Legacy Turning Bed – Instructional Video

An instructional video on the features of the Mechanised Legacy Turning Bed that is for complex care and Spinal Cord Injury (SCI) Patients as well as how to use it.

Introduction to the Legacy Turning Bed

Nexus DMS Ltd is a specialist Worcestershire-based manufacturer of high quality, professional-grade electric profiling care beds, bariatric products, mattresses and pressure care accessories.

The <a href=”/legacy-turning-bed/”>Legacy turning bed</a> has been designed and manufactured for the treatment of complex trauma including pelvic, spinal and spinal cord injuries. It represents a 21st century solution for turning and handling patients with complex injuries or care needs.

Its operation has been designed to reduce the physical strain for healthcare workers as much as preserving patient safety during turning and transfer.

The Right pedal makes the bed raise and lower. The centre pedal is for left and right tilt and the left pedal is for head up and head down positioning.

There are sets of pedals located at the head end the foot end and both sides.

There are also a number of hand switch controls. These operate the side wings, back lift and self-levelling capabilities of the bed.

To start operating the bed, first insert the safety key. This will give you full function or limited function depending on the key inserted. When the key is removed the system is isolated.

Press the black button once and the system active green indicator light is illuminated. The bed is now fully operational. Press it a second time and the system is isolated. The bed will now not operate but the on-board batteries will still be charging.

The Red button is for emergency stop only and it cuts all power to the bed along with battery charging.

Turning Sequence

Firstly, please ensure the patient is centrally positioned with their head 2cm from the top of the visco elastic top mattress. As can be seen, some spinal patients do not generate sufficient heat in their lower limbs to activate the thermal contouring properties of the mattress and will require their heels to be supported off the mattress by pillows.

(Note: Each revolution of the bed will be explained to the patient in advance of the operation of the bed.)

Raise the side wings on the side of the bed you wish the patient to be turned on to.

The operator is to use the x 2 button on side of bed with their hand placed between the side of the mattress and the patient. This will help the operator judge when to stop raising the side wings and also to reassure the patient.

Next, trim up the contact between shoulder and hips using the x 1 button at the head or the foot of bed.

The turning team are now to manually ‘brace’ the patient but remembering to not actually turn them manually.

The fifth member of team is now to operate the left and right tilt as instructed by the lead member to the desired angle. The patient has now been safely turned with minimum risk to themselves or the turning team.

When turning the patient to the opposite side, assemble the team as before and rotate the bed to the horizontal position, allowing the mattress type to react to the patient’s body temperature, before commencing the turn.

Mechanically assisted log roll technique

When the patient is at a 30 degree side tilt, reassemble the turning team.

First stabilize the head.

The lead will instruct the fifth member who is at the foot of the bed to lower the appropriate side wing using the x 2 button. When the second team member feels the patient’s weight transfer, they must instruct the team to ‘Engage’ which also tells the fifth member to return the bed to horizontal.The turning team will now gather the patient towards them as the side wing lowers.

The Fifth member will simultaneously lower the appropriate side wing whilst returning the bed back to the horizontal position using the appropriate foot control.

The Fifth member can now carry out the required patient care.

To return the patient to the previous turning position, simply carry out the assisted log roll in reverse order.

When instructed by the lead, the fifth member will raise the appropriate side flap with the end x 2 button at the foot of bed.

They will simultaneously raise the appropriate side of bed using the left or right tilt, thus returning the patient to the previous ‘turned’ position.

The turning team will lower the patient to supine as the bed tilts. The patient is now centred in the bed.

Trolley to Bed transfer using Patient Transfer Board

Patients with an unstable fracture must be braced and secured on a scoop stretcher or a spinal board.

Glide sheets must be placed under the scoop or board and the transfer board to be placed as far as the patient’s shoulder between glide sheet and bed.

The Bed should be angled with transfer board between the bed and the trolley with the transfer team as shown here.

On command from the lead, the trolley team will coordinate a gentle push of the patient halfway between the trolley and the bed.

The receiving team should then gently pull the patient towards them on command of the lead.

Please note if the trolley team push too hard the patient could slide the full distance on to bed under gravity.

This procedure can be used when transferring a patient to CT or MRI scanners and also on to the operating table.

To transfer a patient from the bed to a trolley, the patient must first be braced and secured on a scoop stretcher or spinal board.

The bed should be angled down towards the trolley with patient transfer board between the bed and the trolley.

On command of the lead, the bed team will gentle push the patient halfway between the bed and the trolley.

The receiving team should then gently pull the patient towards them on the command of the lead.

Again if the trolley team push too hard, the patient could slide the full distance due to gravity. This procedure should be practiced fully.

The Legacy Turning Bed, a unique patient turning solution within major trauma, critical and complex care.

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