QA2 Kings College Hospital Day Surgery Trolley Operating Instructions Issue 6 Dec 2015

ISSUE 6 22/12/2015

DOCUMENT No. 992002

1. RAISE & LOWER THE HEIGHT OF THE STRETCHER TOP CAN BE RAISED BY OPERATING THE PEDAL MARKED "RAISE" AT THE HEAD END AND LOWERED BY DEPRESSING THE PEDAL MARKED "LOWER." CARE SHOULD BE TAKEN TO ENSURE THAT NOTHING IMPEDES THE RAISING OR LOWERING OF THE STRETCHER TOP OR DAMAGE MAY OCCUR.

2. BRAKE AND STEER ALL 4 CASTORS ARE BRAKED BY DEPRESSING THE MARKED PEDAL ON EITHER SIDE OF THE TROLLEY. STEERING IS OBTAINED BY LIFTING EITHER OF THE TWO PEDALS TO ITS HIGHEST POSITION WHICH LOCKS THE HEAD END CASTORS INTO TRACKING MODE: THIS WILL ASSIST STEERING OF THE TROLLEY. NOTE: THIS TROLLEY IS ONLY SUITABLE FOR INTERIOR USE AND IS NOT SUITABLE FOR CROSSING LARGE THRESHOLDS.

3. TRENDELENBERG AND REVERSE TRENDELENBERG THIS CAN BE ACHIEVED BY LIFTING THE LEVER ON THE RIGHT HAND SIDE AT THE HEAD END OF THE TROLLEY. THIS RELEASES THE TOP AND ALLOWS THE OPERATOR TO PUSH DOWN OR PULL UP THE END OF THE TROLLEY. THE FURTHER THE LEVER IS LIFTED THE LOOSER THE TOP OF THE TROLLEY BECOMES THUS ALLOWING MORE RAPID MOVEMENT. ASSISTANCE SHOULD BE OBTAINED TO CONTROL TILT IF THE WEIGHT ON THE TOP OF THE TROLLEY IS NOT EVENLY DISTRIBUTED.

4. GYNAECOLOGY AND UROLOGY ACCESS FOR THESE PROCEDURES IS OBTAINED BY REMOVING THE FOOT END MATTRESS BOARD AND TELESCOPING THE LEG SECTION INTO THE MAIN FRAME. THE DOUCHE TRAY, IF USED, FITS INTO SOCKETS AT THE END OF THE SLIDING FRAME. NOTE: CARE SHOULD BE TAKEN WHEN REPLACING THE FOOT END MATTRESS BOARD TO ENSURE THAT THE RUNNERS ARE PROPERLY LOCATED INTO THE TELESCOPIC LEG SECTION.

5. SIDE BARS SIDEBARS ARE PROVIDED ALONG EACH SIDE OF THE MAIN UPPER FRAME. ROTARY CLAMPS, AND HAND WHEELS AND SOCKETS, TO ATTACH ACCESSORIES, ARE AVAILABLE.

ISSUE 6 22/12/2015

DOCUMENT No. 992002

6. BACK REST TO OPERATE LIFT THE CENTRAL LEVER LOCATED AT THE HEAD END UNDER THE X-RAY TOP. THE BACK REST IS GAS SPRING ASSISTED ONLY, SO THE PATIENT'S WEIGHT MAY NEED TO BE OVER COME. CARE MUST BE TAKEN THAT THERE IS NO OBSTRUCTION UNDER THE BACK REST WHEN CLOSING, OR DAMAGE MAY OCCUR.

7. TRANSFUSION POLE STORAGE IS PROVIDED IN THE BASE TRAY. SOCKETS FOR THE TRANSFUSION POLE ARE LOCATED AT THE FOOT END OF THE SLIDING FRAME; OR THE POLE CAN BE FITTED INTO A STANDARD SIDEBAR CLAMP ALONG EITHER SIDE THE TROLLEY.

8. MATTRESS SECURED TO THE TROLLEY WITH VELCRO STRIPS, ALLOWING REMOVAL FOR CLEANING WITH WARM SOAPY WATER.

9. COTSIDES THE COTSIDES CLAMP ONTO THE SIDE RAIL AND ARE FIXED BY TIGHTENING THE HAND WHEELS. THEY CAN BE REMOVED DURING SURGICAL PROCEDURES BY LOOSENING THE HAND WHEELS. WHEN SECURED TO THE TROLLEY, THEY CAN BE LOWERED BY SQUEEZING TOGETHER THE TWO STAINLESS STEEL KNOBS LOCATED ON THE LOWER TUBE, AND ROTATING THE COTSIDE. RAISING IS THE REVERSE OF LOWERING.

10. CLEANING THE TROLLEY SHOULD BE CLEANED WITH SPARING AMOUNTS OF WARM SOAPY WATER, AND THOROUGHLY DRIED BEFORE REPLACING MATTRESS. THE USE OF BLEACHING DISINFECTANT SOLUTIONS SHOULD BE AVOIDED.

11. ABDUCTION FRAME (OPTIONAL ACCESSORY) THE ABDUCTION FRAME FITS IN THE PAIR OF SOCKETS LOCATED AT THE FOOT END OF THE TROLLEY

ISSUE 6 22/12/2015

DOCUMENT No. 992002

12. RETROGRADE PYLOGRAPHY ATTACHMENT (OPTIONAL ACCESSORY) THE RETROGRADE PYLOGRAPHY ATTACHMENT LOCATES ON THE SLIDING FRAME, IN PLACE OF THE FOOT END MATTRESS. TO FIT RETROGRADE PYLOGRAPHY ATTACHMENT, REMOVE THE FOOT END MATTRESS, KEEPING THE SLIDING FRAME FULLY EXTENDED. LOCATE BRACKET ON THE RETROGRADE PYLOGRAPHY ATTACHMENT OVER THE SLIDING FRAME HANDLE, AND PUSH THE SLIDING FRAME IN UNTIL THE NYLON CLIPS LOCATE UNDER THE X-RAY TOP. DO NOT USE TRENDELENBERG WHILST THIS ACCESSORY IS IN USE.

13. ADJUSTABLE HEAD SUPPORT (OPTIONAL ACCESSORY) THE HEAD REST FITS INTO THE PAIR OF SOCKETS LOCATED AT THE HEAD END OF THE TROLLEY. TO ADJUST THE ANGLE OF TILT, TURN THE HANDLE LOCATED TO THE RIGHT OF THE CUSHION. ALWAYS ENSURE THAT THE CASTORS AT THE HEAD END ARE TRAILING TO GIVE EXTRA STABILITY.

14. HEAD/FOOT END EXTENSION (OPTIONAL ACCESSORY) THE HEAD/FOOT END EXTENSION FITS INTO THE PAIRS OF SOCKETS LOCATED AT THE HEAD AND FOOT END OF THE TROLLEY. ALWAYS ENSURE THAT ALL ACCESSORIES ARE SECURELY LOCATED IN THE APPROPRIATE SOCKETS / SIDEBAR CLAMPS BEFORE USE.

15. WEIGHT LIMIT MAXIMUM PATIENT WEIGHT 160KG (25 STONE). WHEN HANDLING EXTREMELY HEAVY PATIENTS (GREATER THAN 110KG) THE FOLLOWING PRECAUTIONS SHOULD BE OBSERVED. 1/ PATIENTS MUST MOUNT THE TROLLEY AT THE CENTRE OF THE PLATFORM AND THEIR WEIGHT KEPT AS EVENLY DISTRIBUTED AS POSSIBLE DURING TREATMENT. USE OF THE HEAD REST AND RETROGRADE ATTACHMENTS IS NOT RECOMMENDED.

2/ MANOEUVRE THE TROLLEY AS LITTLE AS POSSIBLE AVOIDING ANY UNEVEN FLOORS i.e. LIFT THRESHOLDS. 3/ EXTREME CARE SHOULD BE TAKEN IF ATTEMPTING TO TILT THE PLATFORM AND ASSISTANCE SHOULD BE SOUGHT TO TAKE THE WEIGHT OF THE PLATFORM WHEN IT IS RELEASED.