HILL-ROM Affinity 2 Electric Bed Service Manual
Contents
1. FOOT SUPPORTS The Foot Supports have these main adjustments e To tilt the patient s feet upward lift up under the toe e To lower pull the Release Latch located under the Foot Support and lower to the desired height e To position the patient s legs pull the Release Latch and rotate the Foot Support The Foot Support will rotate every 10 to a 90 position e To return to the storage position pull the Release Latch again and return supports to the desired position e To raise the Foot Supports simultaneously push the Foot Up Button until the desired level is reached e To lower the Foot Supports simultaneously push the Foot Down Button until the desired level is reached PLACENTA BASIN The Placenta Basin is reversible and easily removed for cleaning To remove e Pull the Basin straight out To reverse replace e Slide the Basin straight into the holding devices e Shake the Basin gently to ensure it is securely seated NIGHTLIGHT The Night Light is located under the bed e A photo cell control automatically turns the light on when the room darkens and turns it off when it gets light e To turn the light off manually there is a switch located on the frame at the head of the bed See Lockout Controls BED MODELS The Affinity bed is available in two models the V Cut or the Straight Edge V Cut Straight Edge ACCESSORIES ATIACHED CALF SUPPORTS e Lower the Fo2. Delivery Table Mode e Slide the patient down so that her buttocks are at the division in the mattress e Lower the Foot Section to its lowest position With Calf Supports e Position the attached Calf Supports and place the patient s legs in the Supports e Adjust the angle of the Supports and tighten the ball joints With Full Leg Supports e Slide the patient down so that her buttocks are at the division in the mattress e Lower the Foot Section to its lowest position e Insert the Leg Support rods into their sockets at the bottom of the space between the mattresses and place the patient s legs in the Leg Supports e Adjust the angle of the Leg Supports and tighten the black winged knob e Push the Foot Up Control to raise the Leg Supports so that they securely support the patient s perineum OVER the cut out space e Remove the Foot Section and raise the bed to a comfortable working height The drainage pan can also be removed for extra exposure NOTE Check pressure points e Press the Foot Up Control to raise the supports so that they securely support the patient s perineum OVER the edge of the Seat Section e Remove the Foot Section and raise the bed to a comfortable working height The drainage pan can also be removed PATIENT POSITIONING POSITIONING FOR DELIVERY Lateral Position Sims e With the bed in the lowest position and the head of the bed adjusted for the patient
3. e Lower the Foot Section by pressing the Foot Down Control e Have the patient kneel on the Foot Section using the Labor Bar for support shorter patients may use an extra pillow under their knees Legs Hevated With Foot Mattress This position is useful for various clinical reasons during antepartum care postpartum care and anesthesia administration when a patient s legs require elevation It may also be used for patient comfort e Raise the Foot Section to its highest position e Turn back the hinged Foot Section mattress e Place the patient s legs on the elevated mattress section PATIENT POSITIONING POSITIONING FOR LABOR Squatting With The Labor Bar e With the bed in the lowest position raise the head by pressing the Head Up Control and lower the Foot Section by pressing the Foot Down Control e Insert the Labor Bar into the Leg Support Sockets angling away from the head of the bed e The patient may squat on the Seat Section holding the Labor Bar or sit with her feet on the Foot Section leaning forward onto the bar Pushing With The Labor Bar e Raise the head of the bed to a comfortable position by pressing the Head Up Control e Insert the Labor Bar into the Support Sockets angling away from the head of the bed e Lower the Foot Section if needed by pressing the Foot Down Control e Place the patient s feet on either side of the Labor Bar e The patient may grip the Labor Grips or pu
4. and scrub lightly The stain should start to fade almost immediately and should be totally gone within 15 minutes e Stubborn stains may need further applications No more than 3 applications on any one area are recommended e When completely ary rinse area with clear water and wipe dry e If solution comes in contact with skin wash off with water and follow manufacturer s label instructions MAINTENANCE The Affinity Il Bed needs regular care and maintenance as detailed in the Service Manual Please request your maintenance technician to follow the preventive maintenance section in the Service Manual SAFETY TIPS For over 65 years Hill Rom has set the standard for quality in patient beds During this time with input from many of our customers we have acquired these useful 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 FLUID SPILLS When massive spills occur in the Siderail area or the head end of the bed immediately e Clean the fluid from the bed e Check the bed controls i e Head Foot Hi Lo e Have maintenance 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 st
5. need for restraint devices to families or guardians ELEC TRICAL SAFETY Policies and procedures must be established to train and educate your staff on the inherent 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 see Affinity Il Bed Service Manual 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 to insure stability LOCKOUT CONTROLS Whenever a patient should be restricted from operating the patient controls activate the appropriate lockout controls located at the head end of the bed INSTANT C PR RELEASE The emergency head release is to be used by healthcare professionals only The lever must be continually pulled until the head of the bed reaches a flat position This will insure a smooth operation and avoid delay 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 MATIRESSES The use
6. IN SERVICE MANUAL Affinity II Bed From Hil Rome TABLE OF CONTENTS AFANITY BED PATIENT POSITIONING BED SPECIHCATIONS 0 ccc eee Labor BED CONTROLS Upright Voiding With Bed Pan 8 jojo MM Er 2 Lateral SINS REPE 8 Hedd EC 2 Kneeling With Labor Bar 8 nibo V x conn ei 2 Legs Elevated With Foot Mattress isses 8 DOOM pM p 2 Squatting With Labor Bar 9 BAEK ose ai tena e ias 2 Pushing With Labor Bar 9 Auto Inflate Deflate sse 2 Pushing With Labor Bar with foot supports 9 FEATURES Standing With Labor Bar 9 Nle jo m 3 Amniotomy Li 10 Instant CPR ions cx eR es pa e cone eg gs 3 Kneeling sissi eem mex E ERREUR RS 10 Trendelenburg Li 3 Pushing With Labor Grips 0 0 cece 10 Central Brake and Steer oo ees 3 Anesthesia Manual Crank LL 3 Puderdal nha pacte i RA pde ce Waals 11 Headboard esser ees ees nm 4 Epidural Spinal Latera 11 Lockout Controls oaa aaa aa s 4 Epidural Sitting Li 11 Proportional Pelvic Tilt 4 Straight Line Trendelenburg s sess 11 FOOT SECON suini Races eR sce sana 4 General Anesthesia 0 11 Labor Grips Ls pere i Y eder og RA Ta 5 IONSPOr 4 22 ars esce tes nme pcc e de as 11 EGOT SUPPOLS pirana tenen ebd n a 5 Delivery Placenta Basin uu n te Scie cmt s 5 Birthi Chair Mode eise mcm e 12 Weasende e 5 Birthing Bed Mode 12 MODELS Delivery Table Mode eene 12 V Cut or Strai
7. POLE MULTI PURPOSE TRAY The Permanent IV Pole mounted on the head section frame allows section of the bed in the foot additional IV bags and pumps section yoke to be mounted on either side of NOTE The T t be full the head end of the bed 2 P itay must Be tly The Tray is located at the foot secured to the bed if it is used as a work surface ANESTHESIA SC REEN BEDDING The base of the frame slides between the mattress and A sheet set includes pillow case top and custom fitted the frame The screen can be positioned on either side bottom sheets Additionally the two piece bottom set of the bed is available separately HEAD SECTION SLIPCOVER The Slipcover is simply placed over the head section mattress for protection from normal wear and tear and from fluids The Slipcover can be replaced when it is worn thus preventing damage to the inner mattress and foam DISPOSABLE DRAPE The full size absorbent Disposable Labor and Delivery Drape covers the entire seat foot and lower backrest and tucks into the fluid basin when the end of the bed is removed The drape should be placed over the bottom sheet before the patient gets into bed with the soft absorbent surface next to the patient waterproof side down This keeps the bedding and equipment protected from fluids and reduces clean up time PENDANTAND HOLDER The Pendant attaches at the head end of the bed near the frame The Pendant controls Bed Up D
8. aff 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 manufacturer s instructions for use to verify the correct application of each restraining device Whenever high profile patients typically the frail elderly 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
9. b loose For large patients rotate the black knob outboard away from the patient Place the patient s legs into the Supports Adjust the position by rotating her knees out Tighten the black knob Raise the Foot Section electrically to fill in the popliteal space by pushing the Foot Up Control The patient s legs should be completely supported Check for pressure points and make any adjustments Remove the Foot Section Rotate the Foot Supports up and away from the center of the bed NOTE Check for pressure points and make appropriate adjustments TALL PATIENTS Angle the support downward SHORT PATIENTS Angle the support upward CONVERSION WEDGE To accommodate different physician preferences the Conversion Wedge allows you to quickly convert the V Cut Seat Section to a straight edge e Slide the wedge between the mattress and the Seat Section LABOR BAR For extra support the Labor Bar fits into the Leg Support Sockets between the Seat and Foot Cushions To raise or lower the bar use the Foot Controls The bar can be used in either direc tion for different positions and purposes ACCESSORIES ARM BOARD The Arm Board is held in place between the frame and mattress The padding is removable COMFORTPAD The Comfort Pad is simply placed on top of the mattress and fitted securely around the mattress for cleaning corners It rolls up into a compact bundle for storage PERMANENT IV
10. d Section to a comfortable height by pressing the Head Up Control e Position the patient so she is kneeling on the Foot Section leaning forward and resting her arms on the Head or Seat Section Pushing With Labor Grips e Adjust the head of the bed to approximately 30 by pressing the Head Up Control e Raise the Labor Grips e Place the patient s feet on the Labor Grips e The patient may pull back on her knees without the need for the staff to assist her e Lower the Foot Section if desired PATIENT POSIIONING POSITIONING FOR ANESTHESIA Pudendal e Lower the Foot Section by pressing the Foot Down Control to produce exposure and position the patient over the cut out e Raise the backrest by pressing the Head Up Control for the patient s comfort Epidural Spinal Lateral Approach e Lower and tuck away one Siderail e Position the bed to a comfortable height and lower the head of the bed e Place the patient in a lateral recumbent position at the mattress edge Epidural Sitting Approach e Raise or lower the bed to a comfortable height for the staff and flatten the bed e Have the patient dangle her legs over the opposite side of the bed or in the V cut out Straight Line Tendelenburg e Pull the CPR Handle to lower the head of the bed to a full flat position e Push down on the Trendelenburg Handles located on either side of the bed and guide the bed to t
11. eated soaking of mattress materials will accelerate wear and eventually destroy mattress seals causing fluids to leak into the cushions MATTRESS DAMAGE CAUSED BY IMPROPER DRAPING AND OR CLEANING PROCEDURES IS NOT COVERED BY WARRANTY The following products have been tested by the Herculite Laboratory and have been found not to have a harmful effect on Staph Chek fabrics WHEN USED IN ACCORDANCE WITH MANUFACTURERS RECOMMENDED DILUTION TRADE NAME A33 Absolute Beaucoup Blue Chip Coverage 256 El Dorado Plus Elimstaph Forward DC Franklin Sentinel Galahad Hi Tor Insurance LPH Matar Omega Quanto Sanikleen Sanimaster Ill Surfacide Tri Quat Vesphene II Virex TYPE Quartenary Quartenary Phenolic Quartenary Quartenary Quartenary Quartenary Quartenary Quartenary Phenolic Quartenary Quartenary Phenolic Phenolic Quartenary Quartenary Quartenary Quartenary Quartenary Quartenary Phenolic Quartenary MANUFACTURER Airwick Walton March Huntington S C Johnson Vestal Puritan Churchill Walter G Legge S C Johnson Purex Puritan Churchill Huntington Vestal Vestal Huntington Airwick Huntington West Chemical Service Master Walton March Vestal Vestal S C Johnson Betadine stains may be removed from the mattress Staph Chek fabric by doing the following e Use a 5 25 sodium hypochlorite solution Cloroxe brand bleach e Apply 3 drops of the solution per square inch immediately
12. ght Edge Mattress 0 0 eee eee 5 Lateral SIMS isc eae kem cow eee pae a 13 ACCESSORIES UBrighf p PP dia aa A E RA 13 Attached Calf Supports 6 High Modified Trendelenburg issus 13 Ful Leg Supports Li 6 CLEANING Conversion Wedge sss sese eee 6 Care Of Wood Components 14 Labor Bar wk s 6 Mattress Care Draping Li 14 AN BOOGIE iii e e ie 7 Maintenance LL 14 Comfor PO o s ede oc eon ed ac E cR es 7 SAFETY TIPS 15 Permanent IV Pole LL 7 BIBLIOGRAPHY seen 16 Multi Purpose Tray LL 7 Anesthesia Screen LL 7 Fitted Bedding Sheets 7 Head Section Slipcover ee 7 Disposable Drape 1 a 7 Pendant and Holder 7 Patient Phone and Adaptor 0 7 NOTE Educational materials including a video cassette in service tape positioning poster and research articles in the bibliography are available from your Hill Rom Perinatal Consultant FOR SPECIAL ASSISTANCE Hill Rom Account Manager Phone Perinatal Consultant Phone Field Service Technician Phone Customer Service Representative Phone FEATU Optional V Cut Mattress Hinged Seat And Back Provides Maximum TuckAway Siderails For Sections Keep Mattress Exposure Of Perineum Auto Inflate From Bunching Up A erraight Edge Mattress nene eden tocan dba o bcd SRAAVONORE Fa Optional Patient Phone i Optional SideCom Wt Patient Controls Both Sides i bM Optional SideCom Staff Controls Both Sides Lumbar Section Su
13. he desired degree of Trendelenburg up to 8 e To level the sleep surface pull up on the handle and guide the bed to a flat position General Anesthesia e In an emergency position the bed to a comfortable height e Remove the Headboard e Position the patient for intubation Transport e Position the bed at the highest level possible e Engage Steer to make the right head caster track in a straight line for ease of steering e Disengage to push the bed sideways NOTE Sharp turns and lateral movements are most easily accomplished in NEUTRAL position Always transport with Siderails raised PATIENT POSITIONING POSITIONING FOR DELIVERY Birth Chair Mode e Raise the head of the bed to place the patient in a sitting position e Position the patient s feet in the Foot Supports e Remove the Foot Section and tuck the drape into the drainage pan e Use the Foot Control to raise or lower the Foot Supports e Tuck the end of the drape into the drainage pan and raise the bed to a comfortable height by pressing the Bed Up Control Birthing Bed Mode e Position the patient s feet in the Foot Supports Raise the supports to a comfortable position e Remove the Foot Section and tuck the drape into the drainage pan e Tilt up the Foot Supports for the patient to push against e Raise the bed to a comfortable height by pressing the Bed Up Control and position The patient s perineum out and over the edge of the Seat Section
14. ll back on her knees Pushing With The Labor Bar With Foot Supports e Raise the head of the bed to a comfortable position by pressing the Head Up Control e Remove the Foot Section e Place the patient s feet on the Foot Supports and adjust for comfort e Insert the Labor Bar into the Support Sockets angling away from the head of the bed e The patient may grasp the Labor Bar where it s comfortable for her Standing With The Labor Bar e Remove the Foot Section and Fluid Basin and rotate the Foot Supports away from the center of the bed e Insert the Labor Bar into the sockets angling toward the head of the bed e Adjust the Labor Bar height by pressing either the Foot Up or Foot Down Control To obtain additional height press the Bed Up Control e The patient may stand and lean forward onto the bar e Place a stool or chair near the foot of the bed for the patient to sit on between contractions PATIENT POSITIONING POSITIONING FOR LABOR Amniotomy e Raise the head of the bed to a comfortable position by pressing the Head Up Control e Lower the Foot Section by pressing the Foot Down Control e Place the bed pan backward into the V Cut on the Foot Section e Position the patient s perineum out and over the bed pan before performing the amniotomy Kneeling e With the bed in its lowest position lower the Foot Section completely by pressing the Foot Down Control e Raise the Hea
15. moved in the following methods If the Foot Section height can be adjusted e Adjust the Foot Section so that the top of the mattress is at about waist high e Approach the Foot Section from the front e Grasp the Foot Section between the snaps e Hold the Foot Section as close to the body as possible e Lift to disengage e Turn the Foot Section and with knees bent place it on the floor If the Foot Section is well below the waist and cannot be adjusted e Approach the Foot Section from an angle side and front e Place one leg forward and one leg back e Bend both knees e Grasp the Foot Section by the handles on the mattress e Hold the Foot Section as close to the body as possible e Lift to disengage e Turn the Foot Section and with knees bent place it on the floor NOTE The Foot Section s hinged mattress can be flipped over to expose the Foot Supports NOTE Tug upward on the pulling handle to verify the Foot Section is securely seated WARNING The Foot Support must be fully secured under the mattress to provide safe support NOTE The Foot Section is designed so the foot end stand can also be used as a pulling handle when transporting the patient on the bed FEATURES ror BUILFIN LABOR GRIPS e To raise the Labor Grip grasp the grip and rotate from under the bed until it clicks in place e To lower pull the Release Latch and lower the grip under the bed
16. ning effect on any painted or finished surface if used in high concentrations Diluted ammonia detergent and bleach solutions may be used The Centers for Disease Control recommend EPA approved hospital disinfectants used at manufacturers suggested dilutions or bleach at a 1 100 dilution cup to 1 gallon water to clean environmental surfaces such as the Affinity Il Bed and perinatal furniture Cleaning should be done by wiping a soft dampened cloth over the surface followed by wiping with a dry cloth At no time should a wet cloth be allowed to lay on the surface Any liquid spilled on the surface should be wiped up immediately Any liquid allowed to lay on the surface unattended may damage the finish For protection of the finish we recommend using a liquid type furniture polish Polish about once a month and wipe off any excess with a soft dry cloth Have any nicks or scrapes repaired to prevent water damage MATIRESS CARE AND DRAPING Correct draping technique is essential in preserving the life of the mattress Drapes must be fluid repellent The Hill Rom labor and delivery drape effectively covers the lower three quarters of the bedding throughout labor Additional pads or towels placed under patient will help prevent fluid from reaching the edges of the drape This safeguard keeps the sheets clean and dry while preventing fluid exposure to the mattress STANDARD OB PACKS AND PAPER DRAPES WILL NOT KEEP THE SHEETS DRY Rep
17. nter and pull out and up from under the bed e The Siderail clicks into a locked position e Check the locked position with a gentle tug Dowry Storage The Pull Latch is located on the bottom center of the Siderail e Pull the latch and lower the Siderail into the down or storage position INSTANT CPR The CPR Release Latch is located at the Head Section on both sides of the bed e Pull the CPR Release Latch and hold e The Head Section will lower to a flat position within 7 seconds e Amechanism slows the action to prevent the Head Section from free falling TRENDELENBURG Trendelenburg Handles are located at the Head Section of the bed on both sides of the bed e To position the sleep surface in Trendelenburg push down on the handle and guide the bed to the desired degree of Trendelenburg up to 8 e To level the sleep surface pull up on the handle and guide the bed to a level position CENTRAL BRAKE AND STEER The Brake and Steer Pedals are located near the center section on both sides of the bed e To brake press down firmly on the Brake Pedal designated by an orange dot e Two casters will immediately lock in place Push and pull the bed to ensure brakes are set e To release press firmly on the Steer Pedal until both pedals are level Neutral position e To steer press down firmly on the Steer Pedal designated by a green dot e To release press firmly on the Brake Pedal until both pedals are le
18. of mattresses that are not sold by Hill Rom may reduce the effectiveness of the safety features and systems incorporated into Hil Rom beds PREVENTIVE MAINTENANCE Annual preventive 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 e Siderail latching mechanisms e Caster braking systems e Frayed electrical cords and components e All controls return to off or neutral position when released e Controls or cabling entanglement of bed mechanisms in Siderails e Proper operation of the lockout function controls PARTS AND ACCESSORIES Use only Hill Rom parts and accessories Do not modify bed without authorization from Hill Rom BIBLIO G RAPHY Abitbol M Supine Position in Labor and Associated Fetal Heart Rate Changes Obstetrics and Gynecology 1985 65 4 481 86 Andrews C amp Andrews E Nursing Maternal Posture and Fetal Positions Nursing Research Nov Dec 1983 326 Caldeyro Barcia R The Influence of Maternal Bearing Down Efforts During Second Stage on Fetal Well Being Birth and the Family Journal 1979 6 2 17 21 Caldeyro Barcia R The Influence of Maternal Position at Time of Spontaneous Rupture of the Membranes Progress of Labor and Fetal Compression Birth and the Family Journal Summer 1979 6 1 Caldeyro Barcia R Physiological and Psychosocial Ba
19. ot Section to the lowest position Turn back hinged mattress Raise the Foot Support to the full upright position Supports are interchangeable right and left Install the Supports by placing the rod into the steel sleeves located on the back of the Foot Support e Place the patient s legs into the Supports e For a large patient the Foot Support with the Calf Support in place may be rotated out horizontally Adjust the position by rotating the patient s knees out Tighten the ball joint by rotating the grip to the right Loosen the ball joint by rotating the grip to the left Use the Siderail Foot Up Foot Down Controls to position the patient s legs at a comfortable height e Adjust the angle of the Supports using the ball joint on the Support e Remove the Foot Section NOTE Check for pressure points and make appropriate adjustments TALL PATIENTS Angle the support downward SHORT PATIENTS Angle the support upward FULL LEG SUPPORTS NOTE Electrically lower the Foot Section to the lowest position with the patient s legs on the Foot Section before placing her legs into the Supports Both Full Leg Supports are interchangeable right and left For Leg Support installation place the rod into the steel sockets located on the Foot Section e Drop them into the sockets and rotate until you hear the support lock Rotate the Supports so that the black knob faces inboard toward the patient and leave kno
20. own Head Up Down Foot Up Down The Pendant Holder attaches the Pendant to either Siderail PATIENTPHONE AND ADAPTOR The Patient Phone attaches to either Siderail by using the Adaptor PATIENT POSITIONING NOTE The Labor and Delivery Drape should be placed over the bottom sheet before the patient gets into the bed To allow the patient to participate show her how to operate the controls POSITIONING FOR LABOR Upright Position Voiding Position e Raise the head of the bed to a comfortable position by pressing the Head Up Control e Lower the Foot Section by pressing the Foot Down Control e Place the patient in an upright position e Place the bed pan backward into the V Cut on the Foot Section e Position the patient out and over the V Cut having her hold her knees for support e If the patient s legs are unstable position her feet with the soles together to prevent sliding Left Lateral Position Sims e With the bed in the lowest position and the head of the bed adjusted for the patient s comfort position the attached Calf Support with the foot end pointed toward the head of the bed e With the patient lying on her left side place her right leg in the Support and lower the Foot Section for comfort e Adjust the Support and tighten the joint Kneeling With Labor Bar e Insert the Labor Bar into the Leg Support Sockets angling toward the head of the bed
21. release HI LO The Hi Lo Control is located on the Nurse Control Panel and on the Pendant e To raise push and hold the Hi Control until the desired height is reached and then release e To lower push and hold the Lo Control until the desired height is reached and then release SEAT SECTION The Seat Section Mattress Control is located on both the Patient Control Panel and the Nurse Control Panel e To inflate the Seat Section push the Seat Firm Button until the desired firmness is attained e To deflate the Seat Section push the Seat Soft Button until the desired softness is attained BACK SECTION The Back Section Mattress Lumbar Control is located on both the Patient Control Panel and the Nurse Control Panel e To inflate the Lumbar Section push the Back Firm Button until the desired firmness is attained e To deflate the Lumbar Section push the Back Soft Button until the desired softness is attained AUTO INFLATE The Auto Inflate Control is located on the Nurse Control Panel e To automatically inflate the Seat Section push the Auto Inflate Button once e If complete inflation is not necessary push the Auto Inflate Button a second time to stop inflation e To deflate push and hold the Seat Soft Button The patient s weight will then force air out of the mattress FEA TURES SIDERAILS The Siderails are located on both sides of the bed e Grasp the top of the Siderail in the ce
22. rface Is Adjustable From poA dud al i joo UN oard For Procedures ii Surface Is Adjustable From Firm To Soft Manual Operation In Case Of Power Failure Medical Emergency Or Hospital Preference High position Of 42 For Physicians Who Prefer To Stand Foot Section Is Removed In One Step And Stands On End ai Lockout Switches Af s 1 Head Of Bed To i Deactivate Siderail Controls And Night Light Trendelenburg Positioning Lo osition Of 22 To From Any Height iud Increase Safety And Comfort For Mothers Who Ambulate Motors In Head Section e Away From Fluids d sam Emergency CPR Lowers Head Of Bed Instantly Was 4A Fluid Basin Can Be Tp Easily Removed Automatic Night Light v Enhances Safety For Patients And Nurses Built In Foot Supports Central Brake And Steer Adjust Vertically And 6 Casters Increase And Horizontally To Automatic 15 Pelvic Mobility And Stability Position Feet Tilt Prevents The Mother From Sliding Toward Opti tional Built In Calf The End Of Bed Supports Reduce Delivery Set Up Time SPECIHCATIONS Length 90 in 229 cm Critical Angles Width Maximum head elevation o 70 Siderailsup iL 42 in 108 cm Maximum seat elevation LL 15 Siderails down saaa aa 34 in 86 cm Maximum Trendelenburg i 8 Bed Height Maximum Lift Capacity LOW Sia ae a 22 in 56 cm BEA PPP 500 Ibs 227 kg High with mattres
23. ritish Journal of Obstetrics Gynecology 76 817 1969 U S Department of Health and Human Services Public Health Service Centers for Disease Control Guidelines for the Prevention of Transmission of Human Immunodeficiency Virus and Hepatitis B Virus to Health Care and Public Safety Workers February 1989 U S Department of Health and Human Services Public Health Service Centers for Disease Control Recommendations for Prevention of HIV Transmission in Health Care Settings Morbidity and Mortality Weekly Report August 1987 Vol 36 No 23 DIRECT C USTO MER SERVIC E HOTLINE 800 638 2546 e H l Rom Hill Rom reserves the right to make changes without notice in design specifications and models The only A HILLENBRAND INDUSTRY E warranty Hill Rom makes is the expressed written Batesville IN 47006 USA e 800 638 2546 warranty extended on the sale or rental of its products International e 812 934 8173 e FAX 812 934 7191 Hil Rom 1996 W6140A RB596
24. s 0 0 eee 40 in 102 cm Foot Section o 400 Ibs 181 kg Maximum height of seat section Head Section LL 200 Ibs 91 kg in Trendelenburg s esses 43 in 109 cm CasterSze 00 sss 6 in 15 cm Mattress Eenglbi sacs tae wo eoo c imo pog RU CR RR 78 in 198 cm WITH ei coc caries ak pace EC RR 34 in 86 cm Thickness head seat 4 in 10 cm Thickness foot LL 3 in 8 cm BED CONROLS The Affinity Bed is electrically operated using Siderail or Pendant Controls The Foot Head and Hi Lo func tions can be operated manually if necessary Patient Control Panel FOOTSECTION The Foot Section Control is located on the Patient Control Panels the Nurse Control Panel and on the Pendant e To raise the Foot Section push and hold the Foot Up Control until the desired height is reached and then release e To lower the Foot Section push and hold the Foot Down Control until the desired height is reached and then release HEAD SECTION The Head Section Control is located on the Patient Control Panels the Nurse Control Panel and on the Pendant e To raise push and hold the Head Up Control until the desired height is reached and then release e When the Head Section is raised the Seat Section Pelvic Tilt automatically engages proportionally up to 15 e To lower push and hold the Head Down Control until the desired height is reached and then
25. s comfort position the attached Calf Support with the foot end pointed toward the head of the bed e With the patient lying on her left side place her right leg in the Support Lower the Foot Section for comfort e Adjust the Support and tighten the ball joint NOTE Follow the same procedure to position the patient on right side e The clinician may sit on the lowered Foot Section for delivery Upright Position e Raise the head of the bed to a full or partial upright position by pressing the Head Up Control e Lower the Foot Section completely by pressing the Foot Down Control e Position the patient s perineum out and over the edge of the Seat Section NOTE The patient may grasp the Labor Grips e The clinician may sit on the lowered Foot Section for delivery High Modified Trendelenburg Delivery And Repair e Raise the bed to the desired height using the Hi Lo Control e Raise the Head Section to the desired position by using the Head Up Control e Position the patient s legs in Calf Supports e Push down on the Trendelenburg Handle to place the patient in modified Trendelenburg and to raise the perineum CLEANING CARE OF WOOD COMPONENTS Wood is selected for use on beds because of its beauty and warmth All Hill Rom wood products are treated with a resin based sealer and finish which provide resistance to abrasion staining fluids and fire Many disinfectant cleaners have a softe
26. ses for the Modern and Humanized Management of Normal Labor Lecture presented at International Year of the Child Commemorative International Congress Tokyo October 1979 Carlson J et al Maternal Position During Parturition in Normal Labor Journal of the American College of Obstetricians and Gynecologists 1986 68 4 443 447 Carr K C Obstetric Practices Which Protect Against Neonatal Morbidity Focus on Maternal Position in Labor and Birth Birth and the Family Journal 1980 7 4 249 254 Chen S et al Effects of Sitting Position on Uterine Activity During Labor Obstetrics and Gynecology January 1987 6X1 67 73 Cohen W Steering Patients Through the Second Stage of Labor Contemporary Obstetrics Gynecology July 1984 122 139 Dundes L The Evolution of Maternal Birthing Position American Journal of Public Health May 1987 77 5 636 41 Engleman G Labor Among Primitive Peoples Third edition St Louis J H Chambers amp Company 1884 Fenwick Loel M D and Simkin PT Maternal Positioning to Prevent and Alleviate Dystoria in Labor Clinical Obstetrics and Gynecology Vol 30 No 1 March 1987 Shannahan Mary RN PhD and Cottrell Barbara RN MSN The Effects of Birth Chair Delivery on Maternal Perception JOGNN July August 1988 Lui Y C Effects of an Upright Position During Labor American Journal of Nursing 74 2202 1974 Russell J G B Moulding of the Pelvic Outlet B
27. vel Neutral position NOTE Sharp turns and lateral movements are more easily accomplished in neutral position MANUAL CRANK e The Manual Crank is stored on the frame under the head of the bed e Head Foot and Hi Lo Motors can be engaged manually e Insert the crank handle into the Head Motor drive and turn it clock wise to raise and counter clockwise to lower e The Foot Motor and the Hi Lo Motor drives are raised by turning the crank counter clockwise and lowered by turning the crank clockwise e Return the crank to the storage position before operating the bed electrically NOTE For safety unplug the bed when using the Manual Crank FEATURES HEADBOARD The Headboard may be removed e To remove grasp the Headboard and lift straight up e To replace align the mounting post in the headboard with the holes on the bed and push the Headboard down Move the Headboard gently to ensure it is firmly seated LOCKOUT CONTROLS Lockout Controls are located on the frame at the head of the bed These Controls can be used to deactivate the Patient and or Nurse Control Panel with the exception of SideCom as well as the Automatic Night Light PROPORTIONAL PELVIC TILT e As the Head Section is raised the seat gradually tilts up from 0 to 15 e As the Head Section is lowered the seat gradually returns to a flat position FOOTSECTION The Foot Section can be re
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