Arjo FIRST STEP - Introduction; Indications; Contraindications; Risks and Precautions

9
Introduction
The First Step
®
Select Therapy System is a pressure relieving overlay (when used on an existing mattress) or a mattress
replacement system (MRS) (when used with the optional foam base) designed to suspend the patient on a low air-loss
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1-4).
Each therapeutic surface is constructed with a moisture vapor permeable surface which
is divided into three sections:
HEAD, BODY and LEG. The pressure in each section can be adjusted to meet individual patient needs.
The therapy control unit consists of a single variable speed blower with an air warmer to provide air temperatures that can
be adjusted for patient comfort.
The First Step Select Therapeutic Surface is a Type BF applied part.
The expected service life for the First Step 6HOHFW7KHUDS\8QLWLV¿YH\HDUV
Indications
The First Step 6HOHFW7KHUDS\6\VWHPLVLQGLFDWHGIRUSDWLHQWVZKRZRXOGEHQH¿WIURPDSUHVVXUHUHGLVWULEXWLRQVXUIDFH
assisting in the prevention and treatment of pressure injuries (Stages 1-4).
Contraindications
Patient conditions for which the application of pressure redistributing therapy on the First Step Select Therapeutic Surface
are contraindicated include:
• Unstable spinal cord injury.
• Unstable vertebral fracture.
• Cervical traction.
Risks and Precautions
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therapeutic surface. Refer to Patient Transfer sections in the Patient Placement and Nursing Care chapters of this
manual.
• Side Rails and Restraints - Use or non-use of restraints, including side rails, can be critical to patient safety.
WARNING: Serious or fatal injury can result from the use (potential entrapment) or non-use (potential patient falls) of
side rails or other restraints. See related Safety Information.
• Patient Migration - WARNING: As with all speciality bed products that are designed to reduce shear and pressure
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inadvertent bed exit may be increased.
• Skeletal Traction or Unstable Fracture (if not contraindicated) - With skeletal traction, unstable pelvic fractures or any
other unstable fracture (to the extent not contraindicated), maintain physician directed angle of articulation and guard
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Position therapy control unit only at foot end of bed when using oxygen administering equipment.
• Electromagnetic Interference - Although this equipment conforms with the intent of the directive 89 / 336 / EEC
in relation to electromagnetic compatibility, all electrical equipment may produce interference. If interference is
suspected, move equipment away from sensitive devices or contact the manufacturer.
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personnel.