By offering technical assistance 24/7/365, our technical support team assists our customers in all kinds of situations.
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However, some questions come up more often than others. We discussed this with our technical support team and therefore created this toolkit to help you answer some questions you may have. In any case, we invite you to contact our technical service team, even if it’s 2 AM. They are there to help you, whatever your question is! At the bottom of the article, find out how to properly prepare for a quick and efficient service call.
Depending on the bed you are using, your controls may be locked. Check your master lock menu to make sure you haven't locked out your controls. If you are using an ook snow MH bed without a screen, you will need the key to unlock the bed. In the following video, see how to unlock the master lock of an ook snow bed with a touch screen.
When a bed is equipped with a removable patient control, it may be incorrectly replaced by the patient and caught under the bed. In this case, the removable patient control may prevent the bed from moving. You only have to put the patient control back on the side of the bed. Simply, unplug the bed to see if it starts to move.
Your bed is still not moving? Call us.
Depending on the bed, double-check both ends of your power cord. Sometimes the cord is not plugged in properly at one end. Also, check that the indicator light, near the power plug pictogram on the footboard, is illuminating in green. This means that the bed is plugged in.
Sometimes sheets or blankets may get caught between the bed frame and the footboard. You can try to remove and put the footboard back, paying particular attention that the sheets do not interfere.
Try to use another footboard. If a patient is in bed with the screen not working, this will save you from moving him. Then, you can call us so we can assist you without disturbing the patient.
To perform a zero, refer to the video below. The patient cannot be lying in bed during a zero. In this case, you can use a previous zero if the bed is already in use by a patient.
When equipment is added to the bed, it adds weight. It is the weight variation that makes the alarm go off (or not go off). Be sure to use the Change Equipment function to add accessories or equipment to the bed. Refer to the previous video to see how to do it.
Make sure your settings are correct. Your bed may be armed in automatic or manual mode. The automatic mode will arm itself when the patient gets into the bed. In manual mode, the patient has to be in the bed before activating the detection.
The scale plays an important role in the proper functioning of the bed exit detection system on the bed equipped with one. The same solutions are also to be considered if your bed does not arm itself.
Bed calibration might not work for the following reasons:
To see how to calibrate the bed, you can consult the user manual of the bed or consult this video.
Do you maintain and repair your beds yourself? The best way for you to find a part number is to check the manual for the bed you need a part for. To view manuals for our beds, go to the Resources section of our website.
When you need to talk to us, our team will be there to answer you. To make your call efficient so you can get your bed back into service quickly, here's how to properly prepare:
Do you have other questions or need some help? Contact the technical support department at 1 844-409- option 4. They are available to help you at all times, no matter the hour or the day.
The Hospital Bed Safety Workgroup (HBSW) was formed to develop solutions to reduce the incidence of patient entrapment in hospital beds. The HBSW Advisory Committee, a subgroup of the HBSW, provides guidance and advice based on its members’ consensus opinion about the products and documents developed by the HBSW. The committee’s mission is to answer the public’s questions about HBSW documents and the entrapment assessment kit and to assist National Safety Technologies, the kit supplier, in answering technical questions regarding the bed assessment. In addition, the Advisory Committee will determine if the entire HBSW should reconvene to address issues that are raised or to review the progress and impact of the guidance information and tools in reducing the incidence of entrapment in hospital bed systems.
This collection of frequently asked questions and answers will be revised, as needed, to provide information to healthcare providers in order to help prevent patient entrapment in hospital bed systems.
Answer: The HBSW published several documents over the past decade. They include:
These documents are available at Hospital Beds or from the assessment kit supplier, National Safety Technologies.
Answer: As stated in the FDA Hospital Bed System Dimensional Guidance and Assessment Guidance to Reduce Entrapment, “The FDA’s guidance documents, including this guidance, do not establish legally enforceable responsibilities. Instead, guidances describe the Agency’s current thinking on a topic and should be viewed only as recommendations, unless specific regulatory or statutory requirements are cited.” Similarly, the other HBSW documents are guidances not requirements. However, some states and authorities having jurisdiction (e.g., state Departments of Health) have adopted or might chose to adopt the HBSW documents into their requirements for healthcare providers, and thus the documents may be required to be followed in certain localities.
Answer: Healthcare providers should provide a safe sleeping environment for patients. In regard to entrapment, the HBSW information can help providers determine and mitigate bed system entrapment risks for patients.
As published in the FDA Hospital Bed System Dimensional Guidance and Assessment Guidance to Reduce Entrapment, “Not all patients are at risk for an entrapment, and not all hospital beds pose a risk of entrapment. We suggest that facilities … determine the level of risk for entrapment and take steps to mitigate the risk. Evaluating the dimensional limits of the gaps in hospital beds is one component of an overall assessment and mitigation strategy to reduce entrapment. As a result, healthcare facilities may use this guidance as part of a bed safety program to help identify entrapment risks that may exist with current hospital bed systems.”
HBSW publications are available at the FDA Center for Devices and Radiological Health Web site, Hospital Beds.
Answer: While authorities having jurisdiction (e.g., state Departments of Health) might chose use the FDA and HBSW documents to regulate bed use in healthcare facilities, the documents should not be interpreted as regulatory mandates (see also answer to Question 2). Because there are no national regulations that must be followed, the FDA dimensional guidance and HBSW documents might be viewed by some regulatory authorities or accrediting agencies as representing a “best practice” because they were developed by the long-term work of the HBSW. (The HBSW is a partnership among the FDA, the medical bed industry, national healthcare organizations, patient advocacy groups, and other federal agencies [Centers for Medicare & Medicaid Services, Consumer Product Safety Commission, and the Department of Veterans Affairs]. Its goal is to reduce the risk of hospital bed system entrapment.) Best practices for safe and quality care are considered important by regulators regardless of the origin of the practice.
Answer: It is up to the healthcare facility to determine who should measure beds and mitigate identified risks. Some facilities have assigned the bed assessment task to physical plant, nursing, or clinical/biomedical engineering staff. The implementation, scheduling, and funding of mitigating remedies may be jointly addressed by a committee with representatives of risk management, engineering, purchasing, materials management, and the safety committee.
Answer: The HBSW does not review, approve, endorse, or recommend language for bed entrapment prevention educational programs developed by other parties. As with any published material, FDA- and HBSW-published documents may be used for educational purposes and may be cited as bibliographic references.
Answer: The HBSW Advisory Committee will address questions on HBSW documents. Send questions via to the Committee by contacting National Safety Technologies via their Web site www.nst-usa.com or send questions to the Committee via to . Put “Attn: HBSW Advisory Committee” in the subject line or header of any communications. The Committee will discuss each question and update the FAQ accordingly.
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Answer: The FDA guidance was developed to improve the safety of hospital beds by identifying guidelines to reduce the risk of the most serious hazards—patient death or injury from entrapment in the openings and gaps in hospital bed systems. The guidance will help ensure that all new hospital beds are designed to reduce the potential for entrapment and that risks with existing (legacy) bed systems are identified.
In , FDA noticed a pattern of deaths and injuries in hospital beds that investigation indicated may have been largely preventable. Our August 23, , Safety Alert (Available at: Hospital Beds.) generated considerable interest from the healthcare community. In fact, reports of this type of incident increased following the alert, which suggested we had tapped into an important health issue.
FDA held a meeting with many stakeholders including representatives of the hospital bed system industry, patient care advocacy groups, healthcare providers, and organizations that investigate this type of incident. As a result of the discussions, FDA realized that the problem was multidimensional and that a single regulatory solution would not be effective in addressing the many facets of entrapment. A voluntary consortium of national bed system experts, known as the Hospital Bed Safety Workgroup, was formed to address the complex problem. The HBSW’s expertise assisted FDA in producing its guidance entitled Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment - Guidance for Industry and FDA Staff, which was published on March 10, .
Answer: Health Canada, through the Medical Devices Bureau of the Therapeutic Products Directorate, has participated in the development of the HBSW documents. As an active partner in the development of the documents, Health Canada has used HBSW work to produce its own guidance documents. The public comment period ended July 3, , after which the guidance will be finalized. For the current draft, please see the Health Canada Web site at http://www.hc-sc.gc.ca/dhp-mps/md-im/applic-demande/guide-ld/index_e.html#guidance_devices. The main differences from the FDA Guidance are (1) the addition of recommendations for side rail latch reliability, (2) the addition of data on other types of bed issues reported to Health Canada, and (3) the inclusion of a form to report bed entrapment incidents to help in the investigation of these incidents and to better assess the effectiveness of the guidance. Manufacturers that sell beds in Canada and Canadian user facilities are also encouraged to consult other HBSW documents and note their recommendations.
Answer: Any type of rail attached to a bed should be assessed for entrapment risks. Full-length rails should be tested in the same manner as any other type of rail. Note that some full-length rails can present an entrapment risk when the bed is articulated (e.g., head elevated, knees raised), thus testing full-length rails in articulated bed positions is particularly important. The video provides a general guide to bed assessment, and the dimensional test method provided detailed instruction on bed assessment. See APPENDIX F: Hospital Bed Safety Workgroup Dimensional Test Methods for Bed Systems in Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment - Guidance for Industry and FDA Staff for additional testing instructions.
Answer: Mattress retainers or stops are designed to hold a mattress in a particular position in the mattress support platform. If a tester can easily override the mattress stop by pushing the mattress, then it is possible that this movement could occur during normal use by a patient. Thus the bed system should be tested with the mattress pushed as far away from the rail being measured as possible (e.g., against the opposite rail). However, the tester should not force the mattress past the stops. Similarly, if moveable stops are used, then the stops should be positioned so that they do not inhibit mattress position during testing, because the moveable stops could possibly be out of position at some time. The rationale for this thinking is that if the mattress can be in an adverse position, the testing should reveal this possibility. Thus, if mattress stops can mitigate the adverse mattress position, they should be deployed to do so.
This question is also addressed in “Testing Tips and Frequent Questions” in Appendix F-HBSW Dimensional Test Methods for Bed Systems of FDA’s Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment - Guidance for Industry and FDA Staff. It states:
Some test instructions ask you to push the mattress “until it stops.” Usually that means pushing it until either:
Always make sure you push the mattress straight across; it should not be crooked on the bed.
Answer: Although seven potential zones of entrapment have been identified by FDA and HBSW, no dimensional guidance or test methods have yet been developed for Zones 5, 6, and 7. FDA recommends dimensional limits and testing for zones 1 through 4, because these zones were most frequently reported as the sites of entrapments. FDA will continue to monitor entrapments in all the zones and collaborate with HBSW on possible assessment and remedial action.
In the meantime, if these zones are of concern (e.g., for a particular patient, for a particular bed system), mitigation strategies such as those described in A Guide for Modifying Bed Systems and Using Accessories to Reduce the Risk of Entrapment should be used.
Answer: Because the height of the rail above the mattress is not related to entrapment, the FDA guidance document does not specify a side rail height recommendation.
As a point of information, recommendations vary among standards organizations regarding the minimum height of the top of the rail above the mattress. For hospital beds specifically, the international hospital bed standard, IEC -2-38, amended in , recommends 8.7 inches (220 mm). However, the U.S. Consumer Products Safety Commission in 16 CFR Parts and , Consumer Product Safety Standard for Bunk Beds recommends 5 inches (127 mm) as the minimum height, as does the American Society for Testing and Materials (ASTM) in ASTM F-96.
Answer: Any decision about bed rail use should be made based on an individual patient assessment as discussed in Clinical Guidance For The Assessment and Implementation of Bed Rails In Hospitals, Long Term Care Facilities, and Home Care Settings.
Answer: HBSW did not address or comment on the use of net enclosed beds as an alternative to bed rails.
Answer: Based on the several studies conducted by HBSW as part of the development of the dimensional guidance, measuring a bed took from a few minutes to more than an hour. Also, as the testers gained experience with measuring beds, the testing time grew shorter. We estimate it will take 15 minutes to test a bed according to the test method described in APPENDIX F: Hospital Bed Safety Workgroup Dimensional Test Methods for Bed Systems in Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment - Guidance for Industry and FDA Staff.
Answer: No, not all at once, all at one time, or only once. Evaluating the dimensional limits of the gaps in hospital beds is one component of an overall and ongoing assessment and mitigation strategy to reduce entrapment. Not all patients are at risk for an entrapment, and not all hospital beds pose a risk of entrapment. We suggest that healthcare facilities determine the level of risk for entrapment and take steps to mitigate the risk through a bed safety program.
Answer: Bed safety programs should include plans for the reassessment of hospital bed systems. Reassessment may be appropriate when (1) there is reason to believe that some components are worn (e.g., rails wobble, rails have been damaged, mattresses are softer) and could cause increased spaces within the bed system, (2) when accessories such as mattress overlays or positioning poles are added or removed, or (3) when components of the bed system (e.g., new bed rails or mattresses) are changed or replaced.
Answer: No. The documents and the tools used to measure gaps were produced considering an adult population’s size and for use with beds designed for care of the adult patient. The dimensions are not appropriate to children in most cases. Check with the bed supplier to determine if the bed was designed to care for a child.
Answer: HBSW has not addressed the issue of children in adult beds. There are many beds designed for care of the pediatric patient, and it is appropriate to provide a pediatric bed for a child patient, in most cases. Check with the bed supplier to determine if the bed was designed to care for a child. Also, while the dimensional guidance is not appropriate for children in most cases, the HBSW Clinical Guidance document can serve as an outline to assessing the child patient and the bed system for entrapment risks.
Answer: If the rail presents too large an opening or gap, regardless of its configuration, then it presents an entrapment risk as defined in the HBSW/FDA guidance document “Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment.”
Answer: Yes. As described in the HBSW/FDA guidance document “Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment,” hospital bed systems include manual, hydraulic, and electric beds.
Answer: Yes, but few have published their results. See: Powell-Cope G, Nelson A, Baptiste, A. Modification of bed systems and use of accessories to reduce the risk of hospital bed entrapment. Rehabil Nurs Jan-Feb ;30(1):9-17.
Answer: Acceptance, assistance, and collaboration by management, nursing, and engineering personnel are needed to effectively evaluate a facility’s bed entrapment risks. Develop an inventory and data tracking system to account for the various types of bed systems and their components. Contact the bed manufacturers to obtain the latest safety information and upgrades.
Use the HBSW documents and tools to evaluate and improve the bed systems (see Hospital Beds).
Answer: Some states have adopted or interpreted all or parts of the HBSW documents for inclusion in their regulations on bed safety. We recommend you contact your local state department of health for the specific answer to this question.
Answer: Yes. The HBSW documents are relevant for beds used in home care, and the patients and the beds should be assessed for entrapment risks. Periodic reassessment of the patient and bed system is also suggested.
Answer: The HBSW documents do not assign such a responsibility. However, the recommenders (e.g., clinician, case manager) and suppliers (e.g., manufacturer, renter) of these devices should be aware of the potential for patient entrapment and use the HBSW documents to guide their actions and upgrade their systems.
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