FALLS MANAGEMENT Education, Rehabilitative and Environmental Interventions Comprehensive Falls Management Program included with qualifying purchases Falls Management: A Growing Concern Each year one-third of adults 65 and older experiences a fall.1 Among those who fall, 20 to 30 percent suffer moderate to severe injuries that make it hard for them to get around or live independently, and increase their risk of early death.2 Recent compliance regulations, as outlined by the Joint Commission’s Patient Safety Goals and the Centers for Medicare and Medicaid Services (CMS) guidelines, have created increased urgency for the prevention of patient and resident falls.3, 4 EDUCATION AND PRODUCT INTERVENTIONS TO HELP REDUCE FALLS Medline can help healthcare facilities improve falls management by providing a number of useful products to be used in conjunction with a comprehensive falls management program. We hope you will find this guide useful in learning more about falls and helping your facility select appropriate falls safety products. We also welcome you to consider participating in Medline's Falls Management Program. TA B L E O F C O N T E N T S Program and Education 6 8 Falls Management Program Falls Management Kits Rehabilitative Interventions 14 Patient Safety Wear 18 Mobility Aids 24 Patient Handling 31 Rehab And Strength Training Environmental Interventions 3 35 Patient Safety Alarms 41 Bath Safety 47 Bed-Related Safety Products THE CAUSES OF FALLS ARE KNOWN AS RISK FACTORS. Different types of fall risks can be grouped into two categories deemed Intrinsic and Extrinsic Risk Factors. When multiple risk factors exist for a single person, the risk of falling increases. In addition, the greater number of risk factors the more likely a fall may result in injury that could threaten a person's life. We can provide solutions through the implementation of a falls management Program that provides Education in addition to a variety of Rehabilitative and Environmental interventions that address specific fall risks. Intrinsic Fall Risk Factors • Age-related changes • Change in vision • Change in balance • Change in mobility • History of falling • Cognitive or emotional dsyfunction • Medications • The associated side effects can lead to an increase risk in falls. • Risk of falls goes up with an increase in the number of medications a person is taking. • Lower • Gait extremity weakness or balance disorders • Bladder dysfunction • Communication By identifying specific risk factors, appropriate interventions aimed at minimizing the risk can be identified and implemented. Extrinsic Fall Risk Factors • Physical environment • Equipment • Improper • Floor use of devices beds • Unstable • Time issues surface • Raised 4 disorders or improper furnishings of fall THREE PILLARS OF FALLS MANAGEMENT Program and Education Preventing falls and fall injuries cannot be fixed overnight. Specific products can help to reduce specific risk factors, but only a comprehensive program paired with valuable education can truly make an impact when fully implemented. A program that is used across your entire organization will help change attitudes and results. Rehabilitative Interventions These interventions are most often geared to benefit a specific individual who has displayed intrinsic risk factors. Rehabilitative interventions such as gait belts help to reduce falls risk on the patient level. The use of these products can help patients stay active while keeping them safe. Intervention Goals Falls Management Technologies are designed to reduce the hazards associated with falls. Different falls management products have different goals in helping with your overall program to help reduce injuries from falls. Look for the symbols below at the beginning of each section to learn how the technologies help with falls management. Reduce Risk of Falls Environmental Interventions Falls that result from an outside factor can potentially be eliminated by making alterations to the environment. Environmental interventions such as grab bars or bedside commodes help to reduce extrinsic risk factors in a certain area. When a facility reduces the extrinsic risk factors they can reduce their number of falls. Assitive devices Reduce Risk of Injury Injury protection devices Warn Caregivers Warning devices 5 Program and Education Falls Management Program Enhance Your Safety Efforts with Medline’s Falls Management Program With proper communication, interventions, and education, falls can be reduced. The Falls Management Program combined with an extensive list of product interventions makes Medline a great choice to partner with to help your facility reduce falls. Get started today and find out where your facility has room for product improvement by going through the Falls Management Assessment Guide inside this catalog (PG 10). Medline’s Falls Management Program includes the following components: Online falls management courses to provide continuous education to your staff 6 Instructions showing how to organize your falls team Tools to monitor falls risks and monitor outcomes Program and Education Falls Management Education Contact your Medline sales representative for additional information about the Falls Management Program. Learn more about Falls Management and receive FREE CE credits on Medline University. aSpecific courses related to Fall Prevention aFlexible access: PC, Iphone, IPAD aFree Registration With the help of Medline's comprehensive Falls Management How-To Guide and continuous online education, your facility can begin reducing falls rates today! www.medlineuniversity.com 7 Program and Education FALLS MANAGEMENT KITS Warn Caregivers Once education and assessment criteria have been determined the next step will be acquiring falls management kits to benefit the falls program. Kits can be implemented quickly and efficiently, helping to get a full-fledged falls management program off to the right start. The elements within the kit act as visual reminders for patients and visitors of the risk factors for falls. The use of the kits will help provide a universally understood warning for the staff that will minimize confusion. The components in the falls management kits serve as a simple and quick reminder of the risk for falls. Falls Management Q&A Q: What are other ways to alert staff Q: Who else should be educated in that a patient is at risk other than addition to staff? items the patient physically wears? Patients need to be educated after Bookmarks or stickers can be being identified as being at risk. placed in the patient’s chart. They need to follow safe practices to minimize their risk of falling, such as Signage will remind staff as well as using their call buttons for assistance. patients of the fall risk; in addition to necessary preventative actions they Family members and visiting friends need to take. also need to be educated so they understand the necessary precau- tions and practices that are imple- mented for the safety of their loved ones and can assist the patient in complying. Program and Education Fall Management Kits Falls Management Kits The Institute of Healthcare Improvement has recommended the use of yellow to identify a person at risk of falling. Medline has created kits for your facility that combine yellow patient wearables and yellow signage to help your staff quickly identify those patients at risk of falling. DYKMALEFPYL (Acute Care) The use of these products in tandem with a falls management program can help build awareness of falls management for patients, staff, and visitors to your facility. Medline has created two different falls management kits designed specifically for different facilities; acute care and long-term care. Acute Care kit includes a quick, snap-on yellow identification band and glow-and-flow urinal. • Long Term Care kit includes a durable, slip-on yellow identification band made of silicone • DYKLTCFALLFM (Long Term Care) Fall Management Kit Components Acute Care Long Term Care DYKMALEFPYL DYKFEMALEFPY DYKLTCFALLM 20/cs 15/cs DYKLTCFALLFM 20/cs 15/cs Double tread yellow slippers Fall Risk Identification Band CALL DON’T FALL wall sign RESET BED ALARM wall sign Yellow door magnet Glow and let flow urinal (glow in the dark lid) Packaged in a resealable bag with a write-on block Fall Risk Identification Silicone Wristband 9 Falls Management Assessment Guide The following Falls Management Assessment Guide Program, Rehabilitative and Environmental. After com- presents 50 questions that will help you detect deficien- pleting the checklist, carefully review your answers. Any cies at your facility. This comprehensive tool guides you “no” answers present opportunities for new products. through different locations at your facility and helps you Pair the completed list with Medline's Falls Management determine where current fall risks exist. Interventions are Catalog to help you determine which products can help separated into three categories: meet your facility’s needs. Top 10 Questions Education and Awareness Yes No Suggested Intervention Product Item # Pg # 1 Does facility offer educational courses on the subject of falls management? A key component to running a succesful falls management program is taking the time to educate your staff on falls management. Medline offers various courses on this topic online at Medline University®. Medline’s Falls Management Program N/A Pg 6 2 Does every employee in the facility understand the goal to reduce falls and how to reach that goal? Falls management should be understood and valued by everyone from the nurses in a facility to the maintenance workers. Proper education and awareness should be provided to all employees who could effect the outcome. Medline’s Falls Management Program N/A Pg 6 3 Once a patient completes a fall risk assesment test are they easily identifiable to the entire staff? The Institute of Healthcare Improvement has recommended the use of yellow to identify a person at risk of falling. Patient ID bands of the same color can help staff quickly identify a patient at high risk for falls. Falls Management Kits DYKMALEFPYL Pg 9 4 Does facility have a schedule to audit mobility equipment to ensure all devices are maintained in good working order? Walking aid devices should be evaluated when first provided to the user and should be continually monitored. N/A N/A N/A 5 Are patient lifting devices used at your facility to facilitate safe patient transfers? A stand assist device can help safely get patients up from the seated position and allow them to stay active. Using lifts properly can also help reduce caregiver injuries. Manual Stand Assist STA182 Pg 26 6 Are patients/residents at risk of falling participating in physical therapy programs? An exercise program geared toward strength training, endurance, and flexibility can help reduce the risk of falls in the elderly. To help with endurance and strength patients can use peddle exercisers even while seated. Peddle Exerciser MDS100 Pg 33 7 Does facility have a system to alert staff when a patient at risk has wandered out of their room? An infrared alarm can be placed near the doorway to let nursing staff know that the patient at risk has wandered out of the room. Infrared alarm MDTIRM1 Pg 39 8 Does facility provide equipment for patients who have previously fallen in the shower? Provide adjustable shower chairs for someone who has previously fallen in the shower or shows trouble standing without support. It is important to ensure shower chairs are sized appropriately to the individual. Shower chair with back MDS89745A Pg 43 9 Is call equipment within the reach of the patient? Provide another level of security by using patient safety alarms that alert staff when patient is at risk of falling. Pressure sensing alarms MDT8175 Pg 37 Does facility use bedside safety products to help reduce the impact in the case of falls? The use of fall safety mats can provide a soft landing surface thereby reducing the trauma from impact. Use the Advantage fall mats for patients who have already fallen from bed or with high risk assesment scores. Advantage fall mat MDTFM24662BI Pg 53 10 Falls Management Assessment Guide Program and Education Education and Awareness Yes No Suggested Intervention Product Item # Pg # 11 Has facility implemented a company wide falls management program? An effective falls management program should be implemented across an entire organization with one universal goal. To make the biggest impact an organization needs a designed program that will address all facets of falls management. Medline’s Falls Management Program N/A Pg 6 12 Does facility use adequate signs in patient/resident rooms to alert staff of a person at risk of falling? Quick recognition of a person at risk can be achieved through bright colorful signs that constantly remind staff and the patient/resident of a fall risk. Falls Management Kits DYKMALEFPYL Pg 9 Item # Pg # Rehabilitative Interventions Patient Safety Wear Yes No Suggested Intervention Product 13 Are patients/residents at risk identifiable when they are away from their rooms? Medline carries a stylish yellow patient gown that provides caregivers with clear, but discreet identification of fall risk patients. Fall Prevention Gown MDTPG7ITSHRG Pg 15 14 Does facility provide wearable products to help provide traction? Patient Slippers with treads on top and bottom provide grip even if slipper rotates on foot. Available in the color yellow. Falls Risk Slippers MDTPS4B04FPY Pg 15 15 Does facility use gait belts for patients who display difficulty when walking? Gait belts provide a steady handle to grasp when a person is beginning to fall. Gait belts may also provide a feeling of security for someone who has developed a fear of falling. Yellow Gait Belt MDT821203Y Pg 16 16 Do patients/residents at risk wear products that can potentially reduce the impact of a fall? When assesment suggests that an indiviudal is at high risk to expereince a fall, facilities should provide hip protectors. Extra padding can potentially reduce the severity of a fall injury. Hip Protectors ALI76224 Pg 17 Mobility Aids Yes No Suggested Intervention Product Item # Pg # Are brakes and tips checked to make sure wearable parts are in working order on all mobility aid devices? Medline carries replacement cane tips and walker tips to help restore mobility aids to a safe and operable condition. Cane Tips Quad Cane Tips Walker Tips G30561-PC G02162 G01202 N/A 18 Are the mobility aids checked for correct sizing for the user? Walking aids that are too tall will limit the user's weight bearing capabilities and when sized too small will result in users falling forward and developing bad posture. See Medline’s Walking Aids Sizing Guide in the “Walking Aids and Bath Safety Catalog” LIT 124R N/A 19 Have patients been through proper training from a PT or Medical professional on how to use the Mobility aid? Various mobility aid devices are designed to benefit different gait deficiencies. Make sure users have the device that will work best for their needs. Mobility aids N/A Pg 18 20 Does facility have adequate space for storage of mobility aids when not in use? Folding mobility aids take up less space when not in use and store away easily. 2-Button folding walker MDS864104 Pg 21 21 Does facility have a device that can help patients stand-up and get going? The Stand Assist walker has bi-level grips that can help a user who struggles to move from the sitting to standing position get up. Once standing this device works as a standard walker. Stand Assist Walker MDS86410UR Pg 22 17 Patient Lifting and Handling Yes No Suggested Intervention Product Item # Page # 22 Does facility have patient lifting equipment for bariatric patients? Lifting equipment will not be effective or safe if the weight bearing capabilites do not fit the patients needs. Ensure your facility is equipped with the appropriate bariatric lifting equipment. Bariatric, batterypowered stand assist MDS600SA Pg 25 23 Does facility have multiple slings to ensure the appropriate size is being used for all lifts? Fall management interventions should be geared around the individual, so it is important to carry all the necessary sizes for lifting slings. Reference the “Sling Specification Chart” on page 23. Large, full-body sling Medline Sling Pg 27 24 Has facility implemented a complete patient handling and lifting program? To ensure safety when lifting patients facilities should implement a complete patient handling program to keep both patients and staff safe. A quality program should include education, implemention plans, and assesment tools. Patient Handling Solutions N/A Pg 30 Falls Management Assessment Guide Rehabilitative Interventions Rehab and Strength Training Yes No Suggested Intervention Product Item # Pg # 25 Are persons at risk of falling limiting their activity and displaying a fear of falling? Aids for daily living products help people regain independence with day to day activities while minimizing the risk. Reachers provide extra length to help users grab items that would normally require an unsafe amount of reaching. Medline Reacher MDS86031RCE Pg 32 26 Do patients/residents participate in exercises that can help improve their balance? Resistive exercise bands allow users to participate in a variety of different therapeutic exercises that will help them improve their strength and balance. These products can be used to build strength in upper extremities or improve balance in lower extremties. Resistive Exercise Bands MDSHXR1H Pg 33 27 Does facility have rehab equipment that allows indiviudals to increase their exercise regiment? The use of cuff weights during simple rehab exercises can help increase a patients strength and therefore improve balance. Provide indiviudals with the ability to progress from lighter to heavier cuff weights by carrying a whole set. Cuff weights MDSP100203 Pg 34 Environmental Interventions Patient Safety Alarms Yes No Suggested Intervention Product Item # Pg # 28 Are patients who display fall risk factors monitored closely to help reduce future falls? The use of patient safety alarms can help the staff monitor patients at risk. Alarms can alert the staff to help them get to a patient who is at risk before a fall occurs. 29 Do patient safety alarms connect to a nearby nurse call station? Alarms that are compatible with nurse call systems help alert nurses when they cannot hear an alarm from the room. Patients with higher risk of falling should be placed closer to the nurse call station. Tamper-resistant alarm MDT8400 Pg 37 30 Does facility have specific interventions for patients/residents who are at risk of falling and also suffer dementia? An alarm noise may startle patients with cognitive dsyfunction and cause panic. Alarms with voice recording capabilities allow staff to create a freindly reminder message that can remind the patient to wait for assistance. Safety alarm w/ voice MICR81860 Pg 37 Bathrooms Yes No Suggested Intervention Quick Alert Ultra II alarm MDT8175 Pg 36 Product Item # Pg # 31 Are there hand rails in shower and near toilet? Provide an extra grip for a resident at risk of falling by installing grab bars in the bathroom. Grab bars should be a contrasting color to the wall for easy visibilty. Wall grab bars MDS86018CHR 32 Does staff check shower chair and transfer bench tips to ensure they are in good working condition? Medline carries replacement shower chair, transfer bench, and commode tips to help restore bath safety equipment. Utility tips G01202 33 Does facility use PVC shower chairs or shower gurneys when bathing patients? PVC shower products are warm to the touch, easy to manuever and have anti-slip grips which provide safety and comfort for patients. Locking casters provide safety when in use. PVC shower chair PVCM1183 Pg 44 34 Have patients been at risk from falling due to low height of the toilet seats in the bathroom? Elevated toilet seats increase the height of the seat allowing patients who experience trouble bending an easier task of getting on and off the toilet. Units with locking devices provide a more secure grip. Elevated locking toilet seat G30270A Pg 46 35 Does your facility take precautions for patients who take multiple nocturnal bathroom visits or struggle making it to the bathroom alone? Commodes placed near the bed can provide a short trip when needing to use the restroom without assistance. Drop arm commodes allow for safer transfers from an adjustable bed. Drop-arm commode G98202 Pg 46 Bedrooms Yes No Suggested Intervention 36 Is the bed at a low height that is appropriate for the patients? When a bed is at the appropriate height for the individual the entire foot should be flat on the floor with legs bent at 90 degrees. The use of an adjustable Hi-Low bed can allow for staff to adjust the height to the patient’s needs. 37 Does staff check low beds to ensure that locking casters are in proper working order? The Alterra Low bed comes with 4 locking casters. Check casters on regular basis to ensure they still work. Technology Item # Pg 42 N/A Pg # Low bed FCE1232B Pg 48 Repl. locking casters FCE1232010 Pg 48 Falls Management Assessment Guide Environmental Interventions (cont’d) Bedrooms 38 39 Yes No Is all clutter that could cause a fall out of the patient’s pathway? Are specially designed mattresses used to help reduce the potential of patients rolling out of bed? Hallways/Floors Yes No Suggested Intervention Product Assist bars and Half Bedrails can be used to ensure exits take place on the desired side of the bed away from clutter. Avoid the use of double full-length rails which can cause falls when patients attempt to climb over. • Standard Assist Rails • Soft-Touch Assist Rails • Assist Bar Provide these patients with mattresses that conform to the body making it more difficult to get out of bed. Medline Advantage 1000 mattresses are available with raised edges as well. Advantage 1000 mattress Suggested Intervention Product Item # Pg # FCE1232RSR FCE1232RSRN Pg 48 FCE1232ABN MSCADV1076FR Pg 50 Item # Pg # 40 Is signage readily available to remind those at risk of falling to call for assistance? Signs provided in the Fall Management Kits can also be used outside patient rooms to remind patients of their own limitations. Fall management kits DYKMALEFPYL Pg 9 41 Does facility have non-slip surfaces in all patient areas? Fall risk slippers with 360 degree tread provide a better grip even when the slipper rotates on the foot. Slippers are available in the color yellow. Fall risk slippers MDTPS4B03FPY Pg 15 42 Are there additional seats in your hallways for mobile patients who get tired? A rollator is a walking aid with a seat and breaks that can convert to a comfortable seat for those who need a rest. The Comfort Glide rollator has a memory foam seat for comfortable seating. Educate users to apply breaks when sitting. Comfort Glide Rollator MDS86826W Pg 20 43 Are patient alarms set in place for patients that may wander into hallways who are at risk? An infrared alarm can be placed near the doorway to let nursing staff know that the patient at risk has wandered out of the room. Infrared alarm MDTIRM1 Pg 39 44 Are there handrails in the hallways to help those who are not using their walking aids? Grab bars can be installed along various parts of hallway walls to provide assistance to wandering patients. Wall Grab Bars MDS86018CHRG Pg 42 45 Does facility use any products around the bed that can help reduce the impact when falling out of bed? Place fall mats on the side of the bed the patient exits to provide a softer landing in case a fall occurs during a transfer. Low profile fall mats provide added safety while also helping to reduce tripping hazards. Bedside fall mat MDTFALLMATB Pg 53 Item # Pg # External Areas Yes No Suggested Intervention Product 46 Are patients/residents still easily identifiable as being at risk of falling while outside? In addition to wearing a yellow ID band at all times, the use of a yellow blanket for wheelchair users can discreetly help with fall risk identification. 47 Does the outside area have a sufficient number of seats for resting? A combination rollator and transport chair can allow patients to stay active and walk until they need a rest. If they do not have the strength to walk back the unit can convert to a transport chair. Excel Translator MDS808200TR Pg 20 48 Are pathways clear of weeds, moss and leaves which can all intiate a fall? Suggest using walking aid devices with larger wheels for outside use as they more easily roll over uneven surfaces. Walker with 5” wheels MDS86410W54 Pg 21 49 Does facility have an intervention that can help improve a patients fear of falling when going outside? Progressive resistive exercise bands can help promote strength and balance. Physical exercise has also been shown to increase self confidence. Resistive Exercise Bands MDSHXG1H Pg 33 50 Are patient alarms in place to alert staff when patients at risk have wandered outside? An infrared alarm can be placed near the doorway to let nursing staff know that the patient at risk has wandered out of the building. Infrared alarm MDTIRM1 Pg 39 Medline Industries, Inc. One Medline Place Mundelein, IL 60060 ©2012 Medline Industries, Inc. Medline is a registered trademark of Medline Industries, Inc Fall prevention yellow blanket DYKBLANKETYL Pg 17 Rehabilitative Interventions Patient SAFETY WEAR Reduce Risk of Falls Reduce Risk of Injury Warn Caregivers The red and yellow slippers and yellow gowns featured in this section help to visually identify individuals at risk of falling while also promoting falls awareness among staff, patients/ residents and their families. Every member of the healthcare team should be educated to recognize these cues. All family and visitors also should be educated to recognize and understand the identifiers and be aware of how to obtain help from appropriate staff in case someone gets up from their bed or chair or falls.5 Safety Wear Q&A Q: Other than education of staff, what Q: What could patients wear to help steps can be taken to help identify protect them from future falls? patients who have displayed common risk factors of falling? If a patient requires assistance to ambulate, nursing staff can use a The IHI (institute for Healthcare yellow gait belt as a “handle” to grasp Improvement) has recommended in the beginning stage of a fall. the universal use of the color yellow to identify patients at risk of falling. Keep one hand on the gait belt with your other hand on the shoulder The use of a yellow wristband to help if a patient falls forward or could remind both the staff and backward. the patient that they are at risk. If a person is using a cane with a A yellow blanket or gown for gait belt, staff should stand on the patients in bed or in wheelchairs opposite side of the cane. will remind staff to take the neces- sary precautions during transfers. Gait belts also may provide added security for patients who have Yellow socks with non-skid treads developed a fear of falling. will alert staff to a patient who is at risk of falling if they are mobile and not taking the necessary precautions. Rehabilitative Interventions Patient Safety Wear Falls Risk Slippers With innovative tread on the top and bottom, this slipper provides a continuous grip for patients even if the slipper rotates on the foot. • Sizing is on the bottom of the slipper for easy identification by staff • Supple terrycloth on the inside absorbs perspiration and provides comfort and warmth • Easy to slip on and off Item # MDTPS4B01FPY MDTPS4B03FPY MDTPS4B04FPY MDTPS4B05FPY MDTPS4B06FPY MDT211218R MDT211218RXL Description Child Medium Large X-Large XX-Large One-Size-Fits-Most X-Large ColorPkg Yellow 48 pr/cs Yellow 48 pr/cs Yellow 48 pr/cs Yellow 48 pr/cs Yellow 48 pr/cs Red 48 pr/cs Red 48 pr/cs PerforMAX™ Fall Prevention IV Gown The bright yellow color of this IV gown helps caregivers with clear, but discreet identification of fall risk patients. • Attractive spectrum print and red binding at the sleeve • Fade resistant - This will allow the identifiable yellow color of the gown to last the life of the gown. • Shrink resistant - This will keep this gown’s full tie side closure intact, maximizing patient modesty. Item # MDTPG7ITSHRG Description PerforMAX Fall Prevention IV Gown, OSFM 15 Color Yellow Pkg 6 DZ 15 Rehabilitative Interventions Resident SAFETY WEAR Patient Safety Wear Gait Belts Gait belts are designed to aid caregivers as they assist patients with walking. Belts fit securely around the patient’s waist and provide caregivers with a surface to grab when helping patients ambulate or transfer. • Aids with lifting and transferring patients • Helps reduce the risk of caregiver back injuries • Machine washable Item # MDT821203DLXH MDT821203DLX MDT821203YS MDT821203Y MDT821203YL MDT821203 MDT828203 MDT821203L MDT821204 MDT828204C MDT821203BS MDT821203B MDT821203BL MDT821208NAT MDT821208PAS Design Deluxe Gait belt with Handles Deluxe Gait belt with Handles Solid Yellow Fall Management Solid Yellow Fall Management Solid Yellow Fall Management White with Blue & Red Pin Stripes White with Blue & Red Pin Stripes White with Blue & Red Pin Stripes Pastel Stripes Pastel Stripes Solid Black Solid Black Solid Black White with Blue Stripes Pastel Stripes LengthMaterial 28"-55" (71cm-140cm) Nylon 28"-55" (71cm-140cm) Nylon 54" (137 cm) Cotton 60" (152 cm) Cotton 72" (183 cm) Cotton 60" (152 cm) Cotton 60" (152 cm) Cotton 72" (183 cm) Cotton 60" (152 cm) Cotton 60" (152 cm) Cotton 54" (137 cm) Cotton 60" (152 cm) Cotton 72" (183 cm) Cotton 60" (152 cm) Cotton 60" (152 cm) Cotton Buckle Pkg Plastic Each Plastic 10/cs Metal Each Metal Each Metal Each Metal Each Metal 6/cs Metal Each Metal Each Metal 6/cs Metal Each Metal Each Metal Each Plastic Each Plastic Each FALL STATISTICS One out of five hip fracture patients dies within a year of their injury. 16 Leibson CL, Toteson ANA, Gabriel SE, Ransom JE, Melton JL III. Mortality, disability, and nursing home use for persons with and without hip fracture: a population-based study. Journal of the American Geriatrics Society 2002;50:1644–50. Rehabilitative Interventions Patient Safety Wear Security/Safety Belts These products can be used by patients who are at risk of falling out of wheelchairs because they don’t have the strength to keep themselves upright. IMPORTANT: Products that are restraints should only be used when it is in the best interest of the patient or resident and only when administered and used under proper medical supervision. • All models are one size fits all and do not require multiple sizes • Soft belts create comfortable security for patients at risk of falling • Soft security belts have a polyester strap Item # MDT822125 MDT822126 MDT822127 MDT825090 MDT825091 MDT824000 DescriptionPkg Soft security belt with foam inner pad 1 piece, Each Soft security belt with foam inner pad 2 piece, Each Soft security belt, quick release with foam inner pad 2 piece, Each Nylon wheelchair belt, hook and loop design 1 piece, Each Nylon wheelchair belt, quick release buckle 1 piece, Each Stretcher belt, 74” with quick release buckle 1 piece, Each QualCare HipShield Brief An economical way to guard against the possibility of a hip fracture with closed cell foam protection pads on each side to absorb the impact of falls. Pads are perforated so that skin can breathe are made of cotton/spandex and are washable • Unisex design accommodates all residents • • Briefs Item No. HIPPREMIUMS HIPPREMIUMM HIPPREMIUML HIPPREMIUMXL HIPPREMIUMXXL ALI76223 ALI76224 ALI76225 ALI76226 DescriptionPkg. Extra Small, 30"- 38" (76cm - 97cm) Waist 6/cs Small, 35"- 43" (89cm - 109cm) Waist 6/cs Medium, 40"- 48" (102cm - 122cm) Waist 6/cs Large, 44"- 54" (112cm - 137cm) Waist 6/cs Extra Large, 48"- 60" (122cm - 152cm) waist 6/cs Small, 30"- 32" (76cm - 81cm) Waist Each Medium, 32"- 34" (81cm - 86cm) Waist Each Large, 36"- 38" (91cm - 97cm) Waist Each Extra Large, 38"- 42" (97cm - 107cm) Waist Each Fall Prevention Yellow Blanket The yellow fall prevention blanket is a great way to discretely identify a person at risk of falling. Use the blankets when the individual is in a wheelchair or in bed to remind staff that proper precautions and care should be taken when transferring. • Soft • micro-fleece 38" x 28" (96.5 x 71 cm) Item # DYKBLANKETYL DescriptionPkg Fall Prevention Yellow Blanket 20/cs 17 Rehabilitative Interventions MOBILITY A I D S Reduce Risk of Falls Staying active helps maintain strength and balance, which can help reduce falls. Walking devices themselves can help prevent falls when properly fitted and recommended by a physician or physical therapist.6 In addition, the Institute for Clinical Systems Improvement (ICSI) falls prevention guidelines recommend the use of walking aids to help prevent falls. 5 Mobility Aids Q&A Q: How do walking aids help reduce Q: How can we get patients to use falls in patients with poor balance their walking devices to help and/or a poor gait? reduce the risk of falls? Balance is achieved by the body’s Make sure their walking device is continued positioning of its center working properly and also sized properly. of gravity over a base of support. Make sure the patient knows how Walking aids increase the base of to use the walking device properly. support by adding additional points of contact on the ground, which Different walking devices are makes balancing easier. designed to help with various gait problems. Patients should work Walking devices also provide visual with a physical therapist to make support that instills confidence sure they are prescribed the right during ambulation, helping reduce type of device. a patient’s fear of falling. Rehabilitative Interventions Mobility Aids Off-Set Handle Canes For individuals that have slight mobility and gait difficulties a single point cane will provide an additional point of support to their stance. Offset handle design centers the user’s weight over the strongest part of the cane Ergonomically designed to provide comfort and support for partial weight-bearing users • Push-button, height-adjustable to find the perfect height • • Weight CapHeight adj.cane weight ItemGRIP STYLE Color Lbs (kg) Inch (cm) Lbs (kg)Pkg MDS86420 Foam Hand Grip Black 250 (113) 29-38 (74-96.5) 0.8 (0.4) 6/cs MDS86420BRZW Foam Hand Grip Bronze 250 (113) 29-38 (74-96.5) 0.8 (0.4) 6/cs MDS86420CHRW Foam Hand Grip Chrome 250 (113) 29-38 (74-96.5) 0.8 (0.4) 6/cs Quad Canes Canes with four feet allow for greater weight-bearing and stability than a single-point cane. Small base design allows for easier maneuverability; large base design gives more stability Quad canes stand up on their own • Bariatric quad canes are designed with reinforced tubing for greater weight bearing capabilities • • Item Base size Color MDS86222W Small Base Black MDS86222BRZ Small Base Bronze MDS86222CHR Small Base Chrome MDS86228 Large Base Black MDS86228BRZ Large Base Bronze MDS86228CHR Large Base Chrome MDS86222XW Small Base Black MDS86228XW Large Base Black weight cap Lbs (kg) 250 (113) 250 (113) 250 (113) 250 (113) 250 (113) 250 (113) 500 (227) 500 (227) height adj. Inch (cm) 29-38 (74-97) 29-38 (74-97) 29-38 (74-97) 30-39 (76-99) 30-39 (76-99) 30-39 (76-99) 29-38 (74-96.5) 29-38 (74-96.5) footprintcane weight Inch (cm) Lbs (kg)Pkg 6 x 8 (15 x 20) 2.0 (1) 2/cs 6 x 8 (15 x 20) 2.0 (1) 2/cs 6 x 8 (15 x 20) 2.0 (1) 2/cs 8 x 12 (20 x 30) 2.6 (1) 2/cs 8 x 12 (20 x 30) 2.6 (1) 2/cs 8 x 12 (20 x 30) 2.6 (1) 2/cs Each 6 x 8 (15 x 20) 3.6 (2) 8 x 12 (20 x 30) 4.6 (2) Each Hemi Sidesteppers Wider base provides more stability and weight-bearing ability than a quad cane. Sidestepper provides support and stability to those with limited dexterity in one arm or hand. • • Lightweight design allows the hemi sidestepper to be maneuvered easily with just one arm Hemi sidestepper is height-adjustable in 1" (2.5 cm) increments HeightFolded Weight Cap AdjustmentWidth Item DescriptionWheels Lbs (kg) Inch (cm) Inch (cm)Pkg MDS86620 Standard Hemi None 250 (113) 30-35 (76-89) 3 (7.6) Each G07770 Adult None 250 (113) 32-36 (81-91) 3 (7.6) 2/cs G07771 Junior None 250 (113) 28.5-32 (72-81) 3 (7.6) 2/cs 19 Rehabilitative MOBILITY AIDS Interventions Mobility Aids Excel Translator® Combination Transport Chair and Rollator In just seconds, our Excel Translator easily converts from a rollator to a transport chair and vice-versa. Comes with a convenient cup holder, under-the-seat basket, zippered side carrying case, and easy-to-adjust push-button foot rests. You will be delighted with the comfortable, spacious seat which is more than 75% roomier than an average rollator seat. Comfort Glide Rollator with Memory Foam Seat Find comfortable seating and smooth operation in one model. Extra thick, memory foam seat contours comfortably to create an ideal cushion for tired users while the large, 8" (20 cm) wheels glide smoothly over most surfaces. Convenient cup holder and cane holder come standard. Freedom Ultra Light Rollator Weighing only 11 lbs. (5 kg) , the Freedom rollator is the lightest model on the market. Light weight and folding capabilities make this the ideal model to get in and out of the car/storage. Heightadjustable arms and legs let users find a perfect fit as this rollator accommodates users 4'11"-6'4" (147-188 cm). DistanceSeat HeightHeightProduct Wt. Cap.Wheels BetweenMin./Max.Min./Max.Weight ItemName Color Lbs (kg) Inch (cm)Handles Inch (cm) Inch (cm) Lbs (kg)Pkg MDS808200TR MDS808200TRR MDS86826W MDS86825SLR MDS86825SLB MDS86825SLBLK MDS86825SLT MDS86825SLWT 20 Translator Translator Comfort Glide Freedom Freedom Freedom Freedom Freedom Blue Red Blue Burgundy Smoky Blue Black Titanium White 250 (113) 250 (113) 300 (136) 250 (113) 250 (113) 250 (113) 250 (113) 250 (113) 8 (20) 8 (20) 8 (20) 6 (15) 6 (15) 6 (15) 6 (15) 6 (15) 18 (46) 18 (46) 17 (43) 17 (43) 17 (43) 17 (43) 17 (43) 17 (43) 19 (48) 19.5 (50) 23 (58) 18-23 (46-58) 18-23 (46-58) 18-23 (46-58) 18-23 (46-58) 18-23 (46-58) 32-36.5 (81-93) 32-36.5 (81-93) 32.5-37.5 (83-95) 29-36 (74-91) 29-36 (74-91) 29-36 (74-91) 29-36 (74-91) 29-36 (74-91) 18 (8) 18 (8) 17 (8) 11 (5) 11 (5) 11 (5) 11 (5) 11 (5) Each Each Each Each Each Each Each Each Rehabilitative Interventions Designed for people who need additional support to maintain balance or stability while walking. • Easy-to-use, push button mechanism lets walker fold • Each side of the two-button model folds independently to allow easy movement through narrow spaces • Side cross braces provide extra stability • Height-adjustable legs in 1" (2.5 cm) increments Weight ApproximateWidth InsideHeightFolded CapacityUser Height Hand Grip AdjustmentWidth Item DescriptionWheels Lbs (kg) Inch (cm) Inch (cm) Inch (cm) Inch (cm)Pkg MDS864104 Adult None 300 (136) 5'5"-6'4" (165-193) 16.75 (43) 32-39 (81-99) 4.5 (11) 4/cs MDS86410W4 Adult 3 (8) 300 (136) 5'5"-6'4" (165-193) 16.75 (43) 32-39 (81-99) 4.5 (11) 4/cs MDS86410W54 Adult 5 (13) 300 (136) 5'5"-6'4" (165-193) 16.75 (43) 32.5-39.5 (82-100) 4.5 (11) 4/cs MDS86410J4 Junior None 300 (136) 4'6"-5'5" (137-165) 16.75 (43) 25-32 (64-81) 4.5 (11) 4/cs MDS86410JW4 Junior 3 (8) 300 (136) 4'6"-5'5" (137-165) 16.75 (43) 25-32 (64-81) 4.5 (11) 4/cs MDS86410JW54 Junior 5 (13) 300 (136) 4'6"-5'5" (137-165) 16.75 (43) 25.5-32.5 (65-83) 4.5 (11) 4/cs FALL STATISTICS Muscle weakness and walking or gait problems are the most common causes of falls among nursing home patients. These problems account for about 24% of the falls in nursing homes. Rubenstein LZ. Preventing falls in the nursing home. Journal of the American Medical Association 1997;278(7):595–6. 21 Mobility Aids Two-button Folding Walkers Rehabilitative MOBILITY AIDS Interventions Mobility Aids Bariatric Walkers It is important to ensure that individuals using walking aids are using a device that can support their weight. For larger patients, Medline has bariatric walkers that are stable and still remain lightweight and easy to use. Higher weight capacities keep patients active and moving Extra-wide frames give patients a more comfortable fit • Two-button folding capabilities let patients receive support through narrow spaces • • Weight ApproximateWidth InsideHeight Adj. Wheels CapacityUser HeightHand GripWidthFolded Item Inch (cm) Lbs (kg) Inch (cm) Inch (cm) Inch (cm) Inch (cm)Pkg G30754B MDS86410XWW None 5 (13) 650 (295) 500 (227) 5'5"-6'4" (165-193) 5'5"-6'4" (165-193) 22 (56) 20 (51) 32-39 (81-99) 33.5-43.5 (85-110) 4.5 (11) 4.5 (11) 2/cs Each Stand Assist Walker Get patients standing upright and ready-to-go with the Stand Assist walker. Seated users can gradually progress from the lower level of handles to the top level to help stand more easily. Bi-level handles also allow user to position walker over the toilet and use as a toilet safety frame for use in the rest room when away from home. ApproximateWidth InsideHeight AdjustmentFolded Weight CapUser HeightHand GripUpper/LowerWidth Item DescriptionWheels Lbs (kg) Inches (cm) Inches (cm) Inches (cm) Inch (cm)Pkg MDS86410UR Stand Assist Walker None 300 (136) 5'5"-6'4" (165-193) 17 (43) 32-39/22-29 (81-99/56-74) 5 (13) 2/cs Help patients get up easier with bi-level hand grips. 22 Rehabilitative Interventions Medline carries a full line of walking aids and bath safety items to help find the best fit for your facility. The catalog includes a bathroom safety map for product placement, a walking aids sizing guide and more valuable information for your staff. Featuring the most common Medicare reimbursable products as well as applicable cash sale items that encourage bundled sales. Leave these behind with patients to order directly from your website! Mobility Aids Medline’s customizable Cross-Sell and Up-Sell Guides are designed to be used by your delivery drivers as well as customer service staff. MEDLINE DURABLE MEDICAL EQUIPMENT CATALOG W A L K I N G A I D S ADon’t N D BJust AT HSell, SAF ETY Up-Sell! Customized Sell Sheets: • Homecare Beds • Wheelchairs • Walkers Just type in your name, address, phone number, website, pricing, and even your company logo! Contact your account representative to get started today! Durable Medical Equipment Effective Programs, Quality Products, Superior Customer Service Ask your Medline representative for a copy of the catalog (LIT124R) or call 1-800-MEDLINE. Medline Industries, Inc. Medline United States 1-800-MEDLINE (633-5463) Medline Canada 1-800-396-6996 Medline México 01-800-831-0898 www.medline.com | info@medline.com www.medline.ca | canada@medline.com www.medlinemexico.com | mexico@medline.com Some products may not be available for sale in Mexico or Canada. Please contact your Account Representative for additional information. We reserve the right to correct any errors that may occur within this brochure. ©2012 Medline Industries, Inc. Medline, Excel, Guardian and Guardian Signature are registered trademarks of Medline Industries, Inc. Linak is a registered trademark of Linak A/S Corporation Denmark. ColdSpot is a trademark of and Be Better, Cando, HotSpot and Point Relief are registered trademarks of Elliott Goldberg. www.medline.com One Medline Place Mundelein, IL 60060 MKT1222342 / LIT124R / 7.5M / QG / 10 Bath Safety Placement Map Bath Safety Use the guide below to understand where Medline’s bath safety products can be located in and around the bathroom— to help provide security and stability. Handheld Shower Hand held showers should be used for anyone who bathes with a shower chair or transfer bench. The 86" (218 cm) long hose allows a person to remain seated while bathing. Item: G98035 (see page 47) Elevated Toilet Seat When bending is difficult, using the toilet can present a potential fall risk. Using a raised toilet seat will reduce the degree of required bending, thereby reducing fall risk. Item: G30270A (See page 56 for full line) Transfer Bench When getting in and out of the tub becomes a difficult and potentially dangerous task, transfer benches are a safe alternative. The person bathing can sit down on the outside of the bathtub, swing their legs over the wall, and then easily slide across the seat while holding onto a hand rail mounted on the opposite side. Item: G98309G (See pages 54-55 for full line) Measuring and Sizing 44 Bath Safety Map Hand grip Adjustment Rollators Rollators provide users with both a mobility aid and a seat to rest on when tired. These two functions require two measurements be taken to accurately size a rollator. Some rollators only allow for adjustments on the handles, while other rollators adjust at both the handles and on the legs for a more custom fit. Axillary Crutches Crutches are the traditional mobility aid for when one leg is almost entirely non-weight-bearing. Aluminum or wooden axillary (under the arm) models can be adjusted easily to both key measures: your overall height and hand height. 45 1. Select a pair of crutches that is appropriate to the weight of the patient. 1. Measure from the ground to the crease in the back of the knee. (See Dimension A, page 15) 2. Adjust the rollator legs accordingly so the seat is at same height as A. 3. Keeping arms at your side with a natural bend at the elbow, measure from the ground to the center of the wrist. (See Dimension B, page 15). 4 3 2 1 Wall-Mounted Grab Bars (not shown) – Mounts directly to your wall to provide an extra grip when standing or sitting in the tub. (See page 57 for full line) Axillary Pad 2 Bathtub Assist Bar – Clamps directly onto the tub wall. The assist bar makes entry and exit safer. Item: G98006 Walking Aids Sizing Guide for Rollators, Walkers, Crutches and Canes 3 Bathroom Grab Bars and Assist Bars Install grab bars in your bathroom to offer support in areas where falls are most likely to occur. These areas include anywhere that might have a wet surface or anywhere people tend to bend frequently. A grab bar’s primary use is to steady the user and may not support the weight of a falling individual. 2. When sizing for axillary crutches, first measure from the ground to near the bottom of the axilla, or armpit. The crutch cushion should be two to three inches below the axilla. When standing straight, the cushion should not be touching the axilla. This measurement will be the overall crutch height. (See Dimension C) Adjustable Center Post 3. Keeping arms at your side with a natural bend at the elbow, measure from the ground to the center of the wrist. This measurement will be the hand grip height. (See Dimension B) B C Canes Standard canes with a single tip should only be used for those looking for help with balance. Quad canes are useful for those looking to bear weight as they have a wider base. When sizing a cane, follow the steps below. Walkers Proper walker sizing can help prevent poor posture and prevent injury from misuse or falling. Medline’s walkers all use push-button mechanisms that let the walkers adjust to various heights. 1. Select a walker that is appropriate to the weight of the patient. 2. Keeping arms at your side with a natural bend at the elbow, measure from the ground to the center of the wrist. (See Dimension B, page 15) Handgrips Adjustment Holes Locking Collar 3. Adjust all four legs to the same height so that the handgrips match the same height as the wrist. Cane Tip 14 A 1. Select a cane that is appropriate to the weight of the patient. Push Button 2. Keeping arms at your side with a natural bend at the elbow, measure from the ground to the center of the wrist. This measurement will determine the ideal cane height. (See Dimension B) 3. Loosen the collar on the cane and press the push-button lock, slide the lower tube into or out of the body of the cane until you get to the wrist-height measurement, and let the push button “click” into the closest hole to the measurement. Tighten the collar (check and re-tighten the collar regularly). 1-800-MEDLINE | www.MEDLINE.com Sizing Guide 23 15 Rehabilitative MOBILITY AIDS Interventions PATIENT HANDLING & LIFTING Reduce Risk of Falls Reduce Risk of Injury The lifting and transferring of patients or residents can present a high risk for falls. When used properly, mechanical lifting equipment and transfer aids can greatly reduce this risk and provide additional benefits, such as: • Improved quality of care • Improved safety and comfort • Improved patient or resident satisfaction • Less chance of the patient or resident being dropped, or incurring friction burns, dislocated shoulders, skin tears or bruises • Reduced risk of injury and improved job satisfaction for staff Handling and Lifting Q&A Q: How can a safe patient handling Q: How many lifts should be used program help reduce the risk of falls? and how do you know if a patient needs a lift? For heavier lifting situations, mechanical lifts can help reduce Facilities should have one lift for the potential for patient and staff every eight patients who require injuries. a lift.7 Injuries are reduced because mechanical lifts protect patients from being dropped and can help reduce skin tears and bruises. 24 A proper assessment including the patient’s complete medical history, current physical condition, and cognitive state should be completed to determine the need for lifting equipment. Rehabilitative Interventions Used for lifting and transferring non-weight bearing and partially weight bearing patients along with a six-point cradle. MDS600EL • Base legs on powered lifts spread with a reliable, easy-to-operate foot pedal • Low-profile base legs easily move under beds and other furniture • Six-point sling cradles provide flexibility for maximum comfort and safety • 24V DC battery with an average of 80-100 lifts per charge • Three-year warranty on mechanical/electrical components, one year for battery and scale Item #Wt Cap.Pkg MDS400EL 400 lbs (181 kg) Each MDS600EL 600 lbs (272 kg) Each Ask your Medline sales rep how to get a free washable sling with your electric lift purchase! MDSELSCALE For use on any elevating floor lift (MDS400EL, MDS600EL) MDS600SA Battery-Powered Stand Assist Used for assisting individuals from a sitting to a standing position. Attractive white finish with removable foot platform. • Appropriate for partial weight-bearing patients with some upper body strength • Removable foot platform for gait training • Battery-powered stand assist • Controls are easy to operate • Three-year warranty on mechanical/electrical components, one-year warranty for battery Item #Wt Cap. Pkg MDS400SA 400 lbs (181 kg) Each MDS600SA 600 lbs (272 kg) Each 25 Patient Handling & Lifting Total Floor Lifts Rehabilitative MOBILITY AIDS Interventions Patient Handling & Lifting Bath Lift Our Medline Bath Lift is easy-to-use and has the quality features you expect from Medline, taking you safely in and out of your bathtub. • Comfortable soft foam seat and contoured backrest • Simple and secure installation: in 4 easy steps, you’ll have your Medline Bath Lift ready to enjoy! • Quick 1-hour rechargeable hand control, built to float • Industry leading efficiency: 60% more baths per charge than competitive bath lifts Item #Wt Cap. Pkg MDS300BL Bath Lift Each Manual Stand Assist A more affordable alternative to the battery-powered stand assist. The individual grabs onto an assist bar and pulls up using their own strength. Used to assist individuals from a sitting to standing position. • Appropriate for partial weight-bearing patients with some upper body strength • Perfect for functional rehabilitation therapy A Item #Wt Cap. Pkg STA182 400 lbs (181 kg) Each B Hydraulic 400 Lb (181 Kg) Lift A budget-friendly total lift solution designed with homecare needs in mind. Lift height is adjusted with a convenient hand-operated hydraulic cylinder. • Elevating lift, hydraulic • Base opens with an easy hand lever • Lift comes with a FREE full-body sling packaged inside box • 6 point cradle • 3 year warranty Item # MDS88200D Description 400 lb (181 kg) Hydraulic Lift (with sling) MDS88200DSL 26 Rehabilitative Interventions Designed with comfort and safety in mind, these slings feature unique, fully padded fabric that forms a soft yet supportive surface. • Four-point hookup creates the advantage of fewer loops to connect to the cradle • Slings can be used with either four-point or six-point lift cradles •Washable • Full body mesh slings have commode opening Item #Wt Cap. Size Pkg Full Body Solid Fabric Sling MDSMR112 450 lbs (204 kg) Medium Each MDSMR113 450 lbs (204 kg) Large Each MDSR117 450 lbs (204 kg) X-large Each Full Body Mesh Sling MDSMR110 450 lbs (204 kg) Medium Each 450 lbs (204 kg) Large Each MDSMR111 MDSMR140 600 lbs (272 kg) X -large Each Full Body Mesh Sling w/Commode Opening MDSMR114 450 lbs (204 kg) Medium Each MDSMR115 450 lbs (204 kg) Large Each MDSMR116 450 lbs (204 kg) X-large Each MDSR141 600 lbs (272 kg) XX-large Each MDSMR113 MDSMR115 Stand Assist Padded Slings For use with Medline’s stand assist lifts, these slings provide the extra support the individual needs to stand. • Extra padding in the lumbar area for improved comfort • Extra padding in the underarm area for improved comfort •Washable MDSSA3 Item #Wt Cap. Size Pkg MDSSA1 400 lbs (181 kg) Small Each MDSMSA2 400 lbs (181 kg) Medium Each MDSSA3 400 lbs (181 kg) Large Each MDSSA4 600 lbs (272 kg) Bariatric Each FALL STATISTICS Among older adults (those 65 or older), falls are the leading cause of injury death. They are also the most common cause of nonfatal injuries and hospital admissions for trauma. Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Web–based Injury Statistics Query and Reporting System (WISQARS) <http:// www.cdc.gov/injury/wisqars> [online]. Accessed November 30, 2010. 27 Patient Handling & Lifting Full Body Slings Rehabilitative Interventions Patient Handling & Lifting Sling Specifications Chart SmallMedium Large Bariatric A - Circumference in inches around the shoulders U-Shaped A Universal Slings 28"-45" 37"-57" 47"-67" 57"-80" (71-114 cm) (94-145 cm) (119-170 cm) (145-203 cm) B B - Circumference in inches around the chest Toileting Slings 26"-42" 30"-48" 38"-60" 58"-73" (66-107 cm) (76-122 cm) (97-152 cm) (147-185 cm) 28"-42" 30"-48" 36"-60" 50"-79" (71-107 cm) (76-122 cm) (91-152 cm) (127-201 cm) 100-180 lb 160-280 lb 200-600 lb (45-82 kg) (73-127 kg) (91-272 kg) Stand Assist Slings Body Weight Full-Body Slings N/A Above dimensions are guidelines and may vary by user Transfer Boards Transfer boards are used to assist individuals who have good sitting balance, but have limited mobility to transfer from one surface to another of similar height. Transfer boards can be used to help facilitate a patient transfer from bed to wheelchair, wheelchair to toilet, wheelchair to car seat and more. PVCM600A • Smooth and strong, allowing for quick and effective transfers • Made of high density polyethylene • Easy to clean Item # PVCM600H PVCM600A PVCM600N PVCM600W Description Half Length w/ 6 Handles Full Length w/ 8 Handles Narrow, Full Length w/ 8 Handles Wide, Full Length w/ 8 Handles 28 Dimensions Wt Cap. 31"L x 23"W (79 x 58 cm) 500 lbs (226 kg) 71"L x 23.5"W (180 x 56.7 cm) 500 lbs (226 kg) 71"L x 15.75"W (180 x 40 cm) 500 lbs (226 kg) 71"L x 35.5"W (180 x 90.17 cm) 500 lbs (226 kg) PVCM600H Pkg Each Each Each Each Rehabilitative Interventions Patient Handling & Lifting PolyGlide Transfer Sheets Transfer sheets can be used for a variety of transfer movements including repositioning and boosting to reduce the potential of patient or caregiver injury. The application of transfer sheets makes movements easier by reducing surface friction. Helps reduce the potential of patient and caregiver injury • PolyGlide transfer sheets minimize manual patient handling during lateral transfers and repositioning, thereby increasing patient comfort. • For the caregivers, transfer sheets reduce the effort required during lateral transfers and repositioning and hence minimizes potential caregiver back injuries. Positioning Autoclavable for use in the OR! • Can be autoclaved providing sterility for OR use. • Long lasting PolyGlide transfer sheets can be washed up to 150 times without losing the Anti-Bacterial finish.* Turning Provides barrier protection • Constructed of Polyester and Taffeta with a Silicon finish. • PolyGlide transfer sheets have a Micro Barrier and finish. Promotes safe handling procedures • Optional storage bag can be attached to bed or stretcher making sheets easy to access, which may increase compliance. * Recommended washing is 149 to 167° F and drying from 122 to 149° F. Putting patient to bed Chlorine bleach is not recommended, but hydrogen peroxide or peracetic acid can be used instead. This product does not protect users or others, from disease causing bacteria. Lateral Transferring FSS6072BH FSS6072RH Item # FSS6072BH FSS6072RH FSSBAGB Description Polyglide Transfer Sheet w/ Handles Polyglide Transfer Sheet w/ Handles Polyglide Transfer Sheet Bag Dimensions Wt Cap. 60" x 72" (152 x 182 cm) 500 lbs (226 kg) 60" x 72" (152 x 182 cm) 700 lbs (317 kg) N/A N/A Color Blue Burgundy Blue 29 Pkg Each Each Each Rehabilitative Interventions Patient Handling & Lifting SAFE 'N EASY LIFTING PROGRAM A $1,000 Value Safe ‘n Easy Lifting Program is included with the purchase of two or more powered lifts/stand assists! Medline is dedicated to providing a safe environment to all facilities using their equipment. Protect patients and staff with Medline’s Safe ‘n Easy Lifting Program. Our program is evidencebased, reflecting the best thinking and practices in patient lifting. This includes, for example, work accomplished by the 2001 Technical Advisory Group (a collaboration of the VHA Public Health and Environmental Hazards, the Patient Safety Center Inquiry, and the Healthcare Analysis and Information Group), as well as the 2005 National Task Force (representatives from the American Association of Rehabilitation Nurses, the American Physical Therapy Association, and the Veterans Administration). Medline’s Safe ‘n Easy Lifting Program Includes: Falls Management sy Safe ‘n Ea Lift Policy Program HOW-TO GUIDE Appendix –d Debriefing Tool Safe andling Patient H ement M and ov ms Algorith Post Fall Appendix –d Debriefing Tool Assessm ent Tool the debriefing tool is used to understand is complete and the reason why, where, when and tions have has how patients been implemented been identified, it is crucial fall has occurred. to reduce for the team the risk of once the to make another fall form sure the appropriate occurring. interven- Falls Nursing Falls Management Program Assessm ent and should have an immediate huddle post patient fall. identify any changes Managemen needed in or extrinsic t team with plan of care. factors. 24-48 hours it is important Physical post falls to include therapy, to evaluate all multi-discipl Pharmacy, trends such environment Nursing, inary team as intrinsic transportatio al Services, members n, Certified Risk managemen (examples Nurse Assistants, include: t). 3. each unit Radiology, dietary, should bring copies of debriefing. completed it is imperative debriefing for units that tools to discuss keep falls prevention have reported plans and top of mind actions related patient falls for all staff. to implement to 4. Falls Managemen an action plan to help t should be included as a yearly core competency in the organization . Always include: • Date,time,l ocationoffa • Howpatient ll wasfounda • Addanysub ndanycircu mstancessu jectivestate rroundingth mentsimme within the efallthatwe diatelyafter narrative note. reevident. theeventfro • Chartfallsc mpatient/fa orebeforefa milyinquote ll.Re-evalua overall condition s tethepatien of patient tfallscorea • Thenameo that includes ftertheeven ftheprovide assessment tandchart. • Strategiesp rnotifiedand , vital signs, Neuro checks anyorders utinplaceto givenandw and mental preventfutu henimpleme status. reoccurrenc nted. e. incident report. Notify the clinical leader/charg e nurse and nursing supervisor of the fall event. Define to reduce to frontline keletal injuries g that the transferrin to ensure Submit an musculos ensive program compreh part of a nds guidelines policy is one recomme tient lifting . The policy Safe patient/pa valuable resources our most es for lifting s, one of . procedur caregiver assessed on the correct atients are and trained all patients/p d safely while needs of shall be aware transferre g patients being liftedand ensive program le for transferrin atients are compreh patients/p l responsib part of a e personne ensures that nds policy is one All healthcar recomme e to this policy tient lifting Adherenc . The policy patient/pa patients. ence. Safe valuable resources and moving independ our most mobility and s, one of . caregiver ing patient encourag are assessed to frontline atients injuries keletal es for lifting all patients/p musculos procedur g needs of to reduce on the correct that the transferrin and trained to ensure d safely while guidelines shall be aware transferre liftedand g patients being le for transferrin atients are patients/p l responsib e personne ensures that All healthcar e to this policy Adherenc frontline patients. to ence. and moving independ keletal injuries musculos mobility and g to reduce ing patient encourag that the transferrin ensive program compreh to ensure part of a nds guidelines policy is one recomme tient lifting . The policy Safe patient/pa valuable resources our most es for lifting s, one of . procedur caregiver assessed on the correct atients are and trained all patients/p d safely while needs of shall be aware transferre g patients being liftedand le for transferrin atients are patients/p l responsib e personne ensures that All healthcar e to this policy Adherenc patients. ence. and moving independ and mobility ing patient encourag Tool: When, What, Where, Medial Record 9/06/06 28 d By: Develope ty Center nt Safe 118M VISN 8 Patie Avenue 673/ Nebraska 38 11605 N. pa, FL 33612-57 safetycenter/ Tam v/patient ed.va.go w.visn8.m http://ww Why | 12:00 pm Nursing staff Save member heard on the floor next to bedside a loud noise in room bathroom 2210. entered stand. Alert and felt and oriented patient room oxygen saturation dizzy. i must have X 3 and stated, and found fallen.” Pupils patient lying 94% on room “i am sorry. member air. No obvious equal and reacting i was getting assist. to light. BP up to the patient complaintdr. Smartie notified injuries noted. Patient assisted 134/80, P100, of leg discomfort. and up to see patient assessment R 24, back to bed at 1220. Portable falls score: Right leg X-ray performed 10. Green PeRLA. X-ray ordered with 3 staff Family dot protocol at 1240. stat due Fall score implemented of pain. 1430 present. Call bell to prior to the in reach. . 1330 Patient R leg X-ray Vital signs event: 6. only. No report sent remains alert stable. Awaiting Refurther orders to unit. dr. and oriented X-ray report. at this time. Smartie aware. X 3. No further the patient Patient may complaints is resting Nancy Nurse be out of comfortably. bed with assistance tor: Center Direc , RN, FAAN on, PhD Audrey Nels 813-558-3902 Phone: Inservicing Video Customizable Lift Policy Implementation Plan Assessment Tools Train your employees in Ensures you have a thorough Manage implementation Assess your incoming patients the proper operation and policy on record, covering of your formal lifting to ensure you have the proper maintenance of patient all aspects of your lift program through an lifting protocols in place. lifting equipment. This program. Responsibilities, easy-to-use checklist. Consider all physical and short DVD reviews all the equipment requirements, You can designate who cognitive factors to ensure basic moves to ensure and maintenance procedures is responsible and stay you make the right decision – your employees are are all addressed in this on track. maximizing patient care and competent in moving customizable policy. and repositioning patients. 30 employee safety. HOW-TO Docume immediately ntation Expecta perform a physical (including tions: assessment pulse oximetry), of patient. Neuro status include a fractures. quick, visual if nursing (include pupil judgment assessment checks), and leave determines : vital signs, visual inspection patient where it is safe to move found. Perform of extremities for skin abrasions, the patient, for possible a more detailed do so. if skin tears/lacerat not, contact Remember assessment ions, bumps, provider to document once the immediately swelling. patient is event in a if provider in bed. include narrative orders given, note in the checking carry out medial record. all orders promptly. 1. the team 2. debrief with the Falls 29 GUIDE Rehabilitative Interventions REHAB & STRENGTH TRAINING Reduce Risk of Falls Reduce Risk of Injury The products in this section assist with activities of daily living that might have become more difficult for individuals who have limited range of motion or who are at risk for falls. Strengthening exercises, when done properly and through the full range of motion, help improve a person’s flexibility and balance, which may decrease the likelihood and severity of falls. One study in New Zealand in women 80 years of age and older showed a 40 percent reduction in falls with simple strength and balance training.8 The Centers for Disease Control and Prevention recommend the use of dumbbells and ankle weights as part of a strength training program for older adults.9 Safety Wear Q&A Q: How can physical activity help Q: What types of activities are reduce fall risk? beneficial to help reduce the risk of falling? A well-regimented exercise/rehab program can help to strengthen Muscle weakness and poor lower extremities and improve balance are underlying patient risk poor balance. factors for many falls that can result in injuries, especially in the elderly. A regular exercise program can also improve a patients’ confidence and An exercise program to lower the reduce their fear of falling, allowing risk of falling should promote them to regain independence. strength, balance and endurance. Pilates, yoga, tai chi and weight training are excellent choices. Activities initially should be led by a physiotherapist or trained profes- sional to ensure proper technique and avoid injury. Rehabilitative Interventions Rehab & Strength Training Sock and Stocking Aid with Ridges Reduce an individual’s need to bend when putting on socks and stockings. Alleviates stress and the potential for a fall. • Sock stays open as the three fingers gently bend to accommodate the contours of the heel and foot • Loop strap can be manipulated with only one hand and is length adjustable ItemDescriptionPKG MDSD1220 Mboss ridged sock aid Each MDSD1230 Compression sock aid, heel guide Each Deluxe sock aid Each MDSD1210 Stick-to-Stand The Stick-to-Stand is a measuring stick used to ensure that adjustable furniture (beds, chairs, commodes, etc.) is set at the correct height to reduce the risk of falls. The Stick-to-Stand System enables you to correctly measure an individual’s lower leg length, and then determine the correct furniture height for the individual simply by following the color-coded lines on the stick. • Maintains independent transfer and mobility skills by ensuring proper height of equipment • Reduces risk of transfer-related falls and injuries ItemDescriptionPKG MDSSTICK Stick-to-Stand System Each Medline Reacher Reduce the distance an individual has to reach for objects from their bed or wheelchair in order to avoid a potential fall. • Low cost, durable, lightweight • Provides a tight grip on even the smallest objects • 24” (61cm) long • Weighs only 6 oz. (170gm) Item MDS86031RCE 32 Description Ultra Reacher LengthWeightPKG 24" (61 cm) 6 lbs (170 kg) 6/cs Rehabilitative Interventions Rehab & Strength Training Pedal Exerciser Lightweight and easy to use, the pedal exerciser is a great alternative to the stationary bike. Can be used anywhere to help to increase mobility, flexibility and endurance in both the upper and lower body. • Electronic display denotes exercise time, revolution count, RPMs and calories burned • Folds up for compact storage when not in use • Non-slip pedals grip shoe bottoms for ease of use Item # MDS100 DescriptionPkg Lightweight, economy exerciser 2/cs Resistive Exercise Bands The use of strength training products for individuals at risk for falls has been shown to promote increased strength and improved balance. A rehabilitation program structured to help rebuild strength, balance, range of motion, and gait can help individuals reduce the likelihood of falling and from suffering injuries associated with falls. • Cost-effective bands color-coded by strength in bright, vibrant colors • Low powder and low protein bands minimize discomfort during handling • Larger width (6”) provides less tension per square inch of force for a more durable product 6-Yard (5.4 m) Bands Item ColorResistance MDSHXY1H Peach Extra Light MDSHXR1H Orange Light MDSHXG1HGreen Medium MDSHXBL1HBlue Heavy MDSHXP1H Plum Extra Heavy MDSHXS1H Gray Heavy 50-Yard (45.7 m) Bands ColorResistance Item MDSHXY1BH Peach Extra-Light MDSHXR1BH Orange Light MDSHXG1BH Green Medium Blue Heavy MDSHXBL1BH MDSHXP1BH Plum Extra Heavy MDSHXS1BH Gray Heavy Note: Resistance bands are also available individually packaged and precut into 5-foot lengths. Contact your Medline sales representative for ordering information. FALL STATISTICS Roughly one-third of elderly people who have experienced a fall develop a fear of falling. This fear may cause them to limit their activities leading to reduced mobility and loss of physical fitness, which in turn increases their actual risk of falling. Vellas BJ, Wayne SJ, Romero LJ, Baumgartner RN, Garry PJ. Fear of falling and restriction of mobility in elderly fallers. Age and Ageing 1997;26:189–193. 33 Rehabilitative Interventions Rehab & Strength Training Cuff Weights Flexible weight contours to snugly fit the ankle, wrist and even the thigh to be used in exercises. Focus on exercises that target the major muscles in the leg to help build balance and strength, which can reduce the chance of falls in at-risk individuals. • Long closure strap for comfortable secure fit • Color-coded weight levels for quick recognition • Grommeted for hanging on any weight rack Item#Weight Cuff Weights MDSP100203 1 lbs (0.5) MDSP100205 2 lbs (0.9) MDSP100207 3 lbs (1.4) MDSP100208 4 lbs (1.8) MDSP100209 5 lbs (2.3) MDSP100210 6 lbs (2.7) MDSP100211 7 lbs (3.2) MDSP100215 10 lbs (4.5) Adjustable Weight Pack Cuffs MDSP100301 1-5 lbs (.5-2.3 kg) MDSP100302 2-10 lbs (.9-4.5 kg) Color PKG Blue White Gold Turquoise Black Beige Lemon Brown Each Each Each Each Each Each Each Each Black Brown Each Each Item#DESCRIPTION Wrist and Ankle Weight Sets MDSP100250 7-Cuff Weight Set (1, 2, 3, 4, 5, 7.5, and 10 lbs) Vinyl-Coated Dumbbells Vinyl-coated, color-coded cast iron dumbbells are ideal for upper body exercise. Coated weights give a comfortable feel and prevent floor scratches. • Coating provides weight with a more comfortable feel than steel • Marked in both pounds and kilograms Item#Weight MDSP100550 1 lbs (0.5 kg) MDSP100551 2 lbs (0.9 kg) MDSP100552 3 lbs (1.4 kg) MDSP100553 4 lbs (1.8 kg) MDSP100554 5 lbs (2.3 kg) 6 lbs (2.7 kg) MDSP100555 MDSP100556 7 lbs (3.2 kg) MDSP100559 10 lbs (4.5 kg) MDSP100565 Full set of dumbbells 34 ColorPKG Pink Each Purple Each Green Each Silver Each Blue Each Pink Each Purple Each Orange Each N/A (2 of each weight) Environmental Interventions PATIENT Warn Caregivers SAF E T Y A L A R M S Most falls in nursing homes occur in the patient’s room, especially during attempts to get in or out of bed.10 Alarms can aid in monitoring individuals at risk of falling and alert staff that these patients are on the move and at risk of falling. The Institute for Clinical Systems Improvement falls prevention guidelines recommend the use of a chair or bed alarm for individuals at risk for falling.5 The Hartford Institute for Geriatric Nursing’s “Nursing Standard of Practice Protocol: Fall Prevention” also recommends use of personal or pressure sensing alarms as part of a falls management program.11 Safety Alarms Q&A Q: What risk factors would suggest Q: Should you use a patient alarm the use of a patient alarm system system in patients with dementia to help reduce falls? who are also at risk for falling? Patient has experienced a fall from Patients with cognitive dysfunction bed in the past. (dementia, depression, delirium) are at particular risk for falls because Patient has experienced a fall while cognitive losses can cause errors in ambulating in the bedroom or bath- judgment. room shortly after leaving a bed. These patients may be confused or Patient has a history of excessive agitated by alarms that attach to urination at night. the body. It may be better to use a pressure sensitive system that rests Patient has demonstrated unsafe out of view. bed transfers. 35 Environmental Interventions Patient Safety Alarms Premium Pressure-Sensing Safety Alarms Quick Alert alarms have been Medline’s best-selling pressure-sensing alarms for over 5 years. They are self-activated, auto-sensing systems that are always working. Each monitor is constructed from heavy-duty plastics that securely house sophisticated electronics. Two-Year Warranty. Quick Alert® Ultra II • Five options for delayed alarm settings help to limit false alarms • Five levels of volume adjustment • Protective silicone cover reduces breakage • Adjustable strap for use with beds or chairs • Power indicator light and low battery indicator light Item MDT8175 DescriptionPKG Quick Alert Ultra II Each Quick Alert Ultra • Contains all of the great standard features of the Quick Alert Ultra II, without volume control, delayed alarm and nurse call • Perfect for wheelchair monitoring Item MDT8100 DescriptionPKG Quick Alert Ultra Each Quick Alert Ultra Pressure Mats & Accessories ITEM # MDT81180C5 MDT81180B5 MDT8190C* MDT8190B* MDT8130C* MDT8130B* MDT8150NURSE DESCRIPTIONPKG Chair sensor mat, 180-day warranty 5/cs Bed sensor mat, 180-day warranty 5/cs Chair sensor mat, 90-day warranty Each or 5/cs Bed sensor mat, 90-day warranty Each or 5/cs Chair sensor mat, 30-day warranty Each or 5/cs Bed sensor mat, 30-day warranty Each or 5/cs Nurse call cable for Quick Alert Ultra II Each *Items may be ordered by adding 1 for a single mat or 5 in a case FALL STATISTICS In 2008, over 19,700 older adults died from unexpected fall injuries. 36 Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Web–based Injury Statistics Query and Reporting System (WISQARS) <http://www.cdc.gov/injury/ wisqars> [online]. Accessed November 30, 2010) Environmental Interventions Patient Safety Alarms Pressure-Sensing Safety Alarms All the features you need at a great price. The alarms found in this section come packed with some of the most sought-after technological features typically found on more expensive alarms, including auto-sensing without the need for an on/off switch. Tamper-Resistant Personal Safety Alarm • Tamper-resistant two-button design limits patient interference • Optional delayed alarm setting helps to limit false alarms • Low battery indicator light and volume control • Extra-durable wheelchair attachment clip included Item MDT8200 MDT8400 MDT8450 DescriptionPKG UMP Personal Safety Monitor - Economy Each UMP Personal Safety Monitor - Standard Each UMP Personal Safety Monitor - Deluxe Each Deluxe Multi-Purpose Safety Alarm with Voice • Multi-purpose alarm can be used as a pull-cord system, pressure sensing system or both at the same time! • Tamper-resistant controls are concealed inside the battery compartment • MICR81860 Only - Personalized voice recording option helps increase patient responsiveness when alarm is sounding Item MICR81850 MICR81860 Description Micro-Tech Alarm Micro-Tech Alarm with Personalized Voice Option PKG Each Each Personal Safety Monitor Pressure Mats & Accessories ITEM # DESCRIPTIONPKG MDT84365C* Chair sensor mat, 365-day warranty Each or 6/cs MDT84365B* Bed sensor mat, 365-day warranty Each or 6/cs MDT84180C* Chair sensor mat, 180-day warranty Each or 6/cs MDT84180B* Bed sensor mat, 180-day warranty Each or 6/cs MDT8445C* Chair sensor mat, 45-day warranty Each or 6/cs MDT8445B* Bed sensor mat, 45-day warranty Each or 6/cs MDT84NURSENurse call cable N/A Each MDT84BRKT Optional Bed Bracket N/A *Items may be ordered by adding 1 for a single mat or 6 in a case 37 Environmental Interventions Patient Safety Alarms Pull Cord Personal Safety Alarms Medline offers a variety of pull cord alarms with numerous features for varying situations. Choose the exact feature(s) you want in a proven safety alarm. Elite Personal Safety Alarm • Pacemaker-safe pull-cord style alarm • Magnet-free plastic tab on activation cord makes for safe use near pacemakers • Volume adjustment • Interlocking cradle and bracket for easy installation • Five alarm tone options • Battery tester button • Hook and loop fastenerr option Item #DescriptionPkg MDT829900-1N Elite Personal Safety Alarm Each MDT829900-6 Elite Personal Safety Alarm 6/cs MDT829900XC Replacement pull cord Each Advantage® Magnetic Alarm • Value-priced yet very dependable! Lowest cost per unit in its class. • Works from any angle • Cradle and adjustable strap included • Battery tester button MDT829900-6 MDT829900-1N MDT5000 MDT5000Z Item #DescriptionPkg MDT5000ZAdvantage Magnetic AlarmEach MDT5000Advantage Magnetic Alarm5/cs MDT5000XCD Replacement pull cords 3/bg Safety Sentry Alarm • No on/off switch prevents tampering • Volume control • Tamper-resistant safety locking clip Item #DescriptionPkg MDT5100Safety Sentry AlarmEach MICRXCORD Replacement Pull Cord Each MDT5100CPProtective CoverEach MDT5100 Deluxe Personal Safety Alarm • Unique magnetic pull cord alarm with nurse call compatibility • No on/off switch prevents tampering • Volume control • Tamper-resistant safety locking clip Item #DescriptionPkg MDT5200Deluxe Personal Safety AlarmEach MDT5200CP Protective Cover Each MDT84BRKT Bed Bracket Each 38 MDT5200 Environmental Interventions Patient Safety Alarms Specialty Safety Alarms Velcro® Seatbelt Alarm Provides reliable patient monitoring plus added security • Notifies caregivers of attempts of unassisted wheelchair exits • Non-restrictive self-release design • Shock-absorbing protective cover • Adjustable wheelchair attachment strap • Seatbelt mounting ties • Low battery indicator light Item # MDT5500 MDT5500L DescriptionSizePkg Velcro Seatbelt alarm 36"-46" (91 cm – 117 cm) Each Velcro Seatbelt alarm 46"-58" (117 cm – 147 cm) Each Optional accessories for Velcro Seatbelt alarm MDT5500BELT Replacement belt MDT5500BELTL Replacement belt 36"-46" (91 cm – 117 cm) 46"-58" (117 cm – 147 cm) Each Each Infrared Alarm Zero contact monitoring • Motion-detecting infrared beam • Bedside or headboard positioning • Nurse call compatible • Two alarm tone options Item # MDTIRM1 DescriptionSizePkg Infared Alarm N/A Each Optional accessories for Infared Alarm MDTIRM1BRKT Metal mounting bracket MDTIRM1NURSE Nurse call cable N/A N/A Each Each Floor Sensor Pad Use alone or as a backup. • Alarm activates upon stepping onto mat • Works with Tamper-Resistant Deluxe Personal Safety Monitor MDT8450 Item # DescriptionPkg UMPFSM1 Floor Sensor Pad Each 39 Environmental Interventions Resident HANDLING & LIFTING Patient Safety Alarms The following Patient Safety Alarm Selection Guide can be used as a helpful tool to find the Patient Safety Alarm that best meets your needs. See pages 31-34 for detailed product information on all the Patient Safety Alarms listed below. Pressure Mat Sensing Systems Multiple Volume Control Choices Multiple Delayed Alarm Choices X X Nurse Call Compatible Included ShockAbsorbing Protective Cover 2-Year Warranty X X X X X MDT8175 MDT8100 MDT8450 MDT8400 X X X X X X X Pull Cord Systems MDT829900-6 & MDT829900-1N Volume Control Choices Multiple Alarm Tone Options Low Battery Indicator Light Bed Mounting Hardware Chair Mounting Hardware Pacemaker Safe (No Magnet) X X X X X X Nurse Call Compatible No On/ Off Switch X X MDT5200 X X X X X X MDT5100 MDT5000 & MDT5000Z 40 X X X X Environmental Interventions BATH S A F E T Y Reduce Risk of Falls Finding the right products can help make using the bathroom less of a risk for individuals prone to falls. In 2008, an estimated 234,094 non-fatal bathroom injuries among persons 15 years and older were treated in U.S. emergency departments. Injury rates increased with age, and most injuries (81.1%) were caused by falls.12 The Institute for Clinical Systems Improvement (ICSI) falls prevention guidelines recommend the use of handrails in the bathroom.5 The Hartford Institute for Geriatric Nursing’s “Nursing Standard of Practice Protocol: Fall Prevention” also recommends installing grab rails and grab bars for bathroom safety.11 Bath Safety Q&A Q: What interventions can be implemented to help reduce falls for a patient with a history of falling who takes frequent trips to the bathroom during the night? Q: What devices can be put in our existing bathroom to help patients with lower extremity weakness from falling in the bathroom? Place grab bars around the perimeter Placing a commode on the exit side of the room and strategically around of the bed provides a safe option the sink and toilet to provide balance support. for toileting during the night. For maximum safety, staff must ensure that the commode is at the proper height for the patient. Use grab bars that contrast with the color of the wall so patients with vision issues can easily locate the bars. 41 Environmental Interventions Resident HANDLING & LIFTING Bath Safety Wall Grab Bars Locate grab bars at any angle in the bathroom to help reduce falls by providing extra support in high-risk areas. • Combine grab bars with an elevated toilet seat or transfer bench for additional stability • Knurled-texture steel bars are easy to grip even in wet bathing areas • Also available in white painted steel with white screws to match most bathroom decors Item # MDS86012CHRG MDS86016CHRG MDS86018CHRG MDS86024CHRG MDS86032CHRG G87520 G87530 G87540 G87550 G87560 G87570 Description 12" (30.5 cm) Knurled Chrome 16" (41 cm) Knurled Chrome 18" (46 cm) Knurled Chrome 24” (61 cm) Knurled Chrome 32" (81 cm) Knurled Chrome 12" (30.5 cm) White 16" (41 cm) White 18" (46 cm) White 24" (30.5 cm) White 32" (81 cm) White 36" (91 cm) White DiameterPkg 1" (2.5 cm) 3/cs 1" (2.5 cm) 3/cs 1" (2.5 cm) 3/cs 1" (2.5 cm) 3/cs 1" (2.5 cm) 3/cs 1" (2.5 cm) 3/cs 1" (2.5 cm) 3/cs 1" (2.5 cm) 3/cs 1" (2.5 cm) 3/cs 1" (2.5 cm) 3/cs 1" (2.5 cm) 3/cs Knurled Chrome White Bath Tub Grab Bars Provide an extra grip for individuals at risk of falling when getting in and out of the bathing area. • Tool free installation with Deluxe Tub Assist bar • Padded mounting device on both models prevents mars on the tub surface Item # G98006 G98080 DescriptionFits Tub Wall SizesPkg Deluxe Tub Assist Bar 2.75"-6.25" (7 - 16 cm) 3/cs Bathtub Safety Rail 3.5"- 6" (9 - 15 cm) 3/cs G98080 G98006 42 Environmental Interventions Allow patients who may struggle balancing on one leg while getting into a bathtub to sit on the outside and then swing legs over the tub wall from a seated position. MDS86952XW • Direction of seat back can be reversed easily without tools • Suction-cup tips on two legs in tub for extra security • Anodized aluminum frame adjusts in 1” (3 cm) increments • Fits bathtubs 11" (28 cm) to 24" (61 cm) deep Seat Seat Seat Item # DescriptionHeight depth Width Wt Cap. Pkg MDS86952 Transfer Bench 16.5"-21.5" 16.5" 17" 300lbs 2/cs (41.9 - 54.6 cm) (41.9 cm) (43.2 cm) (136 kg) MDS86952XW Bariatric Transfer Bench 16"- 20" 16" 17" 550lbs Each (40.6 - 50.8 cm) (40.6 cm) (43.2 cm) (249 kg) MDS89745A Bath Benches Provide a safe, sturdy seat in the shower assisting individuals who may have balance issues or trouble standing for long periods of time. • Non-slip tips on all four legs provide extra stability and safety • High density polyethylene seat and back • Durable aluminum frame is corrosion resistant • Angled legs distribute weight over a larger area to increase patient stability • Height adjusts in 1” (3 cm) increments Seat Seat Seat Item # Description Color Height Depth Width Wt Cap. Pkg MDS89740A Without Back, Assembled White 14.5"-19.5" 12" 20" 250lb 2/cs (36.8 - 49.53 cm) (30.4 cm) (50.8 cm) (113 kg) MDS89745A With Back, Assembled White 14.5"-19.5" 12" 20" 250lb 2/cs (36.8 - 49.53 cm) (30.4 cm) (50.8 cm) (113 kg) MDS89740AXW Without back, Bariatric White 14"-17" 12" 20" 550lb Each (35.6 - 43.2 cm) (30.4 cm) (50.8 cm) (249 kg) MDS89745RW With Back, Bariatric White 16.5"-20.5" 21.5" 18" 550lb Each (42 - 52.1 cm) (30.4 cm) (45.7 cm) (249 kg) 43 Bath Safety Transfer Benches Environmental Interventions Bath Safety PVC Shower Chairs with Commode Opening and Gurney's Comes standard with locking casters making transportation easier and can eliminate an additional transfer. PVC bath safety equipment is strong, lightweight and easy to clean. • Anti-slip grips provide secure grip in a slippery environment • Ideal for use in bathing since PVC won’t rust, stain, or fade color • Products are long lasting with 5 year warranty on the frame PVCM910 • PVC chairs are warm to the touch for added patient comfort • Reclining chair has adjustable headrest and footrest for multiple bathing positions Item # DescriptionOverall Dimensions PVC Shower Chairs PVCM1183 Standard Shower Chair 22"W x18"D x 40"H (55.9 x 45.7 x 101 cm) PVCM1223 Wide Seat Shower Chair 26"W x 18"D x 40" H (66 x 45.7 x 101 cm) PVCM193 Reclining Shower Chair 24"W x 62"D x 48"H (61 x 157 x 122 cm) PVCM1183 Internal Wt Cap. Pkg 18" (45.7 cm) 22" (55.9 cm) 20" (50.8 cm) 300lbs (136 kg) 375lbs (170 kg) 325lbs (147 kg) Each Each Each Weight CapacityOverall LengthOverall WidthOverall HeightHeight with Rails Up Item Description Lbs (kg) Inch (cm) Inch (cm) Inch (cm) Inch (cm)Pkg PVC Shower Gurney PVCM910 Standard PVCM910B Bariatric 450 (204) 600 (272) 79 (201) 79 (201) 30 (76) 32 (81) 33.5 (85) 31.5 (80) 40 (102) 40 (102) Each Each Safe-T-Pole This floor-to-ceiling pole safely assists with standing, sitting, climbing stairs or transferring. • Pole diameter of 1.5” (4cm) • Height adjustment 7’8- 8.25 (234-260cm) • Weight: 14lbs (6.3 kg) • Order both items to get complete unit Item # G98120B G98120P Description DiameterPkg Base for the Safe-T-Pole 1.5" (4cm) Each Pole portion for the Safe-T-Pole Each FALL STATISTICS In 2009, emergency departments treated 2.2 million nonfatal fall injuries among older adults; more than 582,000 of these patients had to be hospitalized. 44 Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Web–based Injury Statistics Query and Reporting System (WISQARS) <http://www.cdc.gov/ Environmental Interventions Folding commodes can be used at the bedside for those who may not be mobile enough to walk to the bathroom. G30213-4F • Folding frame design assembles in seconds without tools fold flat to reduce storage space by 35 percent • Includes pail, lid and splash guard • Gray powder-coated steel commodes are rust resistant and durable • Aluminum commodes are lightweight and rust-proof • Commodes Item # Description Wt Cap.Seat HeightSeat DepthWidth Between OverallPkg Range Arms Width Steel 350 lbs 16.5"-22.5" 16" 19" 21.25" 4/cs G30213-4F (158 kg) (41.9- 57.1 cm) (40.6 cm) (48.3 cm) (53.3 cm) G30210-4F Aluminum 250 lbs 17.5"-21.5" 16" 19" 22" 4/cs (113 kg) (44.5- 54.6 cm) (40.6 cm) (48.3 cm) (55.9 cm) MDS89664EL Elongated 400 lbs 17"-23" 16.5" 19" 21.25" 4/cs (181 kg) (43.2- 58.4 cm) (41.9 cm) (48.3 cm) (53.3 cm) Non-Folding Commodes Commodes can be used at the bedside for those who may not be mobile enough to walk to the bathroom. • They can also be used in the bathroom as an elevated toilet seat • Also useful as toilet safety rails for added stability • Includes pail, lid and splash guard • Gray powder-coated steel commodes are rust resistant and durable MDS89664 Item # Description WeightSeat HeightSeatWidthOverallPkg capacityRange Depth Between Arms Width MDS89664 Basic Steel 350 lbs 15"-21" 15" 19" 24" 4/cs (158 kg) (38.1- 53.3 cm) (38.1 cm) (48.3 cm) (61 cm) MDS89664XW Bariatric 650 lbs 18.25"-23.5" 15" 24" 28" Each (294 kg) (45.7- 56.7 cm) (38.1 cm) (58 cm) (71.1 cm) G30216B Platform 500 lbs 16.5"-23.5" 18.5" 23.5" 27" 2/cs (226 kg) (41.9- 56.7 cm) (45.7 cm) (56.7 cm) (68.6 cm) Falls can occur when furnishings, including bath safety equipment, are not specifically sized for the patient using that device. For quick measurement that can easily help to size bath safety equipment properly check out the "stick-to-stand" device on page 27. MDSSTICK 45 Bath Safety Folding Commodes Environmental Interventions BED-RELATED SAFETY PRODUCTS Bath Safety Drop Arm Commodes G98202 These commodes can be used at the bedside for those who may not be mobile enough to walk to the bathroom. • Arms swing out of the way for easier lateral transfers on and off the commode • Place near the bed with closest arm down for patients transferring at night • Includes pail, lid and splash guard Item # DescriptionWt Cap. Seat HeightSeat DepthWidth Between Overall Range ArmsWidth MDS89668 Basic Steel 250 lbs 17"-21" 15" 17.5" 25.5" (113 kg) (43.2- 53.3 cm) (38.1 cm) (44.5 cm) (64.7 cm) G98202 Premium MDS89668XW Platform 350 lbs (136 kg) 850 lbs (385 kg) 18.25"-23.5" (45.7- 56.7 cm) 19.25" (48.9 cm) 18"-20" (45.7- 50.8 cm) 18.5" (45.7 cm) 19" (48.3 cm) 28" (71 cm) Pkg Each 22" (55.8 cm) Each 29" (73.6 cm) Each Elevated Toilet Seats When bending is difficult, using the toilet can present a potential fall risk. Using a raised toilet seat will reduce the degree of required bending, thereby reducing the risk. • Locking mechanisms create a clamp on the seat for extra stability • Toilet safety frame mounts to standard toilet and provides arms to help with getting on and off the toilet Item # G30270A G30260 G30250 G30300 G30270A DescriptionSeat Elevation Wt Cap. Locking with Padded arms 5" (12cm) 300 (136 kg) Locking raised 5" (12cm) 300 (136 kg) Basic Raised Seat 5" (12cm) 250 (113 kg) Toilet Safety Frame N/A 250 (113 kg) G30300 Pkg 3/cs 3/cs 3/cs 2/cs FALL STATISTICS The chances of falling and of being seriously injured in a fall increase with age. In 2009, the rate of fall injuries for adults 85 and older was almost four times that for adults 65 to 74.3. 46 Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Web–based Injury Statistics Query and Reporting System (WISQARS) <http://www.cdc. gov/injury/wisqars> [online]. Environmental Interventions BED-RELATED S A F E T Y P R O D U C T S Reduce Risk of Falls Reduce Risk of Injury The patient or resident room is another area where falls commonly occur, particularly with individuals falling when attempting to get out of bed. Low height beds have been associated with falls reduction. One large healthcare system reported that using beds with pressure redistribution surfaces, built-in alarms and the ability to get within eight to 10 inches off the floor was linked to a nine percent falls rate reduction within five months. The average falls rate after bed integration of 2.43 falls/1,000 patient days is one of the lowest reported falls rates in the literature.5 Also, the Hartford Institute for Geriatric Nursing’s “Nursing Standard of Practice Protocol: Fall Prevention” recommends use of low height beds, as well as floor mats as part of a falls management program.11 Bed-Related Safety Products Q&A Q: Our facility experiences a number of falls in the bedroom as patients attempt to get out of bed. What can we do to reduce these falls? Q: What interventions can be used to help minimize injuries in patients who have experienced repeated falls when making transfers from the bed? The use of a hi-low bed can ensure the appropriate height for patients Some fall management devices’ to make a safe transfer, allowing primary function is to reduce the risk their knees to bend at a 90-degree of injury with a fall. angle with their feet flat on the floor. Patients who fall during bed A transfer bar or split bed rails add transfers can be put in an adjustable support during bed transfers for bed at the lowest height (preferably patients with poor balance. 7-13 inches from the floor) to reduce the length and impact of a fall. You could also use a cushioned fall mat on the floor next to a low bed to absorb the impact of a fall. 47 Environmental Interventions BED-RELATED SAFETY PRODUCTS Bed-Related Safety Products Alterra 1232 Hi-Low Bed (For Long-Term Care) MAX height of 26" LOW height of 7.25" Safety and Comfort for the Patient Specifications: •Low • • height of 7.25" (18cm) makes Alterra 1232 bed ideal for Height range: Alzheimer’s patients and any other patient at risk of falling. 7.25" to 26" (18cm to 66cm) Four ultra-quiet, dependable DC motors deliver a smooth, quiet performance and offer a multitude of comfortable positioning options. Bed deck dimensions: Unique grid/rib deck for enhanced comfort. Head & Footboard Options FCET01RHF* Traditional 80" (203cm) L, 34.5" (88cm) W Ease of Use for the Caregiver Overall length: 87.5" (222cm) • High height of 26" (66cm) makes it easy to care for patients while helping to reduce the risk of back injuries. • Bed moves from lowest to highest height without any horizontal movement, eliminating wall damage. • Battery backup keeps the bed functioning in the event of power outage. Weight capacity: 450 lb. (204kg) Movement styles: Head, knee hinge, high/low Deck style: Combination grid/rib Item No. FCE1232QO Description Alterra 1232 Bed Package (includes Alterra 1232 Rolling position: Move at any height hi-low bed, standard assist rails, head/footboards in Solar Oak finish, mounting hardware, Motors: 4 DC 4 mattress retainers) FCE1232B Alterra 1232 hi-low bed only FCE1232RSR Standard assist rails, 29" long FCE1232RSRN Soft-touch assist rails (These assist rails can be mounted either on head (21" long) section or on foot section of the bed deck.) Accessories available: Custom head/footboards, head and foot section assist rails, assist bars, staff control FCE1232ABN Assist bar Warranty information: Head & Footboard Finish Options 48 Mounting hardware for head and footboards Solar Oak Kensington Maple Modern FCET01RHFAV* Avalon FCET01RHFCL* Transitional Casters: 8 total, 4 locking American Cherry FCET01RHFTR* Classic FCET01RHFTR* FCE1232RHFQO2 Traditional head and footboards in Solar Oak finish FCE1232HDW MDRT01HFB* Electrical components: 4 years Bed frame: 15 years Welds: lifetime warranty Empire Mahogany Gunstock Walnut Cottonwood * Custom head and footboards, must order FCE1232HDW mounting hardware. Environmental Interventions Bed-Related Safety Products MedLite Full-Electric Low Bed (For Homecare) Help reduce falling injuries! This bed can be lowered to 9.5" (24 cm) off the floor. • Low height helps minimize the possibility of injuries for patients who are at risk of falling out of bed • Premium, quiet Linak motors provide dynamic movement without disturbing other family members • Recessed headspring supports and foot assembly reduce the chance of pinching and injuries •An extra steel plate is welded to the middle of the frame ensuring strong and stable support Only 9.5" from floor to bed deck in lowest position! Specifications Height range 9.5"-22.5" (24-57 cm) Assembled weight 145 lbs. (66 kg) Weight capacity 450 lbs. (204 kg) Casters Four casters (2 locking) Warranty5 years for electrical and mechanical components; lifetime for the bed frame Item No. MDR107003LO Description Full-Electric Bed with Low-Rise Feature SUPPORT SURFACES Medline Bedside Fall Mats For Long-Term Care Medline’s popular floor mats have protected countless nursing-home residents from fall-related injuries. • Shock-absorbent mats help reduce impact • Skid-preventing material prevents mat from sliding on floor • Low profile and beveled edges reduce tripping hazards BEDSIDE SAFETY PRODUCTS Item Description Color MDTFALLMATB 68" x 23" x 1" (172.7 cm x 58.4 cm x 2.54 cm) Burgundy MDTFALLMATG 68" x 23" x 1" (172.7 cm x 58.4 cm x 2.54 cm) Gray Third-Party Tested Impact Testing Horizontal Force Test 900 800 Competitor Floor 700 Peak (g) level For a complete listing of Medline’s Bedside Safety (LIT 162) products ask your Medline representative or call 1-800-MEDLINE. Medline 600 500 400 300 Competitor 200 Medline 100 0 Horizontal Pull Force (lbs.) In an independent non-skid test, a greater amount of pressure (lbs.) was needed to make the Medline mat move than with a competitor. 12 inch drop 18 inch drop Medline mat absorbs more impact than competitors mat. Medline Advantage Fall Mats Our most economical fall mats help reduce risk of injury from a fall from the bed • Made of absorbent high-compression foam • Durable, easy-to-clean vinyl cover • Choose from two styles: folding and non-folding Item (Folding) Item (Non-Folding) Description MDTFM24662BI MDTFM24662 24" x 66" x 2" (61 cm x 167.6 cm x 5.1 cm) MDTFM36662BI MDTFM36662 36" x 66" x 2" (91.4 cm x 167.6 cm x 5.1 cm) MDTFM48662BI MDTFM48662 48" x 66" x 2" (122 cm x 167.6 cm x 5.1 cm) MDTFM24663BI MDTFM24663 24" x 66" x 3" (61 cm x 167.6 cm x 7.6 cm) Bedside Safety • 33 49 Environmental Interventions BED-RELATED SAFETY PRODUCTS Bed-Related Safety Products Medline Advantage “Select” PE Mattress Our most advanced pressure redistribution mattress features our thickest three-layered design to completely conform to the body. • The soft, sculpted top layer is anatomically designed to better redistribute pressure • Premium stretch cover is fluid proof, antimicrobial, flame retardant, low-friction and anti-shear • Visco elastic heel section cradles the bony heels to provide maximum pressure relief • Available with 3.5" safety side raised edges with easy exit-entry cutout • 15-year warranty on mattress • 450-lb weight capacity MSCADVPE80FR Item (w/ raised edge) MSCADVPE76FR MSCADVPE80FR MSCADVPE84FR Item (w/o raised edge)Dimensions MSCADVPE76F 36" x 76" x 6.75" (91 x 193 x 17cm) MSCADVPE80F 36" x 80" x 6.75" (91 x 203 x 17cm MSCADVPE84F 36" x 84" x 6.75" (91 x 213 x 17cm) Medline Advantage 1000 Mattresses The Advantage 1000 features an Octa-Zoned Surface Sculpted topper is anatomically designed for excellent pressure redistribution. • Variable depth sculpting creates horizontal airflow channels to lower surface temperatures and reduce moisture • Nylex top fabric is fluid proof, antimicrobial, flame retardant, low-friction, and anti-shear • Available with 3.5" safety side raised edges with easy exit-entry cutout • 5-year warranty • 350-lb weight capacity Item (w/ raised edge)Item (w/o raised edge) MSCADV1076FR MSCADV1076F MSCADV1080FR MSCADV1080F MSCADV1084FR MSCADV1084F 50 Dimensions 36" x 76" x 6" (91 x 193 x 15cm) 36" x 80" x 6" (91 x 203 x 15cm) 36" x 84" x 6" (91 x 213 x 15cm) MSCADV1080FR Environmental Interventions Alternating Pressure and Low Air-Loss Therapy Medline's state-of-the-art Supra DPS mattress is our most feature-driven mattress replacement system. unctions include alternating pressure, low air-loss, static float, auto firm and seat inflation F Cell-on-cell design prevents bottoming out during a power outage • Digital pump with choice of four alternating pressure cycle times • Upgraded low-friction, anti-shear stretch cover • Low-pressure alarm with audio and visual indicators • 400-lb. weight capacity • Also available with 4" raised air bolsters to help reduce the risk of patient falls and entrapment • • Item Description MDT24SUPRADPS Supra DPS Mattress Replacement System MDT24DPSRE Supra DPS Mattress Replacement System with Raised Edges MDT24SUPRADPS MDT24DPSRE Quick connector allows for easy setup. User-friendly digital pump allows you to make adjustments with the press of a button. Comes with nylon carry bag for storage or easy transport. Ventilated low air-loss cells help manage moisture. Cell-on-cell design prevents bottoming out. 51 Bed-Related Safety Products Medline Supra DPS Environmental Interventions BED-RELATED SAFETY PRODUCTS Bed-Related Safety Products Medline Medtech Air Our most advanced specialty support surface, the Medtech Air True Low Air Loss mattress replacement systems effectively manage moisture and provide exceptional protection against pressure, shear, and friction. Blower based pump offers rapid inflation for quick and easy setup. • Raised edge safety enhancement system helps reduce the risk of patient falls. • The unique built-in bolsters help promote a safer sleeping environment without compromising the patient’s sleeping area. • Make standard Medtech Air or Medtech Air Max mattresses into a raised edge mattress by adding an optional raised edge cover #MDT24MEDRCVR. Medtech Air Max Pump MDT24MEDAIR MDT24MEDAIRMX Medtech Air Pump Medline Medtech Air Medline Medtech Air MAX Our blower-based system effectively manages moisture, shear and friction while redistributing pressure. Medtech Air Max provides all the benefits of the Medtech Air plus these special features: •F unctions include true low air-loss, auto firm and seat inflation •R apid inflation (less than 60 seconds) for quick-and-easy setup • User-friendly digital pump •L ow-shear, low-friction cover is easy to clean and fully encases the air cells • 400-lb. weight capacity • 5-year warranty •A lso available with 4" raised bolsters to help reduce the risk of patient falls and entrapment • System Lock – Secures the control panel and pressure settings preventing accidental adjustments • Auto Comfort – When activated, senses patient’s weight distribution and automatically adjusts pump to optimal pressure settings • Alternating Pressure (pulsation) – Provides three cycle settings that continually readjust the system to ensure patient comfort • 400-lb. weight capacity • 5-year warranty • Also available with 4" raised bolsters to help reduce the risk of patient falls and entrapment Item Description MDT24MEDAIR MDT24MEDRE Medtech Air Mattress Replacement System Medtech Air System with Raised Edges 52 Item Description MDT24MEDAIRMX MDT24MEDMXRE Medtech Air MAX Mattress Replacement System Medtech Air Max System with Raised Edges Environmental Interventions MDTFALLMATG Medline's popular floor mats protect against fall-related injuries. • Shock-absorbent mats help reduce impact • Skid-preventing bottom prevents mat from sliding on floor • Low profile and beveled edges reduce tripping hazards Item # Dimensions MDTFALLMATB 23" x 68" x ¾" (58 x 173 x 2 cm) MDTFALLMATG 23" x 68" x ¾" (58 x 173 x 2 cm) ColorPkg Brown Each Gray Each MDTFALLMATB Third-Party Tested Impact Testing Horizontal Force Test 900 800 Competitor Floor 700 Peak (g) level Medline 600 500 400 300 Competitor 200 Medline 100 Horizontal Pull Force (lbs.) In an independent non-skid test, a greater amount of pressure (lbs.) was needed to make the Medline mat move than with a competitor. 0 12 inch drop 18 inch drop Medline mat absorbs more impact than competitors mat. Medline Advantage Fall Mat Our most economical fall mats help reduce risk of injury from a fall from bed. • Made of absorbent high-compression foam • Durable, easy-to-clean vinyl cover • Choose from two styles: folding and non-folding Item (Folding)Item (Non-Folding)Description MDTFM24662BI MDTFM24662 24" x 66" x 2" (61 x 168 x 5cm) MDTFM36662BI MDTFM36662 36" x 66" x 2" (91 x 168 x 5cm) MDTFM48662BI MDTFM48662 48" x 66" x 2" (122 x 168 x 5cm) MDTFM24663BI MDTFM24663 24" x 66" x 3" (61 x 168 x 8cm) MDTFM24662Bl 53 Bed-Related Safety Products Medline Bedside Fall Mat Environmental Interventions BED-RELATED SAFETY PRODUCTS Bed-Related Safety Products Advantage Mattress Bolster Transform any mattress to a raised edge mattress • 8" bolsters help prevent patient falls and lower the risk of entrapment • Quick installation and removal • Easy-to-clean waterproof, nylon cover reduces shear and friction Item # MDTMATBOLST Description 8" Bolsters PKG Pair Bed Side Rails and Assist Bar Assists patients who can independently get out of bed with an extra grip. Also helps prevent mattress movement and gaps in the most critical bed zones. • Halo Safety Ring® reduces entrapment concerns and provides exit points for the neck, chest, and head • Tool Free Installation Item # MDT77101 MDT77102 MDS6800BA DescriptionPKG One Halo Ring with Mounting Hardware and Each Stay Bar To Secure Mattress Two Halo Rings with Mounting Hardware Each Bed Assist Bar, Height Adjustable 3/cs 54 References 1. Centers for Disease Control and Prevention. Falls Among Older Adults: An Overview. Available at: http:// www.cdc.gov/HomeandRecreationalSafety/Falls/ adultfalls.html. Accessed December 28, 2011. 2. Centers for Disease Control and Prevention. Costs of Falls Among Older Adults. Available at: http://www. cdc.gov/HomeandRecreationalSafety/Falls/fallcost. html. Accessed December 28, 2011. 3. The Joint Commission 2011-2012 Patient Safety Goals. Available at: http://www.jointcommission. org/assets/1/18/2011-2012_npsg_presentation_final_8-4-11.pdf. Accessed December 29, 2011. 4. Sharon K. Inouye SK, Brown CJ and Tinetti ME. Medicare nonpayment, hospital falls, and unintended consequences. New England Journal of Medicine. 2009; 360:2390-2393. Available at: http://www.nejm. org/doi/full/10.1056/NEJMp0900963. Accessed December 29, 2011. 5. Institute for Clinical Systems Improvement (ICSI) Guidelines. Prevention of Falls (Acute Care). Available at: http://www.icsi.org. Accessed November 2, 2011. 6. National Institutes of Health. NIH SeniorHealth. Falls and Older Adults: Devices to Help Prevent Falls. Available at: http://nihseniorhealth.gov/falls/helpfuldevices/06.html. Accessed November 2, 2011. 8. Centers for Disease Control and Prevention. Growing Stronger – Strength Training for Older Adults. Equipment. Available at: http://www.cdc.gov/physicalactivity/ growingstronger/preparation/equipment.html. Accessed November 4, 2011. 9. Centers for Disease Control and Prevention. Growing Stronger – Strength Training for Older Adults. Why strength training? Available at: http://www.cdc.gov/ physicalactivity/growingstronger/why/index.html. Accessed November 4, 2011. 10. Capezuti E, Brush B, Lane S, Rabinowitz HU & Secice M. Bed-exit alarm effectiveness. Arch Gerontol Geriatr. 2009; 49(1):27–31. Available at: http://www. ncbi.nlm.nih.gov/pmc/articles/PMC2744312. Accessed November 2, 2011. 11. Gray-Micelli D. Nursing Standard of Practice Protocol: Fall Prevention. Hartford Institute for Geriatric Nursing. Available at: http://consultgerirn.org/topics/ falls/want_to_know_more/#item_5. Accessed November 2, 2011. 12. Centers for Disease Control and Prevention (CDC). Morbidity and Mortality Weekly Report. June 10, 2011. Nonfatal Bathroom Injuries Among Persons Aged ≥15 Years --- United States, 2008. Available at: http://www. cdc.gov/mmwr/preview/mmwrhtml/mm6022a1.htm?s_ cid=mm6022a1_w. Accessed November 2, 2011. 7. Department of Health and Human Services. Safe lifting and movement of nursing home patients. Available at: http://www.cdc.gov/niosh/docs/2006-117/ pdfs/2006-117.pdf. Accessed December 21 <http:// www.cdc.gov/niosh/docs/2006-117/pdfs/2006-117. pdf.%20Accessed%20December%2021> , 2011. 55 Is your Facility Dedicated to Preventing Falls? Falls are a major concern no matter what healthcare segment- acute care, long-term care, and homecare. Each year, one in every three adults age 65 and older falls. Falls can cause moderate to severe injuries, such as hip fractures and head traumas, and can increase the risk of early death1. Fortunately, falls are a problem that may be avoidable and Medline has a program to help! The Falls Management Program combined with an extensive list of product interventions makes Medline a great choice to partner with to help your facility reduce falls. Program Includes: a a a a a An overview of team roles and responsibilities Information on hourly patient rounding Staff education Post falls assessment tools Tips for environmental concerns Get started today and find out where your facility has room for product improvement by going through the Falls Management Assessment Guide inside this catalog (PG 10). Ask your Medline Sales rep about the Falls Management Program or call 1-800-Medline. Medline Industries, Inc. One Medline Place Mundelein, IL 60060 Medline United States 1-800-MEDLINE (633-5463) Medline Canada 1-800-396-6996 Medline México 01-800-831-0898 www.medline.com info@medline.com www.medline.ca canada@medline.com www.medlinemexico.com mexico@medline.com Some products may not be available for sale in Mexico or Canada. We reserve the right to correct any errors that may occur within this brochure. © 2012 Medline Industries Inc. Advantage, Excel Translator, Medline, Medline University and Quick Alert are registered trademarks of Medline Industries, Inc. PerforMAX is a trademark of Medline Industries, Inc. Velcro is a registered trademark of Velcro Industries B.V. Halo Safety Ring is a registered trademark of Kunde Healthcare Services MKT1325770 / LIT191R / 2M / AL / 15