Safety Information - Arjohuntleigh RotoProne User Manual

safety Information

Skin Care - Fitting the head support, face pack, proning packs or other accessory packs too tightly may
increase pressure points, possibly leading to skin breakdown. Assess skin at frequent intervals depending on
patient condition (at least once every four hours). give extra attention to skin at pressure points and locations
where moisture or incontinence may occur or collect. Common pressure points include, but are not limited
to, the face, ears, axilla, shoulders, sides and upper and lower extremities. Early intervention may be essential
to preventing serious skin breakdown. Do not leave patient in a stationary position in the supine or prone
position for more than two hours.
Face Pack - Position face pack to ensure visibility of the eyes and to avoid pressure on or around patient's
eyes, mouth and ears. Remove face pack at regular intervals to assess the eyes, ears and facial skin.
Prolonged, increased intraoccular pressure may cause eye injury, including blindness. Ensure all face pack
buckles are secure before proning patient.
Face pack buckles are not electronically alarmed; manually pull up on face pack to ensure it is
attached securely.
Side Support Packs - Maintain a one-inch clearance (approximately the width of two fingers) between the
end of the side support pack and the patient's axilla. Never place Side Support Pack snugly against patient's
axilla, as undue pressure on axillary blood vessels and / or nerve injury may result.
Bed Height - To minimize risk of falls or injury, the unit should always be in the lowest practical position
when the patient is unattended. Make sure area under and around unit frame is clear of objects, persons and
parts of body before adjusting height.
Lock Pin - The lock pin should be fully engaged in the 0° supine position when rotation is stopped. Make
sure area under and around unit frame is clear of objects, persons and parts of body before pulling lock pin
to allow rotation.
Tube and Line Management - Prior to activating rotation, assess the security of all invasive lines and tubes
to accommodate a full 360° of rotation and minimize the risk of binding, disconnecting or dislodging. Tubes
and lines should always have slack for rotation and patient movement. Tubes and lines must always be routed
through and kept within either top frame hoop or the circular opening in the frame at the foot-end of the
unit, just beneath the main display panel. Do not hang or tie any equipment or lines on sides of patient
support frame.
Ventilator Management - Always rotate the patient surface from the supine position to the prone position
toward the ventilator, to reduce risk of extubation.
Hatches - Always make sure hatches are closed and locked in position prior to rotating patient surface from
supine / prone position and vise-versa. Use caution when opening and closing hatches. Keep extremities, hair,
clothing or other objects clear of hatch openings to avoid injury or damage. Unlatched hatches and hatch
center bar may pose risk of injury or damage if allowed to drop freely.
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