Posey Sitter On Cue User manual

Sitter On Cue®
Instruction Manual
Before using the Posey Sitter On Cue, read this entire manual and save for future reference.
The Posey Sitter On Cue Alarm
is an important part of your falls
management program.
Ensure all parts of this
system are operational
before leaving a
patient unattended.
8645

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Contents
Before You Begin ......................................................................................................................... 3
Features of the Sitter On Cue and the Sitter On Cue AC System ................................................4-6
Preparing the Sitter On Cue for Use...........................................................................................7-8
Setting Alarm Mode ................................................................................................................9-10
Setting Alarm Tone..................................................................................................................... 11
Adjusting Alarm Volume ............................................................................................................. 12
Time Delay................................................................................................................................. 13
To Record a Message ................................................................................................................ 14
The HOLD Button .................................................................................................................15-16
Connecting to AC Power (Optional)............................................................................................. 17
Nurse Call Interface...............................................................................................................18-19
Monitoring with a Sensors.....................................................................................................20-21
Monitoring with Two Sensors...................................................................................................... 22
The Sitter On Cue and Use of Physical Restraints ....................................................................... 23
Warnings and Cautions .........................................................................................................24-25
Mounting the Sitter On Cue...................................................................................................26-28
Alarm Cleaning, Storage and Battery Maintenance ..................................................................... 29
Troubleshooting Guide.......................................................................................................... 30-32
Alarm Specifications and Warranty.............................................................................................33

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Before You Begin
The Posey Sitter On Cue is an easy to use, restraint-free addition to your falls management
program. The Sitter On Cue provides an early warning when a patient attempts an unassisted exit
from a sensor. This system does not prevent falls or injury from falls and is not a substitute for
patient care, rounding and a comprehensive falls management protocol in your facility.
The Sitter On Cue activates as the patient attempts to rise and removes pressure from the sensor.
The Sitter On Cue may be used with an optional cable to connect to the nurse call system.
Indications for Use:
Persons who may benefit from the use of the Posey Sitter On Cue include:
• Patients with diminished cognitive or mobility skills.
• Patients receiving medications that may cause disorientation, drowsiness, dizziness, or
frequent urination
• Patients (new or existing) with a history of falls, or who are assessed to be at risk of falling based
on your selected fall-risk assessment
• Patients who are restless or prone to get up in the middle of the night, e.g., due to incontinence,
or with nighttime voiding habits
• Patients who require mandatory bed rest
Contraindications:
NOTE: The Sitter On Cue may not be suitable for all high fall-risk patients. See Posey
catalog for other options for such patients.
The Sitter On Cue should NEVER be used as the only means of surveillance for:
• Agitated, combative or suicidal patients
• Patients at extreme risk of a life-threatening fall
Response Policy:
Make sure your facility has a clearly defined falls management policy
• Check alarm function every time before leaving patient unattended.
If the alarm and/or sensor do not function properly, remove the alarm and sensor from service and
replace them with a properly functioning alarm and/or sensor. DO NOT use the alarm or sensor if
it does not activate each time weight is removed from the sensor or the chair belt sensor is unfas-
tened.
BEFORE YOU BEGIN

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Features of the Sitter On Cue
FRONT VIEW
RIGHT SIDE VIEW LEFT SIDE VIEW
REAR VIEW
(OPEN BATTERY DOOR)
FE ATU RE S

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Sitter On Cue 5
Features of the Sitter On Cue (Cont.)
• Seven alarm tones. There are seven different alarm tone options which can be used in
different patient rooms, or to discern between different caregivers or levels of fall risk for
easy patient identification.
• Four alarm modes. Four alarm modes allow for facility choice regarding caregiver notification
in the event the alarm is triggered. The alarm modes are “Voice and Tone”, “Tone Only”, “Voice
Only” and “Mute.”
• Three alarm volumes. Three alarm volume settings allow for facility choice regarding
caregiver notification in the event the alarm is triggered. The volume options are low, medium
and high.
• Custom Recording. Allows a family member, friend or caregiver to record a personal message
that will sound if pressure is removed from the sensor pad or chair belt sensor is unfastened. The
recording will play only if the alarm mode is set to “Voice” or “Voice and Tone”. This feature can
provide patient communication in their language, or by a caregiver or family member for familiarity.
• HOLD Button. Allows you to remove a patient from a sensor pad without the need to turn off the
alarm (e.g. for therapy, toileting or socializing). Alarm will resume monitoring when patient returns
to the sensor pad.
• Optional alarm delay of 0, 1, or 2 seconds. Allows you to adjust alarm timing for each patient.
The delay allows you to determine, by alarm, the number of seconds between the time pressure is
removed from the sensor, chair belt sensor is unfastened, and the time the alarm activates.
• Dual Sensor monitoring. This alarm connects to any Posey sensor pad, (chair, toilet, commode,
stretcher, over-mattress and chair belt sensors). Alarm activates when weight is removed from
sensor pad, or chair belt sensor is unfastened. Two sensors can be connected to the alarm at the
same time.
• Nurse Call Interface. Provides alarm notice at patient’s room and nursing station. If connected
to nurse call, the Sitter On Cue has the ability to be muted, silencing the alarm at the patient’s
bedside. It will still alarm at nurse call system notification points.
• Failsafe sensor alarm. The Posey Sitter On Cue activates if the alarm is on and a sensor cord is
removed from the alarm.
• Battery operated. The alarm utilizes four (4) “AA” alkaline batteries.
• Visual and Audible low battery warning. Low battery LED will blink red when batteries are
low and an audible cue will say “low battery” when batteries are critically low, alerting caregivers
of the need to change batteries.
• DC Jack. For AC connection.
• AC Adapter. The Sitter On Cue 8645 adapter connection enables users to operate on AC
electrical power.
• Impact resistant cover. Helps minimize damage if dropped.
NEVER connect other manufacturers’ sensors to a Posey alarm. Use of
another manufacturer’s sensors may damage the Posey alarm, cause the fall monitoring
system not to function as intended, and will void the factory warranty.
FE ATU RE S

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Each Sitter On Cue is
shipped to you with:
• Alarm (1)
• “AA” Alkaline batteries (4)
• 8276 Bracket and Clip
• Instructions for Use
NOTE: If you require the ability to run
on AC power, order 8645AC.
See the Posey catalog for additional
accessories sold separately, including a
variety of brackets and nurse call cable sets.
CONTENTS AND BRACKET OPTIONS

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Sitter On Cue 7
Preparing the Sitter On Cue for Use
Battery Installation:
The battery-operated Sitter On Cue is portable and long lasting.
Fresh alkaline batteries have an estimated life of 30 days of
daily use. Actual life depends on alarm mode, tone and volume
you select.
1. Slide the power switch to the OFF position before inserting/
changing batteries (Fig. 1).
2. Press down on the arrow and slide the battery compartment
door completely off (Fig. 2). Set battery door aside.
3. Insert four (4) new “AA” alkaline batteries as pictured inside
the battery compartment (Fig. 3). Take care not to damage
battery contacts.
4. Reattach the battery compartment door. Slide it shut, locking
it into place.
Alarm Low Battery LED will blink red when batteries are low
and an audible cue will say “low battery” every 15 seconds
when batteries are critically low. Change batteries at once.
• Take care when installing new batteries. The alarm will
not work if batteries are installed improperly.
• ALWAYS install a completely new set of batteries
when the Low Battery LED is blinking red. DO NOT
replace a single cell, but all cells in the alarm. DO NOT
mix old and new batteries, or battery brands within
a battery pack (4 batteries). Use of mixed batteries,
battery leakage, or batteries installed incorrectly may cause battery damage, and may
damage the alarm. Remove any alarm from use and send to the appropriate facility
authority if batteries are damaged or corroded or the battery compartment has signs
of previous battery corrosion such as white powder residue.
• Batteries can explode or leak and cause damage to alarm if installed incorrectly, fully
discharged, or exposed to liquid, fire or high temperatures. If battery damage has
occurred, or you see any corrosion, remove the alarm from use IMMEDIATELY. DO NOT
use the alarm if battery damage has been detected.
• After changing batteries, test the alarm and sensor for proper operation prior to putting
in service with a patient, and each time before leaving the patient unattended. If the
alarm and/or sensor do not function properly, remove the alarm and sensor from service
and replace them with a properly functioning alarm and/or sensor.
Fig. 2
Fig. 1
Fig. 3
PREPARING

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The Status LED will flash different colors providing a visual indication of the current state of the
alarm.
STAT US LIGH T KE Y
FLASH ALARM STATE DESCRIPTION
Green Active Monitoring Sensor is connected and pressure is being
applied to the pad
Yellow Ready
The sensor will activate and begin monitoring
as soon as pressure is applied to a connected
sensor
Rapid Yellow Sensor Activation
When pressure is applied to a sensor, the alarm
will rapidly flash yellow for 3 seconds before the
sensor is fully activated.
Red Hold
For 30 seconds after the hold button is pressed,
monitoring is suspended. The alarm is not ac-
tively monitoring and the alarm will not activate
if pressure is removed or applied to from the
sensor.
Rapid Red ALARM
The patient has removed pressure from the pad
or another event has occurred that requires a
nurse’s attention

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Sitter On Cue 9
Setting Alarm Mode
The Sitter On Cue has four (4) alarm modes. These allow you to select an alarm notification best
suited to patient and facility needs.
Mode Features
VOICE &
TONE
Depending on whether a custom voice recording is made, either the factory default
voice or a custom voice recorded message plays once, followed by the selected
alarm tone. The tone continues to play until alarm is placed on hold or patient is
repositioned with the sensor.
TONE This is the factory default mode. Selected alarm tone plays until alarm is placed on
hold or patient is repositioned with the sensor.
VOICE
ONLY
This mode requires the nurse call cable to be plugged into your alarm and the
appropriate wall jack from your nurse call system. Custom voice or factory default
voice message plays repeatedly until alarm is placed on hold or patient is repo-
sitioned with the sensor. This mode also activates the facility nurse call system.
Automatically switches to VOICE & TONE if a nurse call cable is removed from the
alarm.
MUTE This mode requires the nurse call cable to be plugged into your alarm and the
appropriate wall jack from your nurse call system. THERE IS NO AUDIBLE VOICE
MESSAGE OR ALARM TONE AT THE PATIENT’S BEDSIDE. This mode activates the
facility nurse call system. Automatically switches to VOICE & TONE if the nurse call
cable is removed from the alarm.
When using a nurse call cable, ensure the nurse call cable is plugged in
to both the alarm and the wall jack before leaving the patient unattended. Verify that an
alert is received at the nursing station if the cable is unplugged from the wall jack.
NOTE: There will be no alert at the nursing station or at the bedside if the nurse call cable is
unplugged from the alarm.
To Change/Select Mode
NOTE: “Voice Only” and “Mute” can be set only when
the nurse call cable is plugged into your alarm. With this
feature, all mode options are available. Be sure to plug the
nurse call cable into wall and test. YOU MUST PLUG THE
NURSE CALL CABLE INTO THE ALARM AND THE WALL
JACK IN ORDER TO ACTIVATE NURSING STATION ALERTS.
Follow these steps to change or select alarm mode:
1. Lift the programming control protective cover (Fig. 4).
2. Ensure alarm is on
3. Press MODE button on left side of alarm to scroll
through the mode selections (Fig. 5). The last mode
heard is the mode utilized when the alarm is activated.
Fig. 4 Fig. 5
SETTING MODE

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SETTING MODE
Setting Alarm Mode (Continued)
4. When “Voice Only” or “Mute” are selected, you must have the nurse call cable plugged into
your alarm and the appropriate wall jack for your nurse call system. Ensure that the nurse call
system indicators (nursing station and wall light) are activated when the cable is unplugged
from the wall jack.
5. Replace the programming control protective cover, securing it into place.
To test the modes requiring nurse call interface, remove pressure from the sensor or unfasten
the chair belt sensor. Check at the nurse’s station to ensure that the indicator for the appropriate
patient alarms on the nurse call system and the wall light, indicating there is no pressure on the
sensor or chair belt sensor is unfastened.

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Sitter On Cue 11
Setting Alarm Tone
The Sitter On Cue has seven (7) available tones. This allows you to differentiate between patients
and other equipment alarms.
To Select Tone:
1. Lift the programming control protective
cover (Fig. 7).
2. Ensure alarm is on
3. Alarm mode must be set to either
“Voice and Tone” or “Tone” (see pages
9-10) in order to hear the selection.
4. Press TONE button on left side of alarm
to scroll through the tone selections
(Fig. 8).
5. Each time you press the button, tone
will change and a sample plays. The
last sample heard is the tone utilized
when the alarm is activated.
6. Replace the programming control
protective cover, securing it into place.
Fig. 8
SETTING TONE

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Adjusting Alarm Volume
There are three (3) alarm volume settings: low, medium and high. These allow you to select the
right volume for facility and/or patient needs.
All volume settings are within OSHA standards. For maximum staff alert in noisy areas, use
HIGHEST (loudest) volume setting.
ALWAYS check to ensure staff can hear alarm at the furthest possible
distance before leaving patient unattended.
NEVER place alarm closer than two feet from patient’s ear. Doing so may
cause hearing loss or other injury. For more information, see: OSHA OCCUPATIONAL
NOISE EXPOSURE STANDARDS 1910.95.
To Change Volume:
1. Lift the programming control protective cover (Fig. 10).
2. Ensure alarm is on.
3. Alarm mode must be set to either “Voice and Tone” or “Tone” (see pages 9-10) in order to hear
the selection.
4. Press VOLUME button on left side of alarm to scroll through the volume selections (Fig. 11).
5. Each time you press the button, the volume changes and a two (2) second sample plays.
6. Continue to press the VOLUME button until you hear the desired volume. The last sample heard
is the volume in use.
7. Replace the programming control protective cover, securing it into place.
Fig. 11
ADJUSTING VOLUME

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Sitter On Cue 13
Time Delay
The delay is the time that will elapse AFTER weight is removed from sensor pad or chair belt sensor
is unfastened, and BEFORE alarm activates. Set a delay, if any, to meet the needs of each patient.
The Sitter On Cue gives you the option of a 0, 1, or 2 second alarm delay. If set to 1 or 2 seconds,
the alarm will provide an audible cue at both power on and sensor activation
NOTE: With a time delay set, the alarm will not activate if weight is removed from the sensor pad,
chair belt sensor is unfastened, before the time delay that you set expires.
For example, if you set a 2 second time delay, the alarm will not activate until after 2 seconds
have expired.
The delay should be long enough to allow some patient movement without setting off alarm, but still
give sufficient warning when patient attempts to get off of a sensor pad. This is especially useful
when connected to the nurse call system to minimize false alarms.
Assess patient frequently to ensure that a time delay is appropriate. Set
the delay at zero (0) with patients at EXTREME risk of injury from a fall associated with
an unassisted bed, chair or toilet exit.
To Set Time Delay
1. Lift the programming control protective cover (Fig. 12).
2. Slide the toggle switch to the desired delay setting, 0-1-2 (Fig. 13). An audible cue will confirm
the current delay setting.
3. Replace the programming control protective cover, securing it into place.
Fig. 13
TIME DELAY

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To Record a Message
The Posey Sitter On Cue has a feature that allows a caregiver or family member to communicate
a verbal “warning” message about unassisted sensor pad exits to a patient without having to be
physically in the room with the patient.
1. Lift the programming control protective cover (Fig. 14).
2. Ensure alarm is on.
3. Ensure alarm mode is set to “Voice and Tone” or “Voice” (nurse
call option only) to hear recording.
4. Press and hold the RECORD button on left side of alarm (Fig. 15).
5. Wait for the “begin record” audible cue” before speaking.
Continue to hold RECORD button down until you are done
speaking.
6. In a normal voice, speak into the microphone aperture labeled
MIC on front, top left corner of alarm
(Fig. 16).
NOTE: Changing alarm volume will not change message recording
volume. Your distance from the MIC and how loud you speak
controls message volume. To increase volume, re-record message
in a louder voice, with your mouth closer to MIC.
7. Recording will stop when you release the RECORD button or time
(15 seconds) expires. If you exceed the time allowed, recording
will stop and the alarm will give an audible cue “end record”.
8. Replace the programming control protective cover, securing
it into place.
9. After recording message, remove weight from sensor, or
unfasten chair belt sensor to play message back. Ensure
alarm mode is set to “Voice and Tone” or “Voice” (nurse
call option only) to hear recording.
10. Check that the message is clear and volume is right for
your patient. Re-record if necessary.
11. If the RECORD button is pushed twice rapidly a 3 second
count down will beging to reset to the factory default
message. If you do not wish to reset, press RECORD again
during the countdown. Factory default message will play.
Fig. 15
Fig. 16
Microphone MIC
RECORDING A MESSAGE

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Sitter On Cue 15
The HOLD Button (Sensor Use ONLY)
NOTE: HOLD feature will work only when the alarm is actively monitoring or alarming.
To Place the Alarm on HOLD:
1. Press HOLD button on the top of alarm (Fig. 17) The
STATUS LED will begin flashing RED indicating the alarm is
in HOLD mode (Fig. 17a).
2. You have 30 seconds to assist patient into or out of bed
or chair before alarm returns to monitoring mode. When
assisting patient out of bed, move patient towards the edge
of the bed with his or her legs over the side of the bed before
pressing the HOLD button. This will allow you more time to
reposition the patient on the sensor without activating the
alarm after the 30 second HOLD period expires.
Note: While the alarm is in a hold state and the STATUS
LED is flashing red, the alarm will not activate if pressure is
removed from the sensor pad.
3. If during the 30 seconds when the alarm is on hold, you wish to resume active monitoring, press
the hold button again to cancel the hold. Verify the STATUS LED is flashing green and the alarm
and sensors are actively monitoring before leaving the patient unattended.
4. After 30 seconds:
• If weight is present on the sensor, or chair belt sensor is connected you will hear a single
“beep” and monitoring will begin. ALWAYS verify the STATUS LED is flashing green, and the
alarm and sensors are monitoring before leaving patient unattended.
• If there is no weight on sensor, or chair belt sensor is not connected, alarm will be in Ready
state and status LED will flash yellow.
• The Ready state allows patient to be away from bed or chair for extended periods without
alarm activating (e.g., for meals, therapy, toileting etc.). When patient returns and weight
is applied to sensor or chair belt sensor is connected, alarm will “beep” once to indicate
monitoring has resumed. The STATUS LED will flash green..
Test the alarm and sensor for proper operation prior to putting in service
with a patient, and each time before leaving the patient unattended. If the alarm and/
or sensor do not function properly, remove the alarm and sensor from service and
replace them with a properly functioning alarm and/or sensor. Ensure the STATUS LED is
blinking green, indicating the alarm is monitoring.
Fig. 17
THE HOLD BUTTON

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To Place the Alarm on EXTENDED HOLD:
1. Press HOLD button on the top of alarm (Fig. 18) for 3 seconds. The STATUS LED will begin
flashing RED indicating the alarm is in HOLD mode and an audio cue will say “EXTENDED
HOLD” (Fig. 18a).
2. You have 5 minutes to assist patient into or out of bed or chair before alarm returns to
monitoring mode. You can cancel the HOLD as described in the previous section.
3. After 5 minutes the alarm will either resume active monitoring or go to the Ready state, as
describe above for the 30 second hold.
Test the alarm and sensor for proper operation prior to putting in service
with a patient, and each time before leaving the patient unattended. If the alarm and/
or sensor do not function properly, remove the alarm and sensor from service and
replace them with a properly functioning alarm and/or sensor. Ensure the STATUS LED is
blinking green, indicating the alarm is monitoring.
THE HOLD BUTTON

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Sitter On Cue 17
Connecting to AC Power (Optional)
The Posey Sitter On Cue is equipped with a DC jack to allow you to use AC power to operate the
alarm when the 8645AC is ordered (includes AC power adapter). To ensure proper alarm function
and to prevent damage to the alarm, only use the AC power adapter supplied by Posey.
To Connect to AC Power:
1. Connect the AC power adapter to the Sitter On Cue (Fig. 19).
2. Plug the other end into the wall.
3. Connect a sensor to the alarm.
Only use the Posey AC power adapter to power your alarm. Using an
adapter other than the Posey adapter may damage the alarm and void the warranty.
If power is interrupted, the alarm will not function. There is no notification at bedside or
nurse call station.
AC power
adapter
input
Fig. 19
Note: If you are using the Posey AC Power Adapter to power your alarm and the adapter is
accidentally unplugged from the wall socket, the alarm will not operate - even if there are also
batteries in the alarm. If the adapter is unplugged from AC power adapter input and there are
working batteries in the alarm, the alarm will then operate on battery power.
CONNECTING TO AC POWER

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Nurse Call Interface
You can connect the Sitter On Cue to your facility nurse call system when you connect the optional
Nurse Call Cable. This allows you to add the options and notification associated with your specific
nurse call system such as nursing station notification and patient room lights and sounds. With this
feature, the alarm can be:
• Silenced in patient’s room to reduce roommate disturbance (“Mute”)
• Set for “Voice Only”, instead of alarm tone
NOTE: Alarm automatically switches to “Voice and Tone” if nurse
call cable is removed from the alarm. This ensures in-room voice
and tone notice to staff if patient attempts to rise when nurse call
cable is no longer connected to the alarm.
NOTE: The alarm supports both normally open and normally closed
nurse call systems. The manufacturing default is normally open. If
you would like to change to normally closed, use a small pointed
object, for example a pen, to slide the switch down to the closed
position.
To Connect the Nurse Call Cable:
1. Insert one end of cable into “Nurse Call” jack on right side
of alarm (Fig. 20). Use care not to plug into sensor outlet as
damage to sensor outlet could occur.
2. Insert the other end of cable into wall jack of nurse call panel.
Depending on your system, you may need a “Y” nurse call
adapter to use the Posey Sitter On Cue and the patient nurse
call device at the same time.
Posey offers a variety of nurse call adapter cable sets. Please
request document M6253 for a list of all Posey nurse call
adapter systems.
When using a nurse call cable, ensure the nurse call cable is plugged in
to both the alarm and the wall jack before leaving the patient unattended. Verify that an
alert is received at the nursing station if the cable is unplugged from the wall jack.
NOTE: There will be no alert at the nursing station or at the bedside if the nurse call
cable is unplugged from the alarm.
If the nurse call cable is unplugged from the alarm when it is in “Voice Only” or “Mute”
mode, the alarm will default to “Voice and Tone” as a failsafe.
Fig. 20
NURSE CALL INTERFACE

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Sitter On Cue 19
Nurse Call Interface (Continued)
FOR SAFE USE WITH NURSE CALL CABLE:
• DO NOT stretch or strain cable to avoid possible damage and possible malfunction.
• DO NOT attach cable to moving parts of the bed or chair that will cause strain or
damage if the bed or chair is repositioned.
• ALWAYS position the cable so that moving parts (side rails, wheels, etc.) will not cause
strain or damage the cable.
• DO NOT run over the cable with carts or equipment.
• DO NOT wrap the cable tightly during storage.
• ALWAYS remove the cable by pulling on the plug. DO NOT pull on the cable.
• ALWAYS secure the cable out of the way so it will not be a tripping hazard.
• ALWAYS test alarm and nurse call function prior to leaving the patient unattended.
Activate the alarm (remove pressure from sensor or unfasten chair belt sensor) and
make sure the nurse call light for the proper bed and room activate in the hall and at
the nurse’s station.
• DO NOT use the alarm or sensor if it does not activate each time weight is removed
from the sensor or the chair belt sensor is unfastened. Replace alarm and sensor with
working units and retest before leaving the patient unattended.
NURSE CALL INTERFACE

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Monitoring with a Sensor
The following instructions will help you set up and safely use the Sitter On Cue with a sensor.
TIPS TO PROTECT SENSORS FROM DAMAGE
To avoid inconvenience to staff and patients, and to protect
sensors from damage, you should follow these steps:
• Only use Posey sensors with the Posey alarm.
• When routing sensor cord to alarm, check that there is no
stress on cord. Cord must be clear of all moving parts of bed,
stretcher or chair to prevent sensor failure.
• NEVER jerk or pull on the cord to remove RJ11 plug. Doing so will damage cord wires or plug,
or alarm sensor outlet.
• ALWAYS use the plastic tab to release plug (Fig. 21).
FAILSAFE FEATURE
The Posey Sitter On Cue contains a “failsafe” feature that activates the Posey alarm if
the sensor is removed from the alarm when actively monitoring. To silence the alarm,
reconnect the sensor to the alarm.
Fig. 21 - Plastic tab
MONITORING