Arjo Nimbus Professional User manual

• Prone positioning procedures should only be carried out by staff trained in its use. Follow the hospital's protocol relating to prone positioning of critically ill patients.
• Bed safety rails should be used, where appropriate and according to hospital policy.
• The following information is intended as a quick guide on how to use the mattress when placing a patient in prone position. Refer to the product Instructions for Use for detailed
instructions and other important information.
QUICK REFERENCE GUIDE
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Nimbus Professional
Prone positioning
Place the patient in supine position on the
mattress. Position the patient so the shoulders
are in line with the 4th cell from the top of the
mattress.
Press the Static button to place the pump into
Static mode, for the mattress cells to remain
constant with all cells equally inflated.
The mattress must be stable and not alternating
while the patient is turned, to make sure that the
patient is correctly positioned on the mattress.
All Wound Valves should be
closed and pointing upwards,
this indicates that all cells in the
mattress are inflated.
Select Static mode.
Static mode is
confirmed by the
illumination of the
button’s yellow
indicator.
Wound Valves should only be
opened when specific cells need
to remain deflated for extended
periods. Refer to product
Instructions for Use for full details.
Comfort Control
set to Firm.
If head section deflation is required open the
Wound Valves on the three Head Section cells
to deflate them.
The person responsible for airway management
and head positioning is placed at the head end
of the bed to coordinate the turning procedure.
Move the patient to one side of the bed, as far
as is safe and comfortable. Turn the patient into
a lateral/sidelying position.
Open the Wound Valves on the
three Head Section cells so that only
the head cells deflate if head section
deflation is required.
Keep
static mode.
All other Wound Valves should
remain closed at this time.
Comfort control
remains set on firm.
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Select alternating pressure mode by pressing
the static mode button. The yellow indicator is no
longer lit.
Position the patient’s limbs and head as directed
by your hospital’s prone position protocol.
Utilizing Wound Valve Technology, specific air
cells can be deflated to offload pressure from
sensitive body areas, i.e. the cells under the toes
and genital area. Refer to product Instructions for
Usel for full instructions.
Regular checks should be made to make sure
the patient is free from the build up of pressure
especially on anatomically sensitive areas.
Adjust individual Wound Valves
as required to achieve pressure
offloading at specific anatomical
points.
• Deflate only one cell in the torso
section.
• Deflate only one cell in the calf/
heel section.
Do not deflate any more cells in
each area or it may affect the
support of the patient during the
normal alternating cycle.
Select Alternating
Mode by pressing
the static button
once.
The yellow indicator
is no longer lit.
Comfort Control set
as appropriate.
Supporting the patient’s head, slowly turn the
patient over into prone position.
The patient’s shoulders should be positioned over
the 4th cell from the head end of the mattress.
Make sure that lines and monitoring equipment
do not become trapped underneath the patient’s
body.
Adjust the head position using pillows, foam or gel
pads so that a comfortable posture is achieved
without hyperextension.
All Wound Valves pointing up
(all cells inflated)
except for Head Section Wound
Valves which should be open if
head section deflation is required.
Remains on
static mode.
Comfort control
remains on firm.
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ArjoHuntleigh AB
Hans Michelsensgatan 10
211 20 Malmö
,
Sweden
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