Page 44 - Norco Patient Orientation Handbook e-book
P. 44
Demonstrate proper assembly and transportation of bed, bed rails, head pins and mattress placement
(including mattress protective cover). Rails must be placed between second and third spring. Failure to do
so will result in damage to rails.
Discuss wheel locks and demonstrate function.
Discuss/demonstrate the manual or electric controls to raise/lower head, foot or height of bed.
Discuss proper placement (see troubleshooting) and function of full or half-sized side bed rails. Make sure
all moving parts are free of obstructions (sheets, blankets, oxygen tubing, etc.)
Emphasize not to use bed rails as a restraint or a brace for stability. Patient should not use bed rails as a
“push handle” when moving. Side rails are to prevent a patient from rolling out of the bed.
Cleaning/ Maintenance/ Troubleshooting
Discuss cleaning of hospital bed (soiled mattress cover, bed frame, etc.). Patient may use warm soapy water
to clean. Mattress cover to remain on bed throughout use. If body fluids or other potentially infectious
material (OPIM) is present on mattress, disinfect with a 1:9 bleach water solution. Allow at least 10 minutes
to dry.
Discuss troubleshooting of semi and full electric controls. (If height, head or foot will not reach maximum
potential.)
Refer patient and caregiver to their physician or physical therapist for instruction on patient transfers.
INFANT MONITOR
Education
Discuss “true apnea”: 1) True apnea (no breathing) will always be associated with bradycardia (slow heart
rate; normal heart rate is 120-160), cyanosis (blue skin coloration), or both. 2) Periodic breathing is a
common CNS breathing pattern in infants (normal rate is 30-40 BPM). Periodic breathing will not show
bradycardia or cyanosis.
Discuss the purpose of apnea monitoring: To detect apnea, bradycardia and tachycardia.
Discuss the three (3) patient alarms and the three (3) equipment alarms. 1) Patient alarms – apnea,
bradycardia and tachycardia. 2) Equipment alarms – lead problems, battery problems and memory full.
Explain the alarm pattern to detect differences in patient and equipment alarms. (See manual).
Discuss how to respond to alarms:
• Respond within 10 beeps or 10 seconds.
• If cyanosis present, stimulate infant immediately.
• Rub the infant’s back.
• Flick the balls of the feet.
• While supporting the head and body, move infant in an up and down motion.
• If bradycardia is present without cyanosis, verify infant’s pulse (brachial artery).
• If infant does not respond call 911 and begin CPR. (Parents should receive CPR training before infant’s
discharge from the hospital.)
Document activities and incidents as required by physician on Daily Record. (Located near the back of this
Handbook)
Demonstration
Discuss the various alarms, controls, lights and LEDs on the monitor.
Discuss the alarm-reset function. (Note: On the Healthdyne monitor, the alarm silence function is only
functional with the low battery and memory full alarms. The alarm silence feature will not work with apnea,
bradycardia, tachycardia and loose connection alarms. This is an FDA guideline.)
Review the monitor settings. Emphasize that settings may not be altered without physician’s consent.
Discuss battery charging and recharging (12-24 hours) and battery life (24 hours on a full charge).
