Page 65 - Norco Patient Orientation Handbook e-book
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‰  Demonstrate how to: 1) Attach T-pad to appropriate hoses, 2) Fill T-Pump with distilled water to the fill
            line, 3) Set temperature to the proper prescribed level, 4) Plug the T-Pump into a properly grounded outlet,
            5) Turn on T-Pump and let water circulate for twenty minutes before applying to patient.
        ‰  When treatment is completed: 1) Turn off pump; 2) Close the hose clamps.  *Note: Placing the pad above
            the pump will drain the pad automatically; 3) Holding the pad above the pump, remove the fill cap of the
            pump and drain water into the sink.
        ‰  Discuss automatic shut off if T-Pump is tipped over when it is filled.

                                          Cleaning/Maintenance/Troubleshooting
        ‰  Clean outer surface of the T-Pump with a damp soapy cloth.
        ‰  Clean pad with a mild soap and water solution. If body fluids or other potentially infectious material
            (OPIM) is present, clean with a 1:9 bleach/water solution and allow 10 minutes to dry.
        ‰  Drain pad and pump daily. Refill only with distilled water.
        ‰  If “over temperature” light is on: 1) Pad or hose is kinked, or hose clamps are closed; 2) Water level is too
            low.
        ‰  If T-Pump will not heat: 1) T-Pump is tipped, 2) “Over temperature” light is on.
        ‰  If T-Pump will not pump: 1) Water level is too low, 2) “Over temperature” light is on.
        ‰  If T-Pump will not turn on: 1) The ON switch may not be fully engaged, 2) The unit is not plugged into an
            electrical outlet.  3) The circuit breaker has tripped.
        ‰  Contact Norco if any leakage from the pump or pad occurs.
        ‰  Preventive Maintenance Schedule: Performed every six months (Gaymar).

                                                         TRAPEZE

                                                         Education
        ‰  Discuss the purpose of floor, head and full-length trapeze (patient leverage, positioning and safety).
        ‰  Discuss the qualification guidelines for trapeze. If patient is on Medicare:  1) Patient needs body positioning
            and transferring within the bed, 2) Patient must have a hospital bed for an attached fixed trapeze, 3) Patient
            must not have a hospital bed for a floor-based trapeze.

                                                       Demonstration
        ‰  Discuss the differences between the use of floor, head and full-length trapeze.  (See weight capacities for
            trapeze type to be used.)
        ‰  Identify components of trapeze (triangular grip, mounting hardware, chain, etc.)
        ‰  Demonstrate proper assembly. Double-check all clamps and test by bearing weight on triangle. Trapeze
            should not move.
        ‰  Demonstrate how to adjust triangular grip (patient should have leverage enough to reposition or lift the body
            with trapeze).
        ‰  Discuss weight capacities: Floor trapeze (250 lbs.); fixed trapeze (250 lbs.); full-length trapeze (300 lbs.).

                                         Cleaning/ Maintenance/Troubleshooting
        ‰  Discuss cleaning (warm soapy water and cloth).
        ‰  Contact Norco immediately if trapeze ever appears unstable.
            Note: Refer patient/caregiver to their physician or physical therapist for instruction on patient transfers.

                                               VENTILATOR or BiPAP S/T

                                                         Education
        ‰  Discuss the purpose of invasive (ventilator) and non-invasive ventilatory support (BiPAP S/T):
            1) To promote ventilatory rest, 2) To decrease work of breathing, 3) To treat Hypercapnia, 4) To treat
            hypoxia/hypoxemia, 5) To maintain ventilatory support.
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