Hill-Rom 900SSR Evaluation Form

HR900SSR Evaluation Form

Please take a moment to answer the following questions. Thank you. Name ___________________________ Ward ____________ How do you rate these features? Feature:

Date _____________ Excellent

Good

Fair

Low Bed Height One button Chair Position Brake Off Alarm Battery Backup Split Siderails to Assist Pt . Ingress, Reposition , Egress and Mobilisation Electric Vascular Foot Support Integrated Bed Extension Pt .“One Button” Controls – easy to read and use. Care Giver “One Button” Controls - easy to read and use Shearless Pivot ® - Profiling Frame keeps pt from migrating down the bed

Flat Deck (not curved) for easier Pt mobilisation /turning and repositioning Stationary headboard helps protect services and equipment at head wall – bed raises but not the headboard. Lo- Lo height indicator Brake and Steer System Patient Egress Position Patient comfort .

Please answer “Yes” or “No” to the following questions: 1. Will the HR900SSR help you provide more efficient patient care?

Yes___ No___

2. Will the HR900SSR minimize your risk for injury as you care for your patients?

Yes___ No___

3. Will the HR900SSR provide a safer environment for your patients?

Yes___ No___

4. Do you recommend the purchase of the Hill-Rom HR900SSR? Yes___ No___ Please use the space below to add additional comments regarding the Hill-Rom HR900SSR:

Thank you for taking the time and effort to complete this evaluation! www.hill-rom.com

Poor