Professional Documents
Culture Documents
Hill-Rom Affinity 2 Bed - Service Manual
Hill-Rom Affinity 2 Bed - Service Manual
Seat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 Squatting With Labor Bar . . . . . . . . . . . . . . . . . . . . . . . .9 Staff Controls [Both Sides] Lumbar Section
Back . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 Pushing With Labor Bar . . . . . . . . . . . . . . . . . . . . . . . . .9 Surface Is Adjustable From
Firm To Soft
Auto-Inflate/Deflate . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 Pushing With Labor Bar (with foot supports) . . . . . . . . .9 Easily Removed Head-
Board For Procedures Seat Section
FEATURES Standing With Labor Bar . . . . . . . . . . . . . . . . . . . . . . . .9 Surface Is Adjustable From
Manual Operation In Firm To Soft
Siderails . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 Amniotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
Case Of Power Failure, High position Of 42"
Instant CPR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 Kneeling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 Medical Emergency Or For Physicians Who
Hospital Preference Prefer To Stand
Trendelenburg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 Pushing With Labor Grips . . . . . . . . . . . . . . . . . . . . . . .10
Central Brake and Steer . . . . . . . . . . . . . . . . . . . . . . . . . .3 Anesthesia Foot Section Is
Lockout Switches At Removed In One Step
Manual Crank . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 Pudendal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11 Head Of Bed To And Stands On End
Deactivate Siderail
Headboard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 Epidural/Spinal (Lateral) . . . . . . . . . . . . . . . . . . . . . . . .11 Controls And Night Light
Lockout Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 Epidural (Sitting) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
Trendelenburg Positioning Low position Of 22" To
Proportional Pelvic Tilt . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 Straight Line Trendelenburg . . . . . . . . . . . . . . . . . . . . .11 From Any Height Increase Safety And
Foot Section . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 General Anesthesia . . . . . . . . . . . . . . . . . . . . . . . . . . .11 Comfort For Mothers
Motors In Head Section Who Ambulate
Labor Grips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 Transport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
(Away From Fluids)
Foot Supports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 Delivery
Emergency CPR Lowers
Placenta Basin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 Birth Chair Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 Head Of Bed Instantly Fluid Basin Can Be
Night Light . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 Birthing Bed Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 Easily Removed
Automatic Night Light
MODELS Delivery Table Mode . . . . . . . . . . . . . . . . . . . . . . . . . .12 Enhances Safety For
V-Cut or Straight-Edge Mattress . . . . . . . . . . . . . . . . . . . .5 Lateral (Sims) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 Patients And Nurses
Built-In Foot Supports
ACCESSORIES Upright . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 Central Brake And Steer Adjust Vertically
And 6" Casters Increase And Horizontally To
Attached Calf Supports . . . . . . . . . . . . . . . . . . . . . . . . . .6 High Modified Trendelenburg . . . . . . . . . . . . . . . . . . .13 Automatic 15° Pelvic Mobility And Stability Position Feet
Full Leg Supports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 CLEANING Tilt Prevents The Mother
From Sliding Toward Optional Built-In Calf
Conversion Wedge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Care Of Wood Components . . . . . . . . . . . . . . . . . . . . .14 The End Of Bed Supports Reduce
Labor Bar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Mattress Care/Draping . . . . . . . . . . . . . . . . . . . . . . . . . .14 Delivery Set-Up Time
Arm Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14
Comfort Pad . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 SAFETY TIPS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Permanent IV Pole . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 BIBLIOGRAPHY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16
Multi-Purpose Tray . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
Anesthesia Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 SPECIFICATIONS
Fitted Bedding Sheets . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
Head Section Slipcover . . . . . . . . . . . . . . . . . . . . . . . . . . .7 Length . . . . . . . . . . . . . . . . . . . . . . . . . . . . .90 in. (229 cm) Critical Angles
Disposable Drape . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 Width Maximum head elevation . . . . . . . . . . . . . . . . . . . . .70°
Pendant and Holder . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
Siderails up . . . . . . . . . . . . . . . . . . . . . . .42 ⁄2 in. (108 cm)
1
Maximum seat elevation . . . . . . . . . . . . . . . . . . . . . .15°
Patient Phone and Adaptor . . . . . . . . . . . . . . . . . . . . . . .7
Siderails down . . . . . . . . . . . . . . . . . . . . . .34 in. (86 cm) Maximum Trendelenburg . . . . . . . . . . . . . . . . . . . . . . .8°
Bed Height Maximum Lift Capacity
Low . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22 in. (56 cm) Bed . . . . . . . . . . . . . . . . . . . . . . . . . . . . .500 lbs. (227 kg)
NOTE Educational materials, including a video cassette in-service tape, positioning poster, and research articles in the High (with mattress) . . . . . . . . . . . . . . . . .40 in. (102 cm) Foot Section . . . . . . . . . . . . . . . . . . . . . .400 lbs. (181 kg)
bibliography, are available from your Hill-Rom Perinatal Consultant.
Maximum height of seat section Head Section . . . . . . . . . . . . . . . . . . . . . .200 lbs. (91 kg)
(in Trendelenburg) . . . . . . . . . . . . . . . .43 in. (109 cm) Caster Size . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 in. (15 cm)
FOR SPECIAL ASSISTANCE: Mattress
Hill-Rom Account Manager _________________________________________________ Phone ____________________________ Length . . . . . . . . . . . . . . . . . . . . . . . . . . . .78 in. (198 cm)
Width . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34 in. (86 cm)
Perinatal Consultant _______________________________________________________ Phone ____________________________
Thickness (head/seat) . . . . . . . . . . . . . . . . .4 in. (10 cm)
Field Service Technician ____________________________________________________ Phone ____________________________
Thickness (foot) . . . . . . . . . . . . . . . . . . . . . . . . .3 in. (8 cm)
Customer Service Representative ___________________________________________ Phone ____________________________
1
TABLE OF CONTENTS FEATURES
Optional V-Cut Mattress
AFFINITY BED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 PATIENT POSITIONING Hinged Seat And Back Provides Maximum TuckAway Siderails For
BED SPECIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 Labor Sections Keep Mattress Exposure Of Perineum. Zero Transfer Gap
Auto-Inflate From Bunching Up A Straight Edge Mattress
BED CONTROLS Upright/Voiding With Bed Pan . . . . . . . . . . . . . . . . . . . .8 Control Immediately Behind Mother's Back Is Also Available
Firms Seat Section Optional Patient Phone
Foot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 Lateral (Sims) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8
Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 Kneeling With Labor Bar . . . . . . . . . . . . . . . . . . . . . . . .8 Optional SideCom
Patient Controls (Both Sides)
Hi-Lo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 Legs Elevated With Foot Mattress . . . . . . . . . . . . . . . . .8
Optional SideCom ®
Seat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 Squatting With Labor Bar . . . . . . . . . . . . . . . . . . . . . . . .9 Staff Controls [Both Sides] Lumbar Section
Back . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 Pushing With Labor Bar . . . . . . . . . . . . . . . . . . . . . . . . .9 Surface Is Adjustable From
Firm To Soft
Auto-Inflate/Deflate . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 Pushing With Labor Bar (with foot supports) . . . . . . . . .9 Easily Removed Head-
Board For Procedures Seat Section
FEATURES Standing With Labor Bar . . . . . . . . . . . . . . . . . . . . . . . .9 Surface Is Adjustable From
Manual Operation In Firm To Soft
Siderails . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 Amniotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
Case Of Power Failure, High position Of 42"
Instant CPR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 Kneeling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 Medical Emergency Or For Physicians Who
Hospital Preference Prefer To Stand
Trendelenburg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 Pushing With Labor Grips . . . . . . . . . . . . . . . . . . . . . . .10
Central Brake and Steer . . . . . . . . . . . . . . . . . . . . . . . . . .3 Anesthesia Foot Section Is
Lockout Switches At Removed In One Step
Manual Crank . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 Pudendal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11 Head Of Bed To And Stands On End
Deactivate Siderail
Headboard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 Epidural/Spinal (Lateral) . . . . . . . . . . . . . . . . . . . . . . . .11 Controls And Night Light
Lockout Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 Epidural (Sitting) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
Trendelenburg Positioning Low position Of 22" To
Proportional Pelvic Tilt . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 Straight Line Trendelenburg . . . . . . . . . . . . . . . . . . . . .11 From Any Height Increase Safety And
Foot Section . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 General Anesthesia . . . . . . . . . . . . . . . . . . . . . . . . . . .11 Comfort For Mothers
Motors In Head Section Who Ambulate
Labor Grips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 Transport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
(Away From Fluids)
Foot Supports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 Delivery
Emergency CPR Lowers
Placenta Basin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 Birth Chair Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 Head Of Bed Instantly Fluid Basin Can Be
Night Light . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 Birthing Bed Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 Easily Removed
Automatic Night Light
MODELS Delivery Table Mode . . . . . . . . . . . . . . . . . . . . . . . . . .12 Enhances Safety For
V-Cut or Straight-Edge Mattress . . . . . . . . . . . . . . . . . . . .5 Lateral (Sims) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 Patients And Nurses
Built-In Foot Supports
ACCESSORIES Upright . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 Central Brake And Steer Adjust Vertically
And 6" Casters Increase And Horizontally To
Attached Calf Supports . . . . . . . . . . . . . . . . . . . . . . . . . .6 High Modified Trendelenburg . . . . . . . . . . . . . . . . . . .13 Automatic 15° Pelvic Mobility And Stability Position Feet
Full Leg Supports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 CLEANING Tilt Prevents The Mother
From Sliding Toward Optional Built-In Calf
Conversion Wedge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Care Of Wood Components . . . . . . . . . . . . . . . . . . . . .14 The End Of Bed Supports Reduce
Labor Bar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Mattress Care/Draping . . . . . . . . . . . . . . . . . . . . . . . . . .14 Delivery Set-Up Time
Arm Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14
Comfort Pad . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 SAFETY TIPS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Permanent IV Pole . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 BIBLIOGRAPHY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16
Multi-Purpose Tray . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
Anesthesia Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 SPECIFICATIONS
Fitted Bedding Sheets . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
Head Section Slipcover . . . . . . . . . . . . . . . . . . . . . . . . . . .7 Length . . . . . . . . . . . . . . . . . . . . . . . . . . . . .90 in. (229 cm) Critical Angles
Disposable Drape . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 Width Maximum head elevation . . . . . . . . . . . . . . . . . . . . .70°
Pendant and Holder . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
Siderails up . . . . . . . . . . . . . . . . . . . . . . .42 ⁄2 in. (108 cm)
1
Maximum seat elevation . . . . . . . . . . . . . . . . . . . . . .15°
Patient Phone and Adaptor . . . . . . . . . . . . . . . . . . . . . . .7
Siderails down . . . . . . . . . . . . . . . . . . . . . .34 in. (86 cm) Maximum Trendelenburg . . . . . . . . . . . . . . . . . . . . . . .8°
Bed Height Maximum Lift Capacity
Low . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22 in. (56 cm) Bed . . . . . . . . . . . . . . . . . . . . . . . . . . . . .500 lbs. (227 kg)
NOTE Educational materials, including a video cassette in-service tape, positioning poster, and research articles in the High (with mattress) . . . . . . . . . . . . . . . . .40 in. (102 cm) Foot Section . . . . . . . . . . . . . . . . . . . . . .400 lbs. (181 kg)
bibliography, are available from your Hill-Rom Perinatal Consultant.
Maximum height of seat section Head Section . . . . . . . . . . . . . . . . . . . . . .200 lbs. (91 kg)
(in Trendelenburg) . . . . . . . . . . . . . . . .43 in. (109 cm) Caster Size . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 in. (15 cm)
FOR SPECIAL ASSISTANCE: Mattress
Hill-Rom Account Manager _________________________________________________ Phone ____________________________ Length . . . . . . . . . . . . . . . . . . . . . . . . . . . .78 in. (198 cm)
Width . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34 in. (86 cm)
Perinatal Consultant _______________________________________________________ Phone ____________________________
Thickness (head/seat) . . . . . . . . . . . . . . . . .4 in. (10 cm)
Field Service Technician ____________________________________________________ Phone ____________________________
Thickness (foot) . . . . . . . . . . . . . . . . . . . . . . . . .3 in. (8 cm)
Customer Service Representative ___________________________________________ Phone ____________________________
1
BED CONTROLS FEATURES
The Affinity Bed is electrically operated using Siderail SIDERAILS
or Pendant Controls. The Foot, Head and Hi-Lo func- The Siderails are located on both sides of the bed.
tions can be operated manually, if necessary.
Up
• Grasp the top of the Siderail in the center and pull out and up from under the bed.
• The Siderail clicks into a locked position.
• Check the locked position with a gentle tug.
Patient Control Panel Nurse Control Panel Down/Storage
The Pull Latch is located on the bottom center of the Siderail.
FOOT SECTION • Pull the latch and lower the Siderail into the down or storage position.
The Foot Section Control is located on the Patient Control Panels, the Nurse Control Panel and on
the Pendant.
• To raise the Foot Section, push and hold the Foot Up Control until the desired height is reached
and then release.
• To lower the Foot Section, push and hold the Foot Down Control until the desired height is
reached and then release. INSTANT CPR
The CPR Release Latch is located at the Head Section on both sides of the bed.
HEAD SECTION • Pull the CPR Release Latch and hold.
The Head Section Control is located on the Patient Control Panels, the Nurse Control Panel and on • The Head Section will lower to a flat position within 7 seconds.
the Pendant. • A mechanism slows the action to prevent the Head Section from “free falling.”
• To raise, push and hold the Head Up Control until the desired height is reached and then release.
• When the Head Section is raised, the Seat Section Pelvic Tilt automatically engages, proportionally,
up to 15°. TRENDELENBURG
• To lower, push and hold the Head Down Control until the desired height is reached and then Trendelenburg Handles are located at the Head Section of the bed on both sides of the bed.
release.
• 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°.
HI-LO • To level the sleep surface, pull up on the handle and guide the bed to a level position.
The Hi-Lo Control is located on the Nurse Control Panel and on the Pendant.
• To raise, push and hold the Hi Control until the desired height is reached and then release.
• To lower, push and hold the Lo Control until the desired height is reached and then release.
CENTRAL BRAKE AND STEER
The Brake and Steer Pedals are located near the center section on both
sides of the bed.
SEAT SECTION • To brake, press down firmly on the Brake Pedal (designated by an
The Seat Section Mattress Control is located on both the Patient Control orange dot).
Panel and the Nurse Control Panel. • Two casters will immediately lock in place. Push and pull the bed to
ensure brakes are set.
• To inflate the Seat Section, push the Seat Firm Button until the desired • To release, press firmly on the Steer Pedal until both pedals are level.
firmness is attained. (Neutral position.)
• To deflate the Seat Section, push the Seat Soft Button until the desired • To steer, press down firmly on the Steer Pedal (designated by a
softness is attained. green dot).
• To release, press firmly on the Brake Pedal until both pedals are level.
BACK SECTION (Neutral position.)
The Back Section Mattress (Lumbar) Control is located on both the Patient
NOTE Sharp turns and lateral movements are more easily accomplished
Control Panel and the Nurse Control Panel.
in neutral position.
• To inflate the Lumbar Section, push the Back Firm Button until the desired
firmness is attained. MANUAL CRANK
• To deflate the Lumbar Section, push the Back Soft Button until the desired • The Manual Crank is stored on the frame under the head of the bed.
softness is attained. • Head, Foot and Hi-Lo Motors can be engaged manually.
• Insert the crank handle into the Head Motor drive and turn it clock-
AUTO-INFLATE wise to raise and counter-clockwise to lower.
The Auto-Inflate Control is located on the Nurse Control Panel. • The Foot Motor and the Hi-Lo Motor drives are raised by turning the
crank counter-clockwise and lowered by turning the crank clockwise.
• To automatically inflate the Seat Section, push the Auto-Inflate Button once.
• Return the crank to the storage position before operating the bed
• If complete inflation is not necessary, push the Auto-Inflate Button a second time to stop inflation.
electrically.
• To deflate, push and hold the Seat Soft Button. The patient’s weight will then force air out of the
mattress. NOTE For safety, unplug the bed when using the Manual Crank.
2 3
BED CONTROLS FEATURES
The Affinity Bed is electrically operated using Siderail SIDERAILS
or Pendant Controls. The Foot, Head and Hi-Lo func- The Siderails are located on both sides of the bed.
tions can be operated manually, if necessary.
Up
• Grasp the top of the Siderail in the center and pull out and up from under the bed.
• The Siderail clicks into a locked position.
• Check the locked position with a gentle tug.
Patient Control Panel Nurse Control Panel Down/Storage
The Pull Latch is located on the bottom center of the Siderail.
FOOT SECTION • Pull the latch and lower the Siderail into the down or storage position.
The Foot Section Control is located on the Patient Control Panels, the Nurse Control Panel and on
the Pendant.
• To raise the Foot Section, push and hold the Foot Up Control until the desired height is reached
and then release.
• To lower the Foot Section, push and hold the Foot Down Control until the desired height is
reached and then release. INSTANT CPR
The CPR Release Latch is located at the Head Section on both sides of the bed.
HEAD SECTION • Pull the CPR Release Latch and hold.
The Head Section Control is located on the Patient Control Panels, the Nurse Control Panel and on • The Head Section will lower to a flat position within 7 seconds.
the Pendant. • A mechanism slows the action to prevent the Head Section from “free falling.”
• To raise, push and hold the Head Up Control until the desired height is reached and then release.
• When the Head Section is raised, the Seat Section Pelvic Tilt automatically engages, proportionally,
up to 15°. TRENDELENBURG
• To lower, push and hold the Head Down Control until the desired height is reached and then Trendelenburg Handles are located at the Head Section of the bed on both sides of the bed.
release.
• 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°.
HI-LO • To level the sleep surface, pull up on the handle and guide the bed to a level position.
The Hi-Lo Control is located on the Nurse Control Panel and on the Pendant.
• To raise, push and hold the Hi Control until the desired height is reached and then release.
• To lower, push and hold the Lo Control until the desired height is reached and then release.
CENTRAL BRAKE AND STEER
The Brake and Steer Pedals are located near the center section on both
sides of the bed.
SEAT SECTION • To brake, press down firmly on the Brake Pedal (designated by an
The Seat Section Mattress Control is located on both the Patient Control orange dot).
Panel and the Nurse Control Panel. • Two casters will immediately lock in place. Push and pull the bed to
ensure brakes are set.
• To inflate the Seat Section, push the Seat Firm Button until the desired • To release, press firmly on the Steer Pedal until both pedals are level.
firmness is attained. (Neutral position.)
• To deflate the Seat Section, push the Seat Soft Button until the desired • To steer, press down firmly on the Steer Pedal (designated by a
softness is attained. green dot).
• To release, press firmly on the Brake Pedal until both pedals are level.
BACK SECTION (Neutral position.)
The Back Section Mattress (Lumbar) Control is located on both the Patient
NOTE Sharp turns and lateral movements are more easily accomplished
Control Panel and the Nurse Control Panel.
in neutral position.
• To inflate the Lumbar Section, push the Back Firm Button until the desired
firmness is attained. MANUAL CRANK
• To deflate the Lumbar Section, push the Back Soft Button until the desired • The Manual Crank is stored on the frame under the head of the bed.
softness is attained. • Head, Foot and Hi-Lo Motors can be engaged manually.
• Insert the crank handle into the Head Motor drive and turn it clock-
AUTO-INFLATE wise to raise and counter-clockwise to lower.
The Auto-Inflate Control is located on the Nurse Control Panel. • The Foot Motor and the Hi-Lo Motor drives are raised by turning the
crank counter-clockwise and lowered by turning the crank clockwise.
• To automatically inflate the Seat Section, push the Auto-Inflate Button once.
• Return the crank to the storage position before operating the bed
• If complete inflation is not necessary, push the Auto-Inflate Button a second time to stop inflation.
electrically.
• To deflate, push and hold the Seat Soft Button. The patient’s weight will then force air out of the
mattress. NOTE For safety, unplug the bed when using the Manual Crank.
2 3
FEATURES FEATURES
HEADBOARD BUILT-IN LABOR GRIPS
The Headboard may be removed. • To raise the Labor Grip, grasp the grip and rotate from under the bed until it clicks in place.
• To lower, pull the Release Latch and lower the grip under the bed.
• To remove, grasp the Headboard and lift straight up.
• 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.
FOOT SUPPORTS
LOCKOUT CONTROLS The Foot Supports have these main adjustments.
Lockout Controls are located on the frame at the head of the bed. These Controls can be • To tilt the patient’s feet upward, lift up under the toe.
used to deactivate the Patient and/or Nurse Control Panel (with the exception of SideCom) • To lower, pull the Release Latch located under the Foot Support and lower to the desired
as well as the Automatic Night Light. height.
• 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.
• To return to the storage position, pull the Release Latch again and return supports to the
PROPORTIONAL PELVIC TILT desired position.
• As the Head Section is raised, the seat gradually tilts up from 0° • To raise the Foot Supports simultaneously, push the Foot Up Button until the desired level
to 15°. is reached.
• As the Head Section is lowered, the seat gradually returns to a • To lower the Foot Supports simultaneously, push the Foot Down Button until the desired
flat position. level is reached.
15°
PLACENTA BASIN
FOOT SECTION The Placenta Basin is reversible and easily removed for cleaning.
The Foot Section can be removed in the following methods. To remove:
If the Foot Section height can be adjusted: • Pull the Basin straight out.
• Adjust the Foot Section so that the top of the To reverse/replace:
mattress is at about waist high. • Slide the Basin straight into the holding devices.
• Approach the Foot Section from the front. • Shake the Basin gently to ensure it is securely seated.
• Grasp the Foot Section between the snaps.
• Hold the Foot Section as close to the body
as possible. NIGHT LIGHT
• Lift to disengage. The Night Light is located under the bed.
• Turn the Foot Section and, with knees bent,
place it on the floor. • A photo cell control automatically turns the light on when the room darkens and turns it off when it gets light.
• To turn the light off manually, there is a switch located on the frame at the head of the bed. (See Lockout Controls.)
FOOT SUPPORTS
LOCKOUT CONTROLS The Foot Supports have these main adjustments.
Lockout Controls are located on the frame at the head of the bed. These Controls can be • To tilt the patient’s feet upward, lift up under the toe.
used to deactivate the Patient and/or Nurse Control Panel (with the exception of SideCom) • To lower, pull the Release Latch located under the Foot Support and lower to the desired
as well as the Automatic Night Light. height.
• 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.
• To return to the storage position, pull the Release Latch again and return supports to the
PROPORTIONAL PELVIC TILT desired position.
• As the Head Section is raised, the seat gradually tilts up from 0° • To raise the Foot Supports simultaneously, push the Foot Up Button until the desired level
to 15°. is reached.
• As the Head Section is lowered, the seat gradually returns to a • To lower the Foot Supports simultaneously, push the Foot Down Button until the desired
flat position. level is reached.
15°
PLACENTA BASIN
FOOT SECTION The Placenta Basin is reversible and easily removed for cleaning.
The Foot Section can be removed in the following methods. To remove:
If the Foot Section height can be adjusted: • Pull the Basin straight out.
• Adjust the Foot Section so that the top of the To reverse/replace:
mattress is at about waist high. • Slide the Basin straight into the holding devices.
• Approach the Foot Section from the front. • Shake the Basin gently to ensure it is securely seated.
• Grasp the Foot Section between the snaps.
• Hold the Foot Section as close to the body
as possible. NIGHT LIGHT
• Lift to disengage. The Night Light is located under the bed.
• Turn the Foot Section and, with knees bent,
place it on the floor. • A photo cell control automatically turns the light on when the room darkens and turns it off when it gets light.
• To turn the light off manually, there is a switch located on the frame at the head of the bed. (See Lockout Controls.)
6 7
ACCESSORIES ACCESSORIES
ATTACHED CALF SUPPORTS ARM BOARD COMFORT PAD
• Lower the Foot Section to the lowest position. The Arm Board is held in place The Comfort Pad is simply placed
• Turn back hinged mattress. between the frame and mattress. on top of the mattress and fitted
• Raise the Foot Support to the full upright position. The padding is removable securely around the mattress
• Supports are interchangeable right and left. for cleaning. corners. It rolls up into a compact
• Install the Supports by placing the rod into the steel sleeves located on the back of the bundle for storage.
Foot Support.
• Place the patient’s legs into the Supports.
• 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. PERMANENT IV POLE MULTI-PURPOSE TRAY
• Tighten the ball joint by rotating the grip to the right. The Permanent IV Pole, mounted The Tray is located at the foot
• Loosen the ball joint by rotating the grip to the left. on the head section frame, allows section of the bed, in the foot
• Use the Siderail Foot Up/Foot Down Controls to position the patient’s legs at a additional IV bags and pumps section yoke.
comfortable height. to be mounted on either side of NOTE The Tray must be fully
• Adjust the angle of the Supports using the ball joint on the Support. the head end of the bed. secured to the bed if it is used as
• Remove the Foot Section. a work surface.
NOTE Check for pressure points and make appropriate adjustments.
TALL PATIENTS…Angle the support downward. SHORT PATIENTS…Angle the support upward.
ANESTHESIA SCREEN BEDDING
The base of the frame slides between the mattress and A sheet set includes pillow case, top and custom fitted
FULL LEG SUPPORTS the frame. The screen can be positioned on either side bottom sheets. Additionally, the two-piece bottom set
of the bed. is available separately.
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.
HEAD SECTION SLIPCOVER
• Both Full-Leg Supports are interchangeable right and left.
The Slipcover is simply placed over the head section mattress for protection from normal wear and
• For Leg Support installation, place the rod into the steel sockets located on the
tear and from fluids. The Slipcover can be replaced when it is worn thus preventing damage to the
Foot Section.
inner mattress and foam.
• 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 knob 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. DISPOSABLE DRAPE
• Raise the Foot Section electrically to fill in the popliteal space by pushing the The full size absorbent, Disposable Labor and Delivery Drape covers the entire seat, foot and lower
Foot Up Control. backrest, and tucks into the fluid basin when the end of the bed is removed. The drape should be
• The patient’s legs should be completely supported. placed over the bottom sheet before the patient gets into bed, with the soft, absorbent surface
• Check for pressure points and make any adjustments. next to the patient (waterproof side down). This keeps the bedding and equipment protected
• Remove the Foot Section. from fluids and reduces clean-up time.
• 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.
6 7
PATIENT POSITIONING PATIENT POSITIONING
NOTE The Labor and Delivery Drape should be placed over the bottom sheet before the patient gets into the bed. POSITIONING FOR LABOR
To allow the patient to participate, show her how to operate the controls. Squatting With The Labor Bar
• With the bed in the lowest position, raise the head by pressing the Head Up Control
POSITIONING FOR LABOR and lower the Foot Section by pressing the Foot Down Control.
Upright Position/Voiding Position • Insert the Labor Bar into the Leg Support Sockets, angling away from the head of
• Raise the head of the bed to a comfortable the bed.
position by pressing the Head Up Control. • The patient may squat on the Seat Section, holding the Labor Bar, or sit with her feet
• Lower the Foot Section by pressing the Foot on the Foot Section leaning forward onto the bar.
Down Control.
• Place the patient in an upright position.
• Place the bed pan backward into the V-Cut on
the Foot Section.
• Position the patient out and over the V-Cut
having her hold her knees for support.
• If the patient’s legs are unstable, position her Pushing With The Labor Bar
feet with the soles together to prevent sliding. • Raise the head of the bed to a comfortable position by pressing the Head Up Control.
• Insert the Labor Bar into the Support Sockets, angling away from the head of the bed.
• Lower the Foot Section, if needed, by pressing the Foot Down Control.
• Place the patient’s feet on either side of the Labor Bar.
Left Lateral Position (Sims) • The patient may grip the Labor Grips or pull back on her knees.
• 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.
• With the patient lying on her left side, place her right leg in the Support and lower
the Foot Section for comfort.
• Adjust the Support and tighten the joint.
8 9
PATIENT POSITIONING PATIENT POSITIONING
NOTE The Labor and Delivery Drape should be placed over the bottom sheet before the patient gets into the bed. POSITIONING FOR LABOR
To allow the patient to participate, show her how to operate the controls. Squatting With The Labor Bar
• With the bed in the lowest position, raise the head by pressing the Head Up Control
POSITIONING FOR LABOR and lower the Foot Section by pressing the Foot Down Control.
Upright Position/Voiding Position • Insert the Labor Bar into the Leg Support Sockets, angling away from the head of
• Raise the head of the bed to a comfortable the bed.
position by pressing the Head Up Control. • The patient may squat on the Seat Section, holding the Labor Bar, or sit with her feet
• Lower the Foot Section by pressing the Foot on the Foot Section leaning forward onto the bar.
Down Control.
• Place the patient in an upright position.
• Place the bed pan backward into the V-Cut on
the Foot Section.
• Position the patient out and over the V-Cut
having her hold her knees for support.
• If the patient’s legs are unstable, position her Pushing With The Labor Bar
feet with the soles together to prevent sliding. • Raise the head of the bed to a comfortable position by pressing the Head Up Control.
• Insert the Labor Bar into the Support Sockets, angling away from the head of the bed.
• Lower the Foot Section, if needed, by pressing the Foot Down Control.
• Place the patient’s feet on either side of the Labor Bar.
Left Lateral Position (Sims) • The patient may grip the Labor Grips or pull back on her knees.
• 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.
• With the patient lying on her left side, place her right leg in the Support and lower
the Foot Section for comfort.
• Adjust the Support and tighten the joint.
8 9
PATIENT POSITIONING PATIENT POSITIONING
POSITIONING FOR LABOR POSITIONING FOR ANESTHESIA
Amniotomy Pudendal
• Raise the head of the bed to a comfortable position by pressing the Head • Lower the Foot Section by pressing the Foot Down Control, to produce exposure and
Up Control. position the patient over the cut-out.
• Lower the Foot Section by pressing the Foot Down Control. • Raise the backrest by pressing the Head Up Control for the patient’s comfort.
• Place the bed pan backward into the V-Cut on the Foot Section.
• Position the patient’s perineum out and over the bed pan before performing
the amniotomy.
10 11
PATIENT POSITIONING PATIENT POSITIONING
POSITIONING FOR LABOR POSITIONING FOR ANESTHESIA
Amniotomy Pudendal
• Raise the head of the bed to a comfortable position by pressing the Head • Lower the Foot Section by pressing the Foot Down Control, to produce exposure and
Up Control. position the patient over the cut-out.
• Lower the Foot Section by pressing the Foot Down Control. • Raise the backrest by pressing the Head Up Control for the patient’s comfort.
• Place the bed pan backward into the V-Cut on the Foot Section.
• Position the patient’s perineum out and over the bed pan before performing
the amniotomy.
10 11
PATIENT POSITIONING PATIENT POSITIONING
POSITIONING FOR DELIVERY POSITIONING FOR DELIVERY
Birth Chair Mode Lateral Position (Sims)
• Raise the head of the bed to place the patient in a sitting position. • With the bed in the lowest position and the head of the bed adjusted for the
• Position the patient’s feet in the Foot Supports. patient’s comfort, position the attached Calf Support with the foot end pointed
• Remove the Foot Section and tuck the drape into the drainage pan. toward the head of the bed.
• Use the Foot Control to raise or lower the Foot Supports. • With the patient lying on her left side, place her right leg in the Support. Lower
• Tuck the end of the drape into the drainage pan and raise the bed to a the Foot Section for comfort.
comfortable height, by pressing the Bed Up Control. • Adjust the Support and tighten the ball joint.
NOTE Follow the same procedure to position the patient on right side.
• The clinician may sit on the lowered Foot Section for delivery.
12 13
PATIENT POSITIONING PATIENT POSITIONING
POSITIONING FOR DELIVERY POSITIONING FOR DELIVERY
Birth Chair Mode Lateral Position (Sims)
• Raise the head of the bed to place the patient in a sitting position. • With the bed in the lowest position and the head of the bed adjusted for the
• Position the patient’s feet in the Foot Supports. patient’s comfort, position the attached Calf Support with the foot end pointed
• Remove the Foot Section and tuck the drape into the drainage pan. toward the head of the bed.
• Use the Foot Control to raise or lower the Foot Supports. • With the patient lying on her left side, place her right leg in the Support. Lower
• Tuck the end of the drape into the drainage pan and raise the bed to a the Foot Section for comfort.
comfortable height, by pressing the Bed Up Control. • Adjust the Support and tighten the ball joint.
NOTE Follow the same procedure to position the patient on right side.
• The clinician may sit on the lowered Foot Section for delivery.
12 13
CLEANING SAFETY TIPS
For over 65 years Hill-Rom has set the standard for quality ELECTRICAL SAFETY
CARE OF WOOD COMPONENTS
TRADE NAME TYPE MANUFACTURER in patient beds. During this time, with input from many of Policies and procedures must be established to train and
Wood is selected for use on beds because of its beauty
our customers, we have acquired these useful tips. educate your staff on the inherent risks associated with
and warmth. All Hill-Rom wood products are treated with a A33 Quartenary Airwick electric equipment. At any time, it is not prudent or
resin based sealer and finish which provide resistance to BED POSITION
Absolute Quartenary Walton-March necessary for personnel to have their entire body within the
abrasion, staining, fluids, and fire. Many disinfectant Always leave the bed in the low position when the patient
confines of the bed. Whenever a bed is being cleaned or
cleaners have a “softening” effect on any painted or Beaucoup Phenolic Huntington is unattended. This could reduce the possibility of patient
serviced it should be unplugged from its power source. If
finished surface if used in high concentrations. Diluted falls and the severity of resultant injury.
Blue Chip Quartenary S.C. Johnson service personnel need to get under the bed, the Hi-Lo
ammonia, detergent, and bleach solutions may be used. FLUID SPILLS
Coverage 256 Quartenary Vestal portion must be blocked up as an added precaution (see
The Centers for Disease Control recommend EPA approved When massive spills occur in the Siderail area or the head Affinity II Bed Service Manual).
hospital disinfectants, used at manufacturers’ suggested El Dorado Plus Quartenary Puritan/Churchill end of the bed, immediately:
BRAKES
dilutions or bleach at a 1:100 dilution (1⁄4 cup to 1 gallon Elimstaph Quartenary Walter G. Legge • Clean the fluid from the bed. Brakes should always be set when the bed is occupied
water), to clean environmental surfaces such as the Affinity • Check the bed controls, i.e., Head, Foot, Hi-Lo.
Forward DC Quartenary S.C. Johnson and especially during patient transfers. Patients often use
II Bed and perinatal furniture. • Have maintenance check the internal electronics. the bed for support when getting out of bed and could
Cleaning should be done by wiping a soft dampened Franklin Sentinel Quartenary Purex
Fluids remaining on the electronic controls may cause be injured if the bed unexpectedly moves. After setting the
cloth over the surface, followed by wiping with a dry cloth. Galahad Phenolic Puritan/Churchill corrosion which may cause the electronic components to brakes, push and pull the bed to insure stability.
At no time should a wet cloth be allowed to lay on the fail. These component failures may cause the bed to move
Hi-Tor Quartenary Huntington LOCKOUT CONTROLS
surface. Any liquid spilled on the surface should be wiped or operate on its own at a time that may be injurious to the
Insurance Quartenary Vestal Whenever a patient should be restricted from operating
up immediately. Any liquid allowed to lay on the surface patient or staff. the patient controls, activate the appropriate lockout
unattended may damage the finish. LPH Phenolic Vestal
SIDERAILS/RESTRAINTS/PATIENT MONITORING controls located at the head end of the bed.
For protection of the finish we recommend using a liquid Matar Phenolic Huntington The Siderails should always be in a full upright position and INSTANT CPR RELEASE
type furniture polish. Polish about once a month and wipe latched when a patient is unattended. When raising the
Omega Quartenary Airwick The emergency head release is to be used by healthcare
off any excess with a soft dry cloth. Have any nicks or Siderails, an audible “click” should indicate that the professionals only. The lever must be continually pulled until
scrapes repaired to prevent water damage. Quanto Quartenary Huntington Siderails are completely raised and locked in place. the head of the bed reaches a flat position. This will insure
MATTRESS CARE AND DRAPING Sanikleen Quartenary West Chemical Hill-Rom recognizes that certain healthcare situations may a smooth operation and avoid delay.
Correct draping technique is essential in preserving the life indicate the need for specialized Siderail configurations.
Sanimaster III Quartenary Service Master BED POSITION CHANGES
of the mattress. Drapes must be fluid repellent. The Hill-Rom In response to this need, we offer, upon request, several Be certain that feet and hands are well clear of the lift
labor and delivery drape effectively covers the lower three Surfacide Quartenary Walton-March Siderail accessories. arm and frame assemblies of the bed when changing
quarters of the bedding throughout labor. Additional pads Tri-Quat Quartenary Vestal Siderails are intended to be a reminder, not a patient bed positions, both manually or electrically.
or towels placed under patient will help prevent fluid from
reaching the edges of the drape. This safeguard keeps the Vesphene II Phenolic Vestal restraining device. Hill-Rom recommends the appropriate MATTRESSES
sheets clean and dry while preventing fluid exposure to medical personnel determine the level of restraint The use of mattresses that are not sold by Hill-Rom may
Virex Quartenary S.C. Johnson
the mattress. necessary to ensure a patient will remain safely in bed. reduce the effectiveness of the safety features and
Consult the restraint manufacturer’s instructions for use to systems incorporated into Hill-Rom beds.
STANDARD OB PACKS AND PAPER DRAPES WILL NOT KEEP Betadine stains may be removed from the mattress verify the correct application of each restraining device.
THE SHEETS DRY. Staph-Chek fabric by doing the following: PREVENTIVE MAINTENANCE
Whenever “high profile” patients (typically, the frail, elderly Annual preventive maintenance must be performed to
Repeated soaking of mattress materials will accelerate • Use a 5.25% sodium hypochlorite solution (Clorox® brand and medicated or confused) are involved, Hill-Rom insure all bed features are functioning as originally
wear and eventually destroy mattress seals, causing fluids bleach). recommends the following minimum actions: designed. Particular attention must be addressed on
to leak into the cushions. • Apply 3 drops of the solution per square inch immediately
1. Develop guidelines for all high profile patients that safety features, including but not limited to:
MATTRESS DAMAGE CAUSED BY IMPROPER DRAPING AND/ and scrub lightly. The stain should start to fade almost
indicate: • Siderail latching mechanisms.
OR CLEANING PROCEDURES IS NOT COVERED BY WARRANTY. immediately and should be totally gone within 15 minutes.
• Stubborn stains may need further applications. No more • Which patients may need to be restrained and the • Caster braking systems.
The following products have been tested by the Herculite than 3 applications on any one area are recommended. appropriate restraint to utilize. • Frayed electrical cords and components.
Laboratory and have been found not to have a harmful • When completely dry, rinse area with clear water and • The proper method to monitor a patient, whether • All controls return to off or neutral position when released.
effect on Staph-Chek fabrics WHEN USED IN ACCORDANCE wipe dry. restrained or not, including time interval, visual check • Controls or cabling entanglement of bed mechanisms
WITH MANUFACTURERS’ RECOMMENDED DILUTION. • If solution comes in contact with skin, wash off with of restraint, etc. in Siderails.
water, and follow manufacturer’s label instructions. • Proper operation of the lockout function controls.
2. Develop training programs for all caregivers concerning
MAINTENANCE the proper use and application of restraints. PARTS AND ACCESSORIES
The Affinity II Bed needs regular care and maintenance, Use only Hill-Rom parts and accessories. Do not modify
3. Maintain the bed at its lowest position whenever a bed without authorization from Hill-Rom.
as detailed in the Service Manual. Please request your caregiver is not in the room.
maintenance technician to follow the preventive
maintenance section in the Service Manual. 4. Clarify the need for restraint devices to families or
guardians.
14 15
CLEANING SAFETY TIPS
For over 65 years Hill-Rom has set the standard for quality ELECTRICAL SAFETY
CARE OF WOOD COMPONENTS
TRADE NAME TYPE MANUFACTURER in patient beds. During this time, with input from many of Policies and procedures must be established to train and
Wood is selected for use on beds because of its beauty
our customers, we have acquired these useful tips. educate your staff on the inherent risks associated with
and warmth. All Hill-Rom wood products are treated with a A33 Quartenary Airwick electric equipment. At any time, it is not prudent or
resin based sealer and finish which provide resistance to BED POSITION
Absolute Quartenary Walton-March necessary for personnel to have their entire body within the
abrasion, staining, fluids, and fire. Many disinfectant Always leave the bed in the low position when the patient
confines of the bed. Whenever a bed is being cleaned or
cleaners have a “softening” effect on any painted or Beaucoup Phenolic Huntington is unattended. This could reduce the possibility of patient
serviced it should be unplugged from its power source. If
finished surface if used in high concentrations. Diluted falls and the severity of resultant injury.
Blue Chip Quartenary S.C. Johnson service personnel need to get under the bed, the Hi-Lo
ammonia, detergent, and bleach solutions may be used. FLUID SPILLS
Coverage 256 Quartenary Vestal portion must be blocked up as an added precaution (see
The Centers for Disease Control recommend EPA approved When massive spills occur in the Siderail area or the head Affinity II Bed Service Manual).
hospital disinfectants, used at manufacturers’ suggested El Dorado Plus Quartenary Puritan/Churchill end of the bed, immediately:
BRAKES
dilutions or bleach at a 1:100 dilution (1⁄4 cup to 1 gallon Elimstaph Quartenary Walter G. Legge • Clean the fluid from the bed. Brakes should always be set when the bed is occupied
water), to clean environmental surfaces such as the Affinity • Check the bed controls, i.e., Head, Foot, Hi-Lo.
Forward DC Quartenary S.C. Johnson and especially during patient transfers. Patients often use
II Bed and perinatal furniture. • Have maintenance check the internal electronics. the bed for support when getting out of bed and could
Cleaning should be done by wiping a soft dampened Franklin Sentinel Quartenary Purex
Fluids remaining on the electronic controls may cause be injured if the bed unexpectedly moves. After setting the
cloth over the surface, followed by wiping with a dry cloth. Galahad Phenolic Puritan/Churchill corrosion which may cause the electronic components to brakes, push and pull the bed to insure stability.
At no time should a wet cloth be allowed to lay on the fail. These component failures may cause the bed to move
Hi-Tor Quartenary Huntington LOCKOUT CONTROLS
surface. Any liquid spilled on the surface should be wiped or operate on its own at a time that may be injurious to the
Insurance Quartenary Vestal Whenever a patient should be restricted from operating
up immediately. Any liquid allowed to lay on the surface patient or staff. the patient controls, activate the appropriate lockout
unattended may damage the finish. LPH Phenolic Vestal
SIDERAILS/RESTRAINTS/PATIENT MONITORING controls located at the head end of the bed.
For protection of the finish we recommend using a liquid Matar Phenolic Huntington The Siderails should always be in a full upright position and INSTANT CPR RELEASE
type furniture polish. Polish about once a month and wipe latched when a patient is unattended. When raising the
Omega Quartenary Airwick The emergency head release is to be used by healthcare
off any excess with a soft dry cloth. Have any nicks or Siderails, an audible “click” should indicate that the professionals only. The lever must be continually pulled until
scrapes repaired to prevent water damage. Quanto Quartenary Huntington Siderails are completely raised and locked in place. the head of the bed reaches a flat position. This will insure
MATTRESS CARE AND DRAPING Sanikleen Quartenary West Chemical Hill-Rom recognizes that certain healthcare situations may a smooth operation and avoid delay.
Correct draping technique is essential in preserving the life indicate the need for specialized Siderail configurations.
Sanimaster III Quartenary Service Master BED POSITION CHANGES
of the mattress. Drapes must be fluid repellent. The Hill-Rom In response to this need, we offer, upon request, several Be certain that feet and hands are well clear of the lift
labor and delivery drape effectively covers the lower three Surfacide Quartenary Walton-March Siderail accessories. arm and frame assemblies of the bed when changing
quarters of the bedding throughout labor. Additional pads Tri-Quat Quartenary Vestal Siderails are intended to be a reminder, not a patient bed positions, both manually or electrically.
or towels placed under patient will help prevent fluid from
reaching the edges of the drape. This safeguard keeps the Vesphene II Phenolic Vestal restraining device. Hill-Rom recommends the appropriate MATTRESSES
sheets clean and dry while preventing fluid exposure to medical personnel determine the level of restraint The use of mattresses that are not sold by Hill-Rom may
Virex Quartenary S.C. Johnson
the mattress. necessary to ensure a patient will remain safely in bed. reduce the effectiveness of the safety features and
Consult the restraint manufacturer’s instructions for use to systems incorporated into Hill-Rom beds.
STANDARD OB PACKS AND PAPER DRAPES WILL NOT KEEP Betadine stains may be removed from the mattress verify the correct application of each restraining device.
THE SHEETS DRY. Staph-Chek fabric by doing the following: PREVENTIVE MAINTENANCE
Whenever “high profile” patients (typically, the frail, elderly Annual preventive maintenance must be performed to
Repeated soaking of mattress materials will accelerate • Use a 5.25% sodium hypochlorite solution (Clorox® brand and medicated or confused) are involved, Hill-Rom insure all bed features are functioning as originally
wear and eventually destroy mattress seals, causing fluids bleach). recommends the following minimum actions: designed. Particular attention must be addressed on
to leak into the cushions. • Apply 3 drops of the solution per square inch immediately
1. Develop guidelines for all high profile patients that safety features, including but not limited to:
MATTRESS DAMAGE CAUSED BY IMPROPER DRAPING AND/ and scrub lightly. The stain should start to fade almost
indicate: • Siderail latching mechanisms.
OR CLEANING PROCEDURES IS NOT COVERED BY WARRANTY. immediately and should be totally gone within 15 minutes.
• Stubborn stains may need further applications. No more • Which patients may need to be restrained and the • Caster braking systems.
The following products have been tested by the Herculite than 3 applications on any one area are recommended. appropriate restraint to utilize. • Frayed electrical cords and components.
Laboratory and have been found not to have a harmful • When completely dry, rinse area with clear water and • The proper method to monitor a patient, whether • All controls return to off or neutral position when released.
effect on Staph-Chek fabrics WHEN USED IN ACCORDANCE wipe dry. restrained or not, including time interval, visual check • Controls or cabling entanglement of bed mechanisms
WITH MANUFACTURERS’ RECOMMENDED DILUTION. • If solution comes in contact with skin, wash off with of restraint, etc. in Siderails.
water, and follow manufacturer’s label instructions. • Proper operation of the lockout function controls.
2. Develop training programs for all caregivers concerning
MAINTENANCE the proper use and application of restraints. PARTS AND ACCESSORIES
The Affinity II Bed needs regular care and maintenance, Use only Hill-Rom parts and accessories. Do not modify
3. Maintain the bed at its lowest position whenever a bed without authorization from Hill-Rom.
as detailed in the Service Manual. Please request your caregiver is not in the room.
maintenance technician to follow the preventive
maintenance section in the Service Manual. 4. Clarify the need for restraint devices to families or
guardians.
14 15
BIBLIOGRAPHY
Abitbol, M. Supine Position in Labor and Associated Fetal Cohen, W. Steering Patients Through the Second Stage of
Heart Rate Changes. Obstetrics and Gynecology. 1985, Labor. Contemporary Obstetrics/Gynecology. July 1984,
65(4), 481-86. 122-139.
Andrews, C. & Andrews, E. Nursing Maternal Posture and Dundes, L., The Evolution of Maternal Birthing Position.
Fetal Positions. Nursing Research. Nov.-Dec. 1983, 32(6). American Journal of Public Health. May 1987, 77(5), 636-41.
Caldeyro-Barcia, R. The Influence of Maternal Bearing Engleman, G. Labor Among Primitive Peoples. Third
Down Efforts During Second Stage on Fetal Well-Being. edition, St. Louis: J.H. Chambers & Company, 1884.
Birth and the Family Journal. 1979, 6(2) 17-21.
Fenwick, Loel, M.D. and Simkin, P.T. Maternal Positioning to
Caldeyro-Barcia, R. The Influence of Maternal Position at Prevent and Alleviate Dystoria in Labor. Clinical Obstetrics
Time of Spontaneous Rupture of the Membranes, Progress and Gynecology. Vol. 30, No. 1, March 1987.
of Labor and Fetal Compression. Birth and the Family
Shannahan, Mary, RN, PhD, and Cottrell, Barbara, RN, MSN.
Journal. Summer 1979, 6(1). The Effects of Birth Chair Delivery on Maternal Perception.
Caldeyro-Barcia, R. Physiological and Psychosocial Bases JOGNN. July/August 1988.
for the Modern and Humanized Management of Normal
Lui, Y.C. Effects of an Upright Position During Labor.
Labor. Lecture presented at International Year of the Child
American Journal of Nursing. 74:2202, 1974.
Commemorative International Congress, Tokyo, October,
1979. Russell, J.G.B. Moulding of the Pelvic Outlet. British Journal
of Obstetrics/Gynecology. 76:817, 1969.
Carlson, J., et al. Maternal Position During Parturition in
Normal Labor. Journal of the American College of U.S. Department of Health and Human Services, Public
Obstetricians and Gynecologists. 1986, 68(4), 443-447. Health Service, Centers for Disease Control. Guidelines for
the Prevention of Transmission of Human
Carr, K.C. Obstetric Practices Which Protect Against Immunodeficiency Virus and Hepatitis B Virus to Health
Neonatal Morbidity: Focus on Maternal Position in Labor Care and Public Safety Workers. February, 1989.
and Birth. Birth and the Family Journal. 1980, 7(4), 249-254.
U.S. Department of Health and Human Services, Public
Chen, S., et al. Effects of Sitting Position on Uterine Activity Health Service, Centers for Disease Control.
During Labor. Obstetrics and Gynecology. January 1987, Recommendations for Prevention of HIV Transmission in
69(1), 67-73. Health-Care Settings. Morbidity and Mortality Weekly
Report. August 1987, Vol. 36/No. 2S.
16 17
BIBLIOGRAPHY
Abitbol, M. Supine Position in Labor and Associated Fetal Cohen, W. Steering Patients Through the Second Stage of
Heart Rate Changes. Obstetrics and Gynecology. 1985, Labor. Contemporary Obstetrics/Gynecology. July 1984,
65(4), 481-86. 122-139.
Andrews, C. & Andrews, E. Nursing Maternal Posture and Dundes, L., The Evolution of Maternal Birthing Position.
Fetal Positions. Nursing Research. Nov.-Dec. 1983, 32(6). American Journal of Public Health. May 1987, 77(5), 636-41.
Caldeyro-Barcia, R. The Influence of Maternal Bearing Engleman, G. Labor Among Primitive Peoples. Third
Down Efforts During Second Stage on Fetal Well-Being. edition, St. Louis: J.H. Chambers & Company, 1884.
Birth and the Family Journal. 1979, 6(2) 17-21.
Fenwick, Loel, M.D. and Simkin, P.T. Maternal Positioning to
Caldeyro-Barcia, R. The Influence of Maternal Position at Prevent and Alleviate Dystoria in Labor. Clinical Obstetrics
Time of Spontaneous Rupture of the Membranes, Progress and Gynecology. Vol. 30, No. 1, March 1987.
of Labor and Fetal Compression. Birth and the Family
Shannahan, Mary, RN, PhD, and Cottrell, Barbara, RN, MSN.
Journal. Summer 1979, 6(1). The Effects of Birth Chair Delivery on Maternal Perception.
Caldeyro-Barcia, R. Physiological and Psychosocial Bases JOGNN. July/August 1988.
for the Modern and Humanized Management of Normal
Lui, Y.C. Effects of an Upright Position During Labor.
Labor. Lecture presented at International Year of the Child
American Journal of Nursing. 74:2202, 1974.
Commemorative International Congress, Tokyo, October,
1979. Russell, J.G.B. Moulding of the Pelvic Outlet. British Journal
of Obstetrics/Gynecology. 76:817, 1969.
Carlson, J., et al. Maternal Position During Parturition in
Normal Labor. Journal of the American College of U.S. Department of Health and Human Services, Public
Obstetricians and Gynecologists. 1986, 68(4), 443-447. Health Service, Centers for Disease Control. Guidelines for
the Prevention of Transmission of Human
Carr, K.C. Obstetric Practices Which Protect Against Immunodeficiency Virus and Hepatitis B Virus to Health
Neonatal Morbidity: Focus on Maternal Position in Labor Care and Public Safety Workers. February, 1989.
and Birth. Birth and the Family Journal. 1980, 7(4), 249-254.
U.S. Department of Health and Human Services, Public
Chen, S., et al. Effects of Sitting Position on Uterine Activity Health Service, Centers for Disease Control.
During Labor. Obstetrics and Gynecology. January 1987, Recommendations for Prevention of HIV Transmission in
69(1), 67-73. Health-Care Settings. Morbidity and Mortality Weekly
Report. August 1987, Vol. 36/No. 2S.
16 17
Affinity II Bed
®