ENTERPRISE HOSPITAL BEDS
CONTURA HOSPITAL BEDS
ANNIVERSARY HOSPITAL BEDS
GENERAL DEFINITIONS RELATING TO HOSPITAL BEDS
General purpose high quality bed with mechanical movement means.
This bed can be used to transport the patient to and fro to the surgery
The bed can be pre-sterilized before and after the patient use.
Support on the head-side is opaque to the X-ray.
NOTE : The slides shown below are demonstrative of the potential capabilities of the beds.
Typical Bed positions and Functions
This design is a normal hospital bed, but with additional features becomes an Intensive Care Unit bed as shown; further this bed can be adapted four four positions : Cardiac Chair; Trendelenburg; CPR and examination positions.
Old beds – some of which have been in use for around 40 years – are gradually being replaced by state-of-the-art electronic ones that will bring much greater comfort for patients, as well as reduce manual handling injuries for nurses and other hospital staff.
The new beds will enable patients and staff to alter the shape of the bed electronically, so that it allows patients to be supported comfortably in a variety of positions. The beds can also be lowered and heightened, thus reducing manual handling injuries suffered by staff – typically back problems – that are a major contributor to illness, especially amongst nurses and healthcare assistants. This feature also helps patients to get in and out of bed more easily, while also minimising the risk of falls. Finally the beds are designed to offer those patients most likely to develop pressure sores – typically the frail elderly and those in intensive care – to benefit from the latest mattress technology that has been developed to combat the problem.
TYPICAL BED DEPLOYMENT PROCEDURE
It is imperative that beds are returned to their parent ward as soon as is practicable and safe for patients and staff, but certainly within 3 days. The following procedure should then be initiated. The SCNs (Senior Charge Nurse) or deputies will then be responsible for ensuring that repatriation takes place.
Decision made to have patient transferred to alternative ward on a bed follow either A B or C A Porter brings new bed to original ward and patient transferred onto new bed prior to transportation. Nurses must ensure the patient is ready for transfer when the portering staffs are called, to minimise any wasted portering time.
B Patient is transported by porter on original bed and immediately transferred onto new bed on arrival in receiving ward – original bed returned to parent ward by porter.
C Patient is transported on original bed but is unable / unfit to be immediately transferred onto new bed on arrival in receiving ward – bed from receiving ward temporarily taken to original ward by porter and a repatriation flag is attached to the bottom of each bed. If the SCN/CN in either ward is not available at the time, deputy must ensure they are informed at earliest opportunity to ensure repatriation is followed up and completed within 3 days. Repatriation flags will be in a bright colour to highlight that the bed is not in its parent ward. Beds will have Estates label with parent ward details attached to the foot end of the bed, behind the linen shelf.
All beds and mattresses must be able to be adequately cleaned, decontaminated or maintained either within the Trust, or by a nominated agent, the manufacturer of the item or their agent.
The Ward Manager or nominated deputy should ensure that all staff involved in the cleaning/decontamination of this equipment are fully aware of the procedure and any health and safety issues associated with the use of chemicals which may be used in this procedure. The Ward Manager or nominated deputy must not permit removal of the (special) mattress/bed from the ward area for storage service or repair, unless the item has been adequately cleaned and/or decontaminated externally in accordance with the Trust policy and manufacturer's recommendation and any adaptation of these recommendations made in this policy. The Ward Manager, in conjunction with the Tissue Viability Clinical Nurse Specialist and Trust Equipment Nurse, must ensure immediate replacement of split or worn covers. The used covers must be disposed of as clinical waste. The Ward Manager/deputy is responsible for arranging with the Tissue Viability Clinical Nurse Specialist for the removal from the ward area of any mattresses for discard. Such mattresses should be enclosed in polythene, labelled with 'BIOHAZARD' tape and sent for incineration. Clinical waste mattress covers.
ROUTINE CLEANING OF CONVENTIONAL BEDFRAMES AND MATTRESSES. AS LONG AS CLEANING COMPLIES WITH INFECTION CONTROL GUIDELINES THIS IS ADEQUATE.
* Bed frames should be cleaned with a solution of detergent and hot water between patients, or weekly if occupied by the same patient
* Bedframes soiled with blood/body fluids should immediately be wiped with hot water and detergent, followed by a chlorine solution of 10000ppm blood 1000ppm body fluid. and dried. The preparation of this solution and its use are described in the South Birmingham Primary Care Trust Disinfection Policy.
* Mattress covers are made from a range of plastics and care must be taken in the use of chemical agents on these covers. In general, the manufacturer's recommendations for normal cleaning should be followed, providing this does not involve the routine use of a disinfectant, which in most circumstances is largely unnecessary. The use of chemical disinfectants (eg hypochlorite 1,000ppm) should be reserved for circumstances when the cover is contaminated by body fluids or has been used for an infected patient. Some manufacturers may recommend products for decontamination, which are not available in the UK, or their own range of products. In the latter case, the advice of the ICT should be sought.
* Mattress should be cleaned with a solution of detergent and hot water and dried between patients or weekly if occupied by the same patient.
* Mattress covers soiled with blood/body fluids should immediately be wiped over with hot water and detergent, followed by a solution containing 1,000ppm body fluid, 1,000ppm blood available chlorine, and dried. The preparation of this solution and its use is described in the SBPCT Trust Disinfection Policy (spillage procedure section).
* Cleaned in accordance with manufacturers guidelines and the ICT.
* Mattresses/beds used by patients with methicillin-resistant Staphylococcus aureus (MRSA) or vancomycin-resistant enterococcus (VRE) and certain other organisms, as advised by the ICT, should be routinely cleaned during and after use following the same procedure as for mattresses soiled with blood/body fluids. The procedure is as follows:
1. The spillage pack with all appropriate equipment is kept on each ward.
2. Wear protective clothing, ie apron and gloves.
3. Prepare a solution of Haztabs/1,000ppm (1 tablet/litre) mixed with cold tap water in designated container.
4. Using a disposable cloth, wipe over mattress and bed frame, all tubing and the motor box.
5. Dry carefully with paper towels.
6. Dispose of cloth and paper towels in a yellow waste bag.
7. Dispose of solution carefully in sluice.
8. Rinse out container and dry carefully.
9. Remove gloves and apron, and dispose of.
10. Wash hands.
11. Replace all components of the pack back in the bag.
* Phenolics and alcohols must not be used for cleaning beds/mattresses.
* Hypochlorite solutions must be freshly made up prior to use.
* Hypochlorite 1,000 parts per million (ppm) = 1x1.8g Haztab tablet per litre of cold water. Body fluids, 1,00ppm 1x1.8 haztabs = 1 tab/100mls cold water.
The above are typical instructions, though there could be significant deviations in methods in relation with a specific hospital.