Stryker Stretcher - skills PDF

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7.24 Stryker 6100 rugged M1 ambulance stretcher Introduction This manual is designed to assist you with the operation and maintenance of the 6100 series Rugged M1 ambulance stretcher. Read it thoroughly before using the equipment or beginning any maintenance on it. Warning / Caution / Note definition The words warning, caution and note carry special meanings and should be carefully reviewed.

Warning The personal safety of the patient or user may be involved. Disregarding this information could result in injury to the patient or user. Caution These instructions point out special procedures or precautions that must be followed to avoid damaging the equipment. Note This provides special information to make maintenance easier or important instructions clearer. Summary of safety precautions The following is a list of safety precautions that must be observed when operating or servicing this unit. The precautions are repeated throughout the manual, where applicable. Carefully read this list before using or servicing the unit.

Warning Improper usage of the rugged stretcher can cause injury to the patient or operator. Operate the stretcher only as described in this manual and manufacturers’ instructions. Always use all restraint straps to secure the patient on the stretcher. An unrestrained patient may fall from the stretcher resulting in injury. Never leave a patient unattended on the stretcher or injury could result. Hold the stretcher securely while a patient is on the stretcher. The wheel lock is only intended to help prevent the stretcher from rolling while unattended. The wheel lock may not provide sufficient resistance on all surfaces or under loads. Never apply the wheel lock while a patient is on the stretcher. Tipping could occur if the stretcher is moved while the wheel lock is applied, resulting in injury to the patient or operator and/or damage to the stretcher. The castor steer lock knob and the castors must be in the locked position when loading/ unloading the stretcher from a vehicle or loading tray system and when the stretcher height is changed or the stretcher may become unstable possibly resulting in injury to the patient or operator. When changing the height of the stretcher, always verify the base frame is securely locked into position before releasing your grip on the lift handles

Loading, unloading and changing the position of the stretcher requires a minimum of one trained operator. The operator(s) must be able to lift the total weight of the patient, stretcher and any other items on the stretcher. Be sure the undercarriage has engaged and locked before removing the loading wheels from the patient compartment floor of the vehicle. An unlocked undercarriage will not support the stretcher and injury to the patient and/or operator could result. When changing the height of the stretcher, always verify the base frame is securely locked into position before relaxing your hold on the hand grips. Do not allow untrained helpers to assist in the operation of the stretcher. Untrained technicians/ helpers can cause injury to the patient or themselves. Do not modify the stretcher. Modifying the stretcher can cause unpredictable operation resulting in injury to the patient or operator. Modifying the stretcher will also void its warranty. Improper maintenance can cause injury or damage to the unit. Maintain the stretcher as described in this manual. Use only Stryker approved parts and maintenance procedures. Using unapproved parts and procedures could cause unpredictable operation and/or injury and will void the product warranty.

mattress or stretcher components will increase the risk of exposure to blood borne pathogens and may cause injury to the patient or the operator.

Stretcher specifications Stretcher top specifications Length

190.2 cm

Width

55.9 cm

Height

18.5 cm

Weight

22.0 kg

Maximum Weight Capacity

228 kg

Wheel Diameter

10.2 cm

Backrest Articulation

0° to 75°

Shock Position

+17°

Leg raise Position

300

Handle Extension

19.7 cm

Base unit specifications Length

196.6 cm

Width

55.9 cm

Height — Position 1 Position 2 Position 3 Position 4 Position 5 Position 6 Position 7 Position 8

36.6 cm 62.0 cm 76.2 cm 87.9 cm 95.5 cm 99.8 cm 33.0 cm N/A

Weight

33.3 kg

Maximum Weight Capacity.

228 kg

Caster Diameter

15.2 cm

Minimum Operators Required for 1 Loading/Unloading Recommended Floor/Tray Height 68.6 cm — 78.8 cm

Failure to properly clean or dispose of contaminated

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Conduct risk assessment. • Prepare the environment, path and destination. • Plan for the unexpected. • Select the correct equipment. • Select the right number of officers and position them appropriately. • Nominate the team transfer leader. • Explain to patient the procedure and their role.

Side rails 1. To raise, lift up until the latch clicks and the side rail locks into place. When a patient is on the stretcher top, always keep the side rails in the raised position unless the patient is being transferred. 2. To lower, squeeze the red hand grip on the side rail to release the side rail latch. Guide the side rail down toward the foot end until flat.

No. Of officers: Minimum two officers recommended.

Equipment: Stryker 6100 Rugged M1 stretcher

Technique Stretcher backrest 1. To raise, squeeze the red handle for pneumatic assist in lifting the backrest to the desired height. Remove hand(s) from handle when desired height is achieved. 2. To lower, squeeze the red handle and push down on the backrest frame until the backrest has reached the desired height. Remove hand(s) from handle when desired height is achieved.

Knee raise 1. To raise the knee raise into position, grasp one of the red lift straps and lift the knee raise until it locks into position. This feature can also be employed for taller persons to fit onto mattress.

Warning Verify the knee raise is securely locked into position before releasing your grip on the lift strap or injury could occur.

2. To lower the knee raise, grasp one of the red lift straps, lift the knee raise slightly, push the red lever toward the foot end of the stretcher top and lower the knee raise. Trendelenburg (shock) positioning

1. To extend the retractable lift handles, push the release buttons and pull out the handles. Release the buttons when the handles lock into the intermediate position. Push the buttons and pull out the handles again to reach the fully extended position.

Warning To avoid injury to the patient or operator, verify the lifting handles are securely locked into place before lifting the stretcher top.

1. To raise the leg rest, lift the leg rest frame as high as possible. The support bracket will engage automatically. Release the frame after the support bracket has engaged.

Warning

To retract the lift handles, push the release button and push in the handle. Release the button when the handle locks into the intermediate position. Push the button and push in the handle again to reach the fully retracted position. 3—Stage I.V. Pole

Verify the foot section is securely locked into position before releasing your grip on the leg rest frame or injury could occur. 2. To lower the leg rest, lift the leg rest frame and, while holding the frame, push the red release lever toward the foot end of the stretcher top and lower the frame to its flat position. Retractable lifting handles

1. Lift and pivot the pole from the storage position and push down until it is locked into receptacle. 2. To raise the height of the pole, turn the lock actuator counterclockwise and pull up on the bottom telescoping portion of the pole to raise it to the desired height.

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Manual Handling

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3. Turn the lock actuator clockwise to lock the bottom telescoping portion in place. 4. For a higher l.V. Pole, pull up on section until the spring clip engages. 5. Hang l.V. Bags on the l.V. Hook.

Restraint straps

Warning Always use all restraint straps to secure the patient on the stretcher. An unrestrained patient may fall from the stretcher resulting in injury.

Caution The weight of the I.V. Bags should not exceed 18 Kgs. 6. To lower the I.V. Pole, push in on the spring clip and slide section down into section. Turn the lock actuator counterclockwise and slide section into the bottom tube. 7. Lift up and pivot the pole down into the storage position. Transferring the patient to the rugged stretcher 1. Roll the stretcher to the patient. 2. Place the stretcher beside the patient and raise/lower the stretcher to the patient’s level. Lower the side rails and open the restraint straps. 3. Transfer the patient to the stretcher top using accepted procedures. 4. Use all the restraints to secure the patient to the stretcher. Raise the side rails and adjust the backrest and leg rest as necessary.

1. Always secure the patient on the stretcher with all the restraint straps. Securely buckle the restraints across the patient’s chest/shoulders, waist and legs. 2. When attaching the restraint straps to the stretcher, remember the attachment points should provide strong anchorage and proper restraint positioning while not interfering with equipment and accessories. Wrap the strap around the stretcher top frame and back through the loop on the end of the strap.

Caution To avoid damage to the buckles and straps, keep the restraint straps buckled when the stretcher is not being used with a patient. 3. In addition to the alternate attachment points, the restraint straps can be attached anywhere on the stretcher top frame tube.

4. When the stretcher top is put into service, the restraints are opened and placed to either side of the stretcher top until the patient is positioned on the stretcher top mattress. The restraint is lengthened, buckled around the patient and shortened until the required tightness is achieved. 5. To open the restraint, press the red button on the front of the buckle “receiver”. This releases the buckle “tang” which can then be pulled out of the receiver. 6. To close the restraint, push the tang into the receiver until a “click” is heard. When fastening the chest restraint be sure the tang passes through both links on the shoulder strap. 7. To lengthen the restraint, grasp the buckle tang, turn it at an angle to the webbing, then pull out. 8. A hemmed tab at the end of the webbing prevents the tang from coming off the strap. 9. To shorten the restraint, grasp the hemmed tab and pull the webbing back through the tang until the required tightness is achieved 10.Whenever a restraint is buckled on a patient, the attendant should verify the tang is fully engaged and the extra webbing is not tangled in the stretcher top or hanging loose.

11. Inspection of the restraints should be done at least once a month (more frequently if used heavily). Inspection should include checking for a bent or broken receiver or tang, torn or frayed webbing, etc. Any restraint showing wear or not operating properly must be replaced immediately. Rolling the M1 Rugged stretcher

Warning High obstacles such as curbing, steps or rough terrain can cause the stretcher to tip, possibly causing patient or operator injury. If possible, obtain additional assistance or take an alternate route. 1. Make sure all the restraint straps are securely buckled around the patient. Place the stretcher in position for rolling. When rolling the stretcher, position an operator at the foot end and one at the head end or at the side at all times. 2. During transport, approach door sills or other low obstacles squarely and lift the front and back set of wheels over the obstacle separately. Guidelines for operation 1. Use the rugged stretcher only as described in this manual and manufacturers’ instructions. 2. Read and understand all labels and instructions on the stretcher before using the stretcher. 3. Do not adjust, roll or load the stretcher without advising the patient. Stay with the patient and control the stretcher at all times.

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4. Always use all the restraint straps and keep the side rails up when a patient is on the stretcher. 5. Use properly trained helpers when necessary to control the stretcher and the patient. Do not allow untrained helpers to assist in the operation of the stretcher. Changing stretcher height 1. The rugged stretcher has six height positions , the highest or “loading” position, four intermediate patient transfer positions and a ‘folded” position for ambulance transport.

The operator must be able to lift the stretcher high enough for the stretcher’s base frame to unfold completely and lock when the stretcher is unloaded, a shorter operator will have to raise his/ her arms higher to enable the base frame to unfold. Always verify the base frame is securely locked into position before releasing the hand grips. 2. Two operators standing at opposite ends of the stretcher firmly grasp the hand grips on the base unit.

Warning The castor steer lock knob and the castors must be in the locked position when loading/ unloading the stretcher from a vehicle or loading tray system and when the stretcher height is changed or the stretcher may become unstable possibly resulting in injury to the patient or operator. Loading, unloading and changing the position of the stretcher requires a minimum of one trained operator. The operator(s) must be able to lift the total weight of the patient, stretcher and any other items on the stretcher. The higher the operator must lift the stretcher, the more difficult it becomes to hold the weight. The operator may need help loading the stretcher into a vehicle if he/ she is too short or if the patient is too heavy for the operator to lift safely.

3. Both operators lift the stretcher until the weight is off the latching mechanism (approximately 6mm). 4. Both operators squeeze and hold the red release handles and raise or lower the stretcher to the desired height.

5. As motion of the stretcher begins, each operator relaxes his/her grip on the release handle to stop the stretcher in the next available height position.

Note Always communicate with your partner to ensure you work together to achieve the intended operation. An operator working alone can lower the stretcher by releasing alternating ends of the stretcher. Loading the stretcher into a vehicle

3. Guide the stretcher into the vehicle or loading tray system (the front legs will fold back) until the rear legs come in contact with the vehicle or loading tray system. Relax your grip on the green release handle and green button. Lift the foot end of the stretcher slightly to take the weight off the rear wheels. Squeeze and hold the red release handle and guide the stretcher into the vehicle or loading tray system (the rear legs will fold back) engaging the stretcher fastener system.

1. Place the stretcher in the loading position. Roll the stretcher to the vehicle loading tray system until the stretcher’s loading wheels are in the vehicle or loading tray system. Guide the stretcher forward until the stretcher’s front legs contact the rear of the vehicle or loading tray system. 2. At the foot end of the stretcher, push and hold the green safety release button and squeeze and hold the green release handle.

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Unloading the stretcher from a vehicle

Warning The castor steer lock knob and the castors must be in the locked position when loading/ unloading the stretcher from a vehicle or loading tray system and when changing stretcher height positions or the stretcher may become unstable possibly resulting in injury to the patient or operator. Loading unloading and changing the position of the stretcher requires a minimum of one trained operator. The operator(s) must be able to lift the total weight of the patient, stretcher and any other items on the stretcher. The higher the operator must lift the stretcher, the more difficult it becomes to hold the weight the operator may need help loading the stretcher into a vehicle if he/ she is too short or if the patient is too heavy for the operator to lift safely. 4. Maintain constant momentum to roll the stretcher into the ambulance. If the stretcher becomes difficult to push the final 10-20cm, slightly retract the stretcher and push with more momentum. It is recommended that 2 officers load and unload the stretcher.

Note Loose items or debris on the patient compartment floor can interfere with the smooth rolling of the stretcher and the operation of the stretcher fastener. Keep the patient compartment floor clear.

The operator must be able to lift the stretcher high enough for the stretcher’s base frame to unfold completely and lock when the stretcher is unloaded. A shorter operator will have to raise his/ her arms higher to enable the base frame to unfold. Always verify the base frame is securely locked into position before removing the loading wheels from the patient compartment floor of the vehicle or loading tray system. An unlocked base frame will not support the stretcher and injury to the patient or operator could result.

1. Disengage the stretcher from the stretcher fastener system.

2. Grasp the hand grips at the foot end of the stretcher base frame securely and squeeze and hold the red release handle. Guide the stretcher out of the vehicle or loading tray system until the rear legs lower and fully extend. Release the red release handle when the legs are fully extended. 3. After verifying the rear legs are securely locked in place, continue to guide the stretcher out of the vehicle or loading tray system until the front legs of the stretcher lower and lock into position. It may be necessary to lift the stretcher slightly to allow the legs to fully extend and lock. After verifying the front legs are securely locked in place, pull the stretcher away from the ambulance until the loading wheels clear the patient compartment floor. Castor steer lock 1. The castor steer lock feature allows the front set of castor wheels to swivel freely to enhance stretcher mobility.

Warning The castor steer lock knob and the castors must be in the locked position when loading/ unloading the stretcher from a vehicle or loading tray system and when changing stretcher height positions or the stretcher may become unstable possibly resulting in injury to the patient or operator. To disengage the castor steer lock feature and allow the front castors to swivel freely, rotate the red locking knob on either side of the front legs to the unlocked position. After the locking knob is rotated to the unlocked position, push the stretcher in the desired direction. The castors will swivel freely. To engage the castor steer lock feature and prevent the front castors from swiveling freely, rotate the red locking knob on either side of the front legs to the locked position. Push the stretcher forward. The castors will swivel and align in the proper position and the swivel lock will engage. Note The castor steer lock feature can be engaged or disengaged from either side of the base frame. Connecting the stretcher top to the base 1. To attach the removable stretcher top to the base, lower the top onto the base. Align the roller guides on the stretcher top with the center base tube and push the stretcher top forward to engage the retention brackets. Always verify the stretcher top is locked securely onto the base before releasing your grip.