Page 67 - Norco Patient Orientation Handbook e-book
P. 67

VEST PERCUSSIVE THERAPY

                                         Education
        ‰  Explain the goals of therapy for CPT and postural drainage with the
            AffloVest: 1) To mobilize secretions, 2) To facilitate secretion clearance
            through proper positioning and vest percussion, 3) To treat and prevent
            atelectasis.
        ‰  Use AffloVest according to physician’s guidelines.

                                       Demonstration
        ‰  Plug AffloVest into a properly grounded outlet. Do not use an extension
            cord. The AffloVest comes equipped with a battery. The average battery
            charge time from empty to full is 6-7 hours. Battery use times vary
            depending upon frequency and percussion level. The average battery life on
            a full charge is 3 hours.
        ‰  Explain the AffloVest control console. 1. Power button.  Press and hold to turn on/off.  2. Percussion Mode.
            3. Vibration Mode.  4. Drainage Mode. 5. Start and pause button for therapy treatment.  6. Minimum
            intensity. 7. Medium Intensity. 8. Maximum intensity.  9. The “Go” button will allow the user to select a
            pre-programmed treatment from the menu screen.
        ‰  Demonstrate effective positioning in relation to the affected lung area (i.e., right lower lobe pneumonia:
            patient should lay flat on left side with shoulder back).
        ‰  Adjust Afflovest to desired setting and secure the vest to the chest.  Treatments should take 10-15 minutes.
        ‰  Patient should cough and expectorate secretions as needed.

                                          Cleaning/Maintenance/Troubleshooting
        ‰  Clean Afflovest with a damp soapy cloth when dirty. If body fluids or other potentially infectious material
            (OPIM) is present on percussor, disinfect with a 1:9 bleach/water solution. Allow at least 10 minutes to dry.
        ‰  If AffloVest does not power up: 1) Check electrical outlet or battery power source, 2) Make sure that the
            console is on and settings are accurate. 3) If the console powers off, the therapy session is complete or
            the battery is too low and needs to be charged.
        ‰  If AffloVest fails to operate, contact Norco.


                                                      WHEELCHAIR

                                                         Education
        ‰  Discuss the benefit of wheelchair therapy: To help an individual with mobility related activities of daily
            living.
        ‰  Use wheelchair as prescribed by physician.

                                                       Demonstration
        ‰  When lifting or loading the wheelchair, grasp it only on the frame after removing the front rigging (if so
            equipped).
        ‰  When transporting the chair lying on its side, always engage the wheel locks.
        ‰  Always engage both wheel locks before transferring patient into or out of the wheelchair. Never transport a
            patient in a wheelchair when locks do not work.
        ‰  Position wheelchair close to the patient at the most advantageous angle. This will make it easier for the
            patient to get into or out of the wheelchair. Push, swing, and remove the footplates. Position the outside of
            the chair before patient transfer to minimize the possibility of the patient tripping. (Replace footplates to
            original position after transfer.)
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