bed touch the siderails or sleep surface during the weighing such as pillows linens etc that the patient will be using It procedures can be helpful to place a list of these items at the bedside or on the footboard for future reference Bed Position The bed should be in the same position each time the patient is weighed The recommended bed position is e level sleep surface medium bed height siderails raised brake set Continuous Display The last patient weight reading will appear continuously on the display until a new weight reading is taken PATIENT WEIGHING Insure the sleep surface is prepared the bed is in the correct position and there are no weight interferences Step One Zero Scale Before placing the patient on the surface the scale must be cleared of the To recall empty bed weight Touch until one beep sounds then release Step Two Weigh Patient empty bed weight For most accurate weight readings the patient should be s Pressond hold 555 centered on th
6. the two black release tabs FIG A e While holding down the tabs slide the footboard away from the bed until fully extended e While fully extended lift and pivot the footboard toward The head of the bed e Once in transport shelf position pull on the shelf to insure it is locked in place e Use the stored securing straps to tie down equipment during transfers To Store e Grasp the end bumper handles and lift straight up e Swing footboard away from the bed and down to a level position e Slide the footboard toward the bed until it stops e Pull on the footboard to insure it is locked in place SAFETY TIP Watch for the patient s feet while placing footboard into the transfer shelf position Insure objects on the shelf are secured prior to transport Do not use the transport shelf to move the bed unless the brakes are released Locking Pin Mattress Stops Locking Hole Locking Hole Bumper Handle Locking Pin Release Tabs Bumper Handle FIG A FOOT EXTENDER To Set Up e Grasp the end bumper handles and push down the two black release tabs FIG A e While holding down the tabs slide the footboard away from the bed until fully extended e Locate the two mattress stops FIG A e Pull up each mattress stop and turn until pointing toward the footboard then release e Tug on the mattress stops to insure they are locked into place e Remove the
7. with the straps provided The weight limit of the footboard in the transport shelf position is 45 Ibs Always return the footboard to its original position after use Check to insure proper latching by tugging on the footboard FOOT EXTENDER When using the extender always give a tug on the extender to insure locking Do not place any heavy weight on the foot extender and keep in mind the additional length of the bed NURSE CALL SYSTEM INTERFACE If proper interface between the bed and the nurse station is provided the scale can be set to place a REMOTE call to the nurse station With interface the call for a scale monitoring condition is momentary and repeats until turned off at the bed scale A call indicating a low battery is repeated every ten minutes until the bed is plugged in Without Nurse Call interface no call will occur in REMOTE Consult the Nurse Call manual to verify compatibility BED POSITION CHANGES Be certain that feet and hands are well clear of the lift arm and frame assemblies of the bed when changing bed positions both manually or electrically MATTRESSES The use of mattresses that are not sold by Hill Rom may reduce The effectiveness of the safety features and systems incorporated into Hill Rom beds X RAY CASSETTE HOLDER If using the x ray cassette holder accessory always secure the holder to the bed when not in use This will avoid possible damage to the bed and holder PREVENTIVE MAINTENANCE Annual preven
8. 4 telescopic IV pole That can be used in any of the four corner sockets of the bed The pole can be stored on the base of the bed ird aiam TRAPEZE SUPPORT BRACKET The trapeze support bracket is mounted at the head end frame of the bed and will accommodate the installation of trapeze equipment SIDERAIL PADS Functions with the siderail in the intermediate or high position Place the pads on the siderails with the padded side facing inward The head end siderail pads have cutouts to allow access to the electronic bed controls 12 CANE BUMPERS May be used with Hill Rom Envirocare System or the Hill Rom Horizon System to increase the bed s distance from the headwall The cane bumpers insert into brackets located on the head end base of the bed CHARTHOLDER Mounts on the outside of the head or footboard Attach the wire hooks to the top of the head footboard and press in the lower portion of the chartholder CLEANING REMOVAL OF DYNAMICAIRE SLEEP SUFACE REMOVAL To remove the sleep surface raise the foot end of the bed frame manually and disconnect all four quick disconnect hoses and detach the strap To reconnect replace mattress onto the frame with the hoses at the foot end of the bed Insert the hoses and the strap through the bed frame and re attach the strap and hoses NOTE Never remove the mattress from the bed frame without disconnecting the hoses and straps at the foo
9. IN SERVICE MANUAL Century CC Bed From HilHRom TABLE OF CONTENTS FEATURES E DIMENSIONS sssseeeneeeeeeeee enean BED CONTROLS mi o MU IE 2 Head With Automatic Contour seen 2 Read ONV M M 2 Ma ES 3 Trendelenburg Reverse Trendelenburg see 3 MOISCUIIGI tarot QUERER ERORRERE ERRORI TERRURO CHORO teenie 3 COMMIS CHOI rm 3 Electric Control LOCKOUT iot otia rtr e ri ps 3 FEATURES Nie sle E P 4 Central Brake and S EEf ea 4 PerradnentV POIS siirsi a 4 MSONGO PR mainipin ninpa anar RE SE EA E 5 Headboard REMOVAL eseeeeeenennnnnnnnnnnnns 5 Convertible Footboard sssseeeeeeeenennnennnnnnnnns 5 C AM lM erni s t 6 Other FOOTUISS fa vedeseiesesecncesalesocscondosivedesunuaiieimauee im dirainiaruidiccid 6 OPTIONS Integrated Air Support System sss 7 SideCome Communication System seen 7 LOW LOOKS iii EET 7 ee EIDEM 8 9 ACCESSORIES een dress 9 X Ray Cassette Holder nnns 10 11 ISS SYSTE ia DD DD D LS 12 Transducer Holder irorun naiiai 12 ler 12 Trapeze Support Bracket sse 12 Cane BUMDES ainainen iae israr i CEREREM FE RER ERR 12 Siderdil POS C 12 Si nlelaiglelle M 12 CLEANING REMOVAL OF DYNAMICAIRE1 SLEEP SURFACE 13 SAFETY TIP fm
10. der s mounting bar into the support brackets e Push in the mounting bar e The O tank holder should click in place e Place the O tank into the holder with the regulator facing up e Secure the O tank in the holder by turning the thumb screw to the right or until it stops To Adjust Empty Bed Weight For example the bed has been Zeroed with the patient on the bed If the empty bed weight is known you can adjust the empty bed weight to obtain the patient weight e Touch button until a single beep sounds then release e During the empty bed weight display press and hold the appropriate 9 or 9 button until the correct empty bed weight is displayed then release e The display will automatically change back to the patient s weight ACTIVATING BED EXIT MONITORING The bed exit feature will sound an alarm at the bed and as an option at the nurse station when a patient attempts to leave the bed ADJUST WEIGHT e Press and hold button until a single beep sounds e The display will show BED EXIT LOCAL and if available REMOTE to indicate the monitor and alarms are activated In addition the yellow LED bed exit monitor located below the scale controls will illuminate e To deactivate bed exit monitoring press and hold the button until a single beep sounds and the display clears e To cancel the alarm press any button LOW BATTERY CALL When the scale s battery power
11. e bed and lying still beep will sound and the ZERO e Touch until one beep BOIEWIEG Er ella tL empty bed weight will sounds then release appear on the display Continue to hold the button until e The patient weight will two consecutive beeps sound then release appear in the display For e The display will flash 000 0 signaling the process has been LBS to KGS press the activated button during weight display The empty bed weight will appear in the display It is important to record the empty bed weight for future references The display will flash 000 0 and two beeps will sound signaling that the bed has been zeroed OPTIONS CHANGING ITEMS ON THE BED During the patient s stay items may be added or removed from the bed The button will account for the weight of the items without affecting the patient s weight You will need to account for the items each time they are added or removed from the bed Leese DMSPLAY SSeS Leet Pate ae WT e Touch to obtain most current patient weight e Within 10 seconds of the new patient weight display touch the button until one beep sounds then release e Place or remove items on the bed a plus or minus will flash indicating the scale is waiting for further instructions e Touch the until one beep sounds then release e The new empty bed weight will display for 10 seconds Then revert back to the patient s weight MANUALLY ADJUSTING DISPLAYED WEIGHT
12. e position e Insure there is adequate clearance to remove the C arm from under the bed e Remove the C arm from the bed RESTRAINT STRAP HOLDERS Three sections of the bed head thigh and foot have provisions for restraint strap attachment The holders are located underneath the mattress on the sleep surface pans and retract when not in use Two additional holders are at each side of the foot end HEAD ELEVATION GAUGE Located on each side under the mid section of the bed the head elevation gauge shows the degree of head elevation up to 60 FRACTURE FRAME The Century CC Bed will accommodate the majority of fracture frame equipment OPTIONS INTEGRATED AIR SUPPORT SYSTEM NT E DN OFF DYMAMICAIRE SLEEP SURFACE Prevention Mode To be used when it has been clinically determined that the patient is at risk of developing pressure ulcers e Insure the air system power switch is turned ON e Turn the mode switch to PREVENTION The surface will automatically adjust to patient movements The comfort controls will not function when the PREVENTION switch is activated SIDECOM COMMUNICATION SYSTEM SideCom is a complete communications control system built directly into the head end siderails It can integrate nurse call lighting TV radio and bed controls COMFORT PREVENTION i ih FIRM SOFT MODE E _COMFORT J Comfort Mode To be used when it has been c
13. f LOCKOUT CONTROLS Whenever a patient should be restricted from operating the patient controls activate the appropriate lockout controls located in the nurse control panel at the foot end of the bed This is especially true for patients in traction since it can prevent a patient or visitor from accidentally activating a control which would cause the bed to move and possibly result in an injury To insure the patient s safety when unattended place the bed in its lowest position and lockout the Hi Lo control Also the mode selector dial should not be in the Hi Lo position SIDERAILS RESTRAINTS PATIENT MONITORING The Siderails should always be in a full upright position and latched when a patient is unattended When raising the Siderails an audible click should indicate that the Siderails are completely raised and locked in place Hill Rom recognizes that certain healthcare situations may indicate the need for specialized Siderail configurations In response to this need we offer upon request several Siderail accessories Siderails are intended to be a reminder not a patient restraining device Hill Rom recommends the appropriate medical personnel determine the level of restraint necessary to ensure a patient will remain safely in bed Consult the restraint manufac turer s instructions for use to verify the correct application of each restraining device Whenever high profile patients typically the frail elde
14. g Reverse Trendelenburg handles located at the foot end of the bed e Lift for Trendelenburg or lower for Reverse REVERSE Trendelenburg TRENDELENBURG e To adjust for desired degrees refer to the Trendelenburg Reverse Trendelenburg Angle indicator located to the Trendelenburg Release Hanale right on the nurse control panel e Release handles to lock position Confirm locking SAFETY TIP Before lifting or lowering make sure both by attempting to move the sleep surface up or Trendelenburg Reverse Trendelenburg release down handles are fully gripped and touching the bumpers To Level The Sleep Surface e Grip both handles to release the sleep surface e Raise or lower the foot end of the bed until the Trendelenburg Angle indicator reads zero e Release handles to lock position Confirm locking by attempting to move sleep surface up or down VASCULAR For Manual To Level The Sleep Surface e Grasp the foot end section of the sleep surface e Lift the foot section to release the foot rack and lift up two positions are available e Grasp the rack and pivot downward e Insure the foot rack is properly engaged e Lower the foot section CARDIAC For Manual or Electric To Level The Sleep Surface CHAIR e Place the bed in 12 Reverse Trendelenburg e Manually or electrically lower the knee and head e Manually or electrically raise the head of the of the bed unit until flat bed to 60 See Head e Place the bed i
15. headboard and align the holes in the headboard with the corresponding mattress stop at the foot end NOTE If using the extender pad accessory slide the pad onto the headboard before placing the headboard onto the mattress stops e Slide the headboard all the way onto the mattress stops e Push the footboard toward the bed until the locking hole on the support bracket and the locking hole on the bed frame are aligned e Find the locking pins located on each side of the bed frame by the mattress stops FIG A e Release the locking pins located on each side of the bed frame by the mattress stops FIG A e Insuring that the two locking holes are aligned place the locking pins through the holes to lock the extended foot board in place e Push on the footboard to insure the foot extender is locked in place e The extended footboard is ready for use To Remove e Remove the locking pins and place them back in their stored position see above e Pull the footboard away from the bed and remove the headboard e Place the mattress stops back in their original position e Slide the footboard toward the bed until it stops e Tug on the footboard to insure it is locked in place FEATURES C ARM INTERFACING Introduction The radiolucent window of the Century CC Bed is accessed from either side of the bed It measures 21 x 38 without the scale and 20 x 37 with the scale IV POLE STORAGE Loca
16. ing and pulling the bed e To release the brake press down the green STEER pedal until both pedals are level To Steer Hill Rom recommends using the steer function when transporting a patient in the bed It will help keep the bed tracking in a straight line and assist in turning corners e Press down one of the green STEER pedals This will lock the bed s left foot end caster e When in steer it is recommended the bed be pushed from the head and the steer caster is in the trailing position e To release steer press down the orange BRAKE pedal until both pedals are level Neutral Position e Leave pedals in their level position e To be used when positioning a bed in a room or small enclosed area PERMANENT IV POLE To Raise e Grasp the stored IV pole located at the head end and pull up e Before extending the IV pole insure the pole is securely positioned in its support bracket e Grasp the top section of the pole and raise it to one of four positions available e The top section of the pole will click in place when desired position is reached Stored Permanent IV Pole Extended To Lower e While pulling out the release knob manually lower the pole until it is fully down SAFETY TIP When pulling out the release knob be sure to help guide down the top section of the pole To Store e Once the pole is fully lowered iff and lower the pole e Place the pole in the storage clip w
17. ith the hangers pointing up and down e To avoid interfering with patient weight accuracy insure the IV pole is not touching the sleep surface and is fully secured in the storage clip SAFETY TIP Brakes should ALWAYS be set during patient transfers and when the bed is occupied Brakes should be periodically tested and adjusted if necessary 4 FEATURES INSTANT CPR The Instant CPR feature will override head and knee positions and return the bed to a flat position To Activate e Grasp the mode selector lever and rotate all the way to the left or right e Continue to hold the lever down until the surface is flat if the downward force is removed from the control the bed movement will stop e Release the lever when the surface is fully flat Mode Selector Dial For Instant CPR CONVERTIBLE FOOTBOARD HEADBOARD REMOVAL The headboard may be used for CPR procedures or for bed extension To Remove e Grasp the handholes and lift straight up To Replace e Align the locator holes in the headboard with the mounting posts on the bed e Push the headboard down onto the mounting posts k Headboard Handholds Introduction The convertible footboard can be used as a footboard a transport shelf or accommodate a 15 foot extender TRANSPORT SHELF CHARTING AREA The transport shelf is designed to hold up to 45 Ibs of weight To Set Up e Grasp the end bumper handles and push down
18. l to insure it is fully locked of the bed locked To Lower See Low Storage SAFETY TIP Always leave siderails in the high position when the bed is occupied and unattended The high position provides maximum coverage for the patient e Grasp the top of the siderail and pull out from underneath the bed e Rotate the siderail toward the center e The siderail will click in place when the intermediate position is reached e Tug on the siderail to insure it is fully To Lower See Low Storage NOTE The intermediate position can be used during C arm interfacing LOW STORAGE To Lower e While pressing the black PUSH button e Grasp the top of the siderail and rotate away from the center of the bed e Release the PUSH button at either The intermediate or low position To Store TuckAway e After completely lowering push the siderail toward the sleep surface until it stops e Tug on the siderail to insure it is fully locked SAFETY TIP Before transferring a patient to or from the bed place the siderails in the storage position This position makes it easier to transfer CENTRAL BRAKE AND STEER The brake and steer pedals are located at the head and foot ends To Brake e Fully press down one of the a F orange BRAKE pedals Ln e All 4 casters will immediately lock in place Central Brake And SAFETY TIP Test to ensure brakes are Steer Pedals fully engaged by push
19. linically determined that the mattress can be manually controlled for comfort purposes e Turn the mode switch to COMFORT e Press either the FIRM or SOFT comfort switch to adjust to the desired comfort level If the compressor runs excessively the yellow AIR LOSS light will flash on the mattress control panel To correct turn the mattress power off then on again to reset the system If the AIR LOSS light still flashes call maintenance for assistance NOTE The integrated air support system upgrade kit operates in the same manner as described above LOW LEAKAGE The low leakage package provides an isolation transformer and special power cord which limits electrical leakage to less than 10 micro amperes OPTIONS SCALE Each control button is color coded and graphically represented A caption appears below each button describing its function Additional operating instructions are located on the footboard ZERO DISPLAY The ZERO Scale display for button resets the weight readings scale to 000 0 prior to placing a patient ADJUST WEIGHT EIUS ZERO DISPLAY SHOWS LAST PATIENT WT LESKGS The ADJUST BED EXIT WEIGHT buttons are The BED used to manually button activates Gots ponent 2 the monitoring for Ae Tm ETT empty bed weight patient egress LBS KGS WEIGH CHANGE ITEMS The LBS KGS The button The 99 CHANGE ITEMS button is used to weighs the patient X button maintains patient switch to Ibs or kgs weight when
20. n 0 Reverse Trendelenburg e Manually or electrically raise the knee of the bed to 35 See Knee ELECTRIC Siderail Lockout Controls Motor Power Switch CONTROL Located in the nurse control panel the respective Located at the foot end base of the bed this LOCKOUTS lockout function will cancel the HI LO KNEE HEAD control will turn off ALL electric controls and CONTOUR electric controls e Push the button up electric control is inoperable e Push the button down electric control is operable Patient Control Lockout Indicator Located below the nurse control panel the indicator illuminates in red when lockout controls are being used SAFETY TIP Whenever a patient should be restricted from operating the patient controls activate the appropriate lockout control This is especially true for mentally compromised patients and for patients in traction e Press on electric controls are operable e Press off electric controls are inoperable ay a Motor Power Switch FEATURES SIDERAILS 3 POSITIONS HIGH INTERMEDIATE To Raise To Raise e Grasp the top of the siderail and pull out from underneath the bed Rotate the siderail toward the center of the bed The siderail will click in place when the intermediate position is reached Continue to rotate the siderail upward until the high position is reached and the siderail clicks in place e Tug on the siderai
21. on will be achieved if the fitted sheet extends 2 inches or more under the corners of the surface Magnets are used on the underside of the surface to assist in the retention of additional sheets and blankets Better retention will be achieved if the number of layers folded under the magnets is minimized CLEANING MEDICAL FLUID SPILLS Fluid spills should be wiped up as soon as possible Some fluids used in the hospital environment such as betadine will leave a permanent stain but most will not Temporary stains can be removed by wiping vigorously with a rag or sponge that is wet with a standard household cleaning solution Whatever cleaning solution is used it must be diluted according to the manufacturer s instructions CLEANING BLOOD AND EXCRETA If possible excess blood and excreta should be wiped up when wet since the cleaning process is more difficult when These substances are dry and caked onto the ticking Cleaning of blood and excreta from the ticking can be accomplished by wiping vigorously with rag or sponge that is wet with a standard household cleaning solution The rag or sponge must be rinsed periodically until after wiping the rag or sponge shows no evidence of the substance being cleaned Rinsing may be required five to ten times for pudaled dried blood A final wipe should be done using clean disinfecting solution and a clean rag or sponge Allow 30 to 60 minutes for the ticking to dry completely Whate
22. rly and medicated or confused are involved Hill Rom recommends the following minimum actions 1 Develop guidelines for all high profile patients that indicate e Which patients may need to be restrained and the appropriate restraint to utilize e The proper method to monitor a patient whether restrained or not including time interval visual check of restraint etc 2 Develop training programs for all caregivers concerning the proper use and application of restraints 3 Maintain the bed at its lowest position whenever a caregiver is not in the room 4 Clarify the need for restraint devices to families or guardians ELECTRICAL SAFETY Policies and procedures must be established to train and educate your staff on the risks associated with electric equipment At any time it is not prudent or necessary for personnel to have their entire body within the confines of the bed Whenever a bed is being cleaned or serviced it should be unplugged from its power source If service personnel need to get under the bed the Hi Lo portion must be blocked up as an added precaution INSTANT CPR RELEASE The emergency head and knee release is to be used by healthcare professionals only The mode selector lever must be continually held down in the CPR position until the bed reaches a flat position This will insure a smooth operation and avoid delay CONVERTIBLE FOOTBOARD When auxiliary equipment is placed on the footboard secure the equipment
23. t of the bed NOTE Before the bed is cleaned and especially before touching any electrical components it should be disconnected from the electrical outlet Since the bed is electric the excess use of cleaning fluids should be avoided NOTE Care must be taken to secure the foot section to the head section during any of the above procedures to ensure that the foot section does not drop back onto the frame while cleaning CLEANING To clean under the frame manually lift the foot end frame until it s secure To clean directly beneath the sleep surface lift the mattress from the head end of the bed GENERAL CLEANING General cleaning of the sleep surface mattress cover should be done by wiping down with a sponge or rag that has been dampenedi in a cleaning solution The cleaning solution can be any standard household cleaner For disinfecting purposes any phenolic or quaternary type cleaners may be used Whatever cleaning solution is used it must be used it must and diluted according to the manufacturer s instructions Cloroxe brand bleach can be used for disinfecting purposes but should not be used in concentrations greater than 1 part bleach to 10 parts water Care should be taken to wipe up excess cleaning solutions Damp areas can take 15 to 30 minutes to dry LINENS Although the bottom sheet can be flat fitted sheets are recommended Proper sizing of fitted sheets is important to insure good retention The best retenti
24. tally into the holder the end of the positioning handle can be used as a cursor for the middle of the film Also the smooth areas on top of the head or footboard can be used for patient align ment in the center of the bed 11 ACCESSORIES ISS SYSTEM INFUSION SUPPORT SYSTEM The Century CC bed comes with four standard ISS mounts located on the four corners of the bed To utilize the ISS System the following equipment is i needed e A transfer pole e An offset bar To Install e Place the offset bar into any of the four ISS mounts e Push the transfer pole into the offset bar e To secure the system tighten the butterfly screw on the bed and on the offset bar NOTE Insure the transfer pole and offset bar are firmly secured to each other before removing them for transfers TRANSDUCER HOLDER Use of the ISS system is required if the Hill Rom transducer is to be used To Install e After installing the ISS transfer pole and offset bar place the holder s metal clip directly onto the ISS transfer pole e Depending on specific monitoring needs adjust for distance in relation to patient by sliding the transducer holder along the ISS transfer pole e When desired position is reached firmly tighten the butterfly screws located on the metal clip e Place transducer onto the holder s vertical bar firmly tighten the butterfly screws located on the extended bar IV POLE 3
25. ted on the lower base of the bed the IV storage area will accommodate an IV pole or an ISS transfer pole To store simply push the pole into the storage clips DRAINAGE BAG HOOKS Drainage bag hooks two on each side located under the mid section of the bed and two at each side of the foot end They should not be used for restraint straps STEP ONE BED SET UP Prior To Positioning The C arm e lf attached remove the X ray cassette holder from the bed See page 10 e Place the head end siderails in the intermediate position e Insure that the sleep surface is flat e Raise the bed to a medium high position NOTE Some smaller C arms may result in reduced coverage especially if used with a large patient If this occurs either slide the mattress pad toward the head of the bed or adjust the patient toward the bedside with the C arm STEP TWO C ARM POSITIONING After Bed Is Set Up e Move the C arm to the bed For proper penetration insure the X ray tube is placed under the bed e Using the Hi Lo control on the outside of either head end siderail while looking under the surface slowly lower the bed to a comfortable working height e Sweep the C arm over the patient to check coverage e n some cases raising the siderail will increase penetration To Remove C arm e Raise the bed to high position using the Hi Lo control on the outside of the head end siderail e Insure the siderails are in the intermediat
26. tive maintenance must be performed to insure all bed features are functioning as originally designed Particular attention must be addressed on safety features including but not limited to Siderail latching mechanisms Caster braking systems Frayed electrical cords and components All controls return to off or neutral position when released Controls or cabling entanglement of bed mechanisms in Siderails Proper operation of the lockout function controls e H l Rom DIRECT CUSTOMER Hill Rom reserves the right to make changes without SERVICE HOTLINE notice in design specifications and models The only A HILLENBRAND INDUSTRY 800 638 2546 warranty Hil Rom makes is the expressed written Batesville IN 47006 USA e 800 638 2546 International e 812 934 8173 e FAX 812 934 7191 W6074A RC596 warranty extended on the sale or rental of its products HilHRom 1996
27. tomatic contour feature prevents at the nurse control panel See Electric Control the patient from gravitating to the foot end of the Lockouts bed thus reducing patient repositioning e Locate the head control button on the inside of either head end sideraiils e To raise push the head c button then release e To lower push the head H button then release HEAD ONLY For Electric For Manual e Insure the Automatic Contour lockout control e Turn the mode selector dial to the Head section located at the nurse control panel is pushed up e To raise pump the green pedal e Locate the head control button on the inside of e To lower push the orange pedal either head end siderails e To raise push the head c button then release e To lower push the head H button then release NOTE A head elevation gauge located on both sides of the bed indicates the degree of head elevation BED CONTROLS KNEE For Electric For Manual e Locate the knee control button on the inside of e Turn the mode selector dial to the Knee position either head end siderail e To raise pump the green pedal e To raise push the G button then release e To lower push the orange pedal e To lower push the H button then release TRENDELENBURG For Manual e f necessary raise the bed using the HI LO Control located at the nurse control panel until bed reaches desired height e Grip both of the Trendelenbur
28. ure the head of the bed is flat Raise the bed to a medium to high position Locate the mounting bar on the x ray cassette holder FIG B Locate the two support brackets underneath the sleep surface FIG B Working from either side of the bed place the mounting bar into the two support brackets Push in the mounting bar When correctly inserted the holder will click into place and will pivot within the support brackets To Detach Holder From Bed e Push the mounting bar to one side e Lift up the opposite side e Lift the holder away from the bed SAFETY TIP When not in use ALWAYS secure the x ray cassette holder to the sleep surface Lowering the bed without securing the holder to the sleep surface can damage the holder and the bed To secure the holder pivot the holder up until it latches the sleep surface Test security of holder by a gentle push or pull on the assembly after latching ACCESSORIES X RAY CASSETTE HOLDER LOADING FILM 2 METHODS Method 1 Head Up e Locate the two black release tabs FIG B e Release the holder from the sleep surface by grasping both release tabs and while pushing in pull up e While supporting the holder swing the form holder down see safety tip e Load the film cassette into the holder e Re secure the holder to the sleep surface SAFETY TIP Use caution when releasing the film holder from the sleep surface The film holder may ca
29. use damage if allowed to fall POSITIONING FILM FOR X RAYS 2 METHODS Method Head Up e Insure film is loaded and the holder is secured to the sleep surface e Grasp one of the two black positioning handles located on either side of the holder FIG B e Press down on the positioning handle s thumb release e Slide the film caddy into its desired position for x rays and release see note e The film holder will lock in place Method 2 Under The Surface e Insure the bed is at a medium to high position and the head of the bed is fully flat e Locate the two black release tabs FIG B e Release the holder from the sleep surface by grasping both release tabs and while pushing in pull up e While supporting the holder bring it down until it rests on the lower bed frame e Working from either side of the bed load the film cassette into the holder e Re secure the holder to the sleep surface Method 2 Head Flat e Insure film is loaded and the holder is secured to the sleep surface e Working from either side of the bed grasp one of the two black positioning handles located on either side of the holder FIG B see note e Press down on the positioning handle s thumb release e Slide the film caddy into its desired position for x rays and release see note e The film holder will lock in place NOTE After loading the film either vertically or horizon
30. ver cleaning or disinfecting solution is used it must be diluted according to the manufacturer s instructions DAMAGE REPAIR Repair of tears or holes in the upper mattress cover section is not recommended due to leak potential of the repair Tears or punctures in the air chambers can usually be repaired A repair kit is available from Hill Rom s Service Organization An air chamber can withstand up to 15 typical needle punctures without significantly affecting performance SAFETY TIPS BED POSITION Always leave the bed in the low position when the patient is unattended This could reduce the possibility of patient falls and the severity of resultant injury BRAKES Brakes should always be set when the bed is occupied and especially during patient transfers Patients often use the bed for support when getting out of bed and could be injured if the bed unexpectedly moves After setting the brakes push and pull the bed sideways to insure stability FLUID SPILLS When massive spills occur in the Siderail area or foot end of the bed immediately e Clean the fluid from the bed e Check the bed controls i e Head Knee Hi Lo e Have the maintenance department check the internal electronics Fluids remaining on the electronic controls may cause corrosion which may cause the electronic components to fail These component failures may cause the bed to move or operate on its own at a time that may be injurious to the patient or staf
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