Introduction; Indications; Contraindications; Risks And Precautions - KCI FIRST STEP Plus Operation Manual

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The First Step
Plus™ product is a pressure relieving mattress overlay designed to suspend the patient on a low-
®
air-loss support surface, providing effective pressure relief and early intervention for patients with skin breakdown.
The mattress overlay is constructed of Gore-Tex
FEET. The air supply unit consists of a single constant speed blower with a warmer to provide air temperatures
that can be adjusted for patient comfort. Each overlay section can be adjusted to meet individual patient needs.

INDICATIONS

The First Step
Plus™ product is indicated for patients who would benefit from a pressure relief surface assisting
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in the early intervention of skin breakdown.

CONTRAINDICATIONS

Patient conditions for which the application of pressure relieving therapy on the First Step
contraindicated include:
Unstable Spinal Cord Injury.
Unstable Vertebral Fracture.
Cervical Traction.

RISKS AND PRECAUTIONS

Transfer – Precaution should be taken during patient transfer, including the locking of caster brakes and
deflation of overlay surface. Refer to Patient Transfer sections in the Patient Placement and Nursing Care
chapters of this manual.
Side Rails and Restraints – Use or non-use of restraints, including Side Rails, can be critical to patient safety.
WARNING: Serious injury or death can result from the use (potential entrapment) or non-use (potential
patient falls) of Side Rails or other restraints. See related Safety Tips section.
Patient Migration – Specialty surfaces have different shear and support characteristics than conventional
surfaces and may increase the risk of patient movement, sinking and/or migration into hazardous positions of
entrapment and/or inadvertent bed exit may be increased.
Skeletal Traction or Unstable Fracture (if not contraindicated) – With Unstable Fractures or Skeletal
Traction, if not contraindicated, maintain physician-directed angle of articulation, and use care to guard
against risk of patient migration or inadvertent deflation of air surface.
Oxygen Use – DANGER: Risk of explosion if used in the presence of Flammable Anesthetics. Use of this
product's Air Supply Unit in an oxygen-enriched environment may produce potential of fire hazard. This
equipment is not suitable for use in the presence of a flammable anaesthetic mixture with air or with oxygen or
nitrous oxide.
CAUTION: Position Air Supply Unit only at foot end of bed when using Oxygen Administering Equipment.
Electromagnetic Interference – Although this equipment conforms with the intent of the directive 89/336/
EEC in relation to Electromagnetic Compatibility, all electrical equipment may produce interference. If
interference is suspected, move equipment away from sensitive devices or contact the manufacturer.
Shock Hazard – Electrical shock hazard, do not remove cover. Refer to Qualified Service Personnel.
Rev. B 05/05
First Step
®
Plus™ Operations Manual

INTRODUCTION

fabric and is divided into three sections: HEAD, BODY and
®
1-1
1
Plus™ product are
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Introduction

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