Clinitron® Rite Hite® Air Fluidized Therapy Bed Faster healing rates for safer skin Clinitron® Air Fluidized Therapy beds provide an ideal healing environment for compromised skin by minimizing the forces that cause tissue breakdown: pressure, shear, friction, heat and moisture. Clinitron Rite Hite system’s unique air fluidized therapy minimizes interface pressure, while maximizing the surface’s immersion and envelopment properties to support healing. The Clinitron Air Fluidized Therapy bed utilizes advanced technology to provide the highest level of wound care for patients with complex, advanced wounds that are difficult to heal and expensive to manage. Clinitron Rite Hite Air Fluidized Therapy supports skin integrity by providing statistically lower interface pressure and superior microclimate management™ surfaces over traditional surfaces1 Medical grade, silicone-coated bead fluidization promotes a flotation environment that can help improve patient comfort
Hi/Lo adjustment can make patient positioning and egress easier and can provide a safer working height for caregivers. Electric Head of Bed articulation can help accommodate patient’s with respiratory complications Optional Clinitron Rite Hite system Patient Helper accessory can help patients change positions in bed and aid in transfers. Therapeutic Patient Weight Limit Lachenbruch C, Kennerly S. Interface pressure and shear comparison between air-fluidized and conventional surfaces. In: Proceedings of the 18th Annual Clinical Symposium on Wound Care (CSWC). The INTEX® Downy Twin-Size Airbed with Built-In Foot Pump features a waterproof flocked top for a comfortable sleep surface with 14 gauge vinyl beams and a 15 gauge bottom to provide support. The 8.75" thick mattress offers extra-soft comfort, and the built-in foot pump offers easy inflation. The 2-in-1 valve allows for inflating with an optional electric or manual pump. Waterproof flocked top provides a comfortable sleep surface
14 gauge vinyl beams and a 15 gauge bottom offer support 2-in-1 valve for inflating with an optional electric or manual pump Conventional twin mattress size for a proper fit for sheets 8.75" thick mattress offers extra-soft comfort Folds compactly for storage or travel Built-in foot pump for easy inflation What's in the Box INTEX® Downy Twin-Size Airbed with Built-In Foot PumpInflating an air mattress can be a challenging task, especially if you're inflating it manually. All air mattresses have a plug that you insert or screw into the air hole to prevent air from leaking out. Sometimes the plug can be misplaced, rendering the mattress useless. Knowing how to plug an air mattress without the plug can come in very handy. Step 1Whittle the dowel or straight stick into a gradual point. The end should be a conical shape. Step 2Blunt the sharp end of the stick by cutting off the point and rounding it. Leaving the end sharp can be dangerous when you insert the stick into the air mattress.
Step 3Wrap a few layers of duct tape around the stick. Step 4Test the plug by firmly inserting it into the hole. The wooden plug should go in smoothly and provide a tight fit. If it doesn't, remove the duct tape and shape it so that it fits snugly. Step 5Inflate the air mattress and quickly insert the plug. Step 6Put duct tape over the end of the plug on the outside of the air mattress to prevent the plug from popping out.Given a scenario in a holding or ward setting, involving a patient with a chest tube, identify procedures for chest tube care and monitoring IAW the Textbook of Basic Nursing, Trauma, disease, or surgery can interrupt the closed negative-pressure system of the lungs, causing the lungAir or fluid may leak into the pleural cavity. A chest tube is inserted and a closed chest drainage system is attached to promote drainage ofChest tubes are used after chest surgery and chest trauma and for pnuemothorax or hemothorax to promote lung re-expansion
a. Pneumothorax � collection of air in b. Hemothorax � an accumulation of blood and fluid in the pleural cavity between the parietal and visceral pleurae, usually as the result of trauma c. Chest tubes � a catheter inserted through the thorax to remove air and fluids from the pleural space and to reestablish normal intrapleural and intrapulmonic pressures a. Pleur-Evac chest drainage system (1) One-piece molded plastic unit that duplicates the three-chambered system (3) There must be bubbles flowing in the suction control portion of the unit to provide suction to the patient (1) Fill water seal chamber (2) Fill suction control chamber (3) Attach tube to suction source (4) Tape all the connections (5) Provide sterile tube for connection c. Procedure for Proper Usage of the
(1) Heimlich valve is a plastic, portable one-way valve used for chest drainage, draining into a vented bag (b) Kelly clamps - 2 (rubber-tipped) (c) Vented drainage bag or ostomy bag (d) Ostomy tape or rubber band (e) Suction setup (if applicable) (a) Gather equipment and bring to patient acceptable as long as sterile technique is maintained while the connection is (4) Heimlich Valve To Chest Tube (a) Place rubber-tipped Kelly clamps in opposite directions on the proximal end of the chest tube as near to the patient (b) Connect the chest tube to the blue end of the Heimlich valve using sterile technique Only the blue end of the Heimlich valve can be connected to the chest tube. If the clear end is connected, the one-way valve will be in the wrong position and no drainage will take place.
(c) Tape the connection site at both ends of the valve using 2 inch cloth tape. When two chest tubes are present, two Heimlich valves must be used to ensure proper functioning of chest tubes. (d) Monitor and record character of drainage and patency of valve in nursing progress notes. Measure all drainage in a calibrated cylinder (e) Record drainage output on I & O graphic every 8 hours. a. Assess patient for respiratory distress and chest pain, breath sounds over affected lung area, and stable vital b. Observe for increase respiratory (1) Chest tube dressing, ensure tubing is (2) Tubing kinks, dependent loops or (3) Chest drainage system, which should be upright and below level of tube insertion d. Provide two shodded hemostats for each chest tube, attached to top of patient�s bed with adhesive tape.
tubes are only clamped under specific circumstances: (1) To assess air leak (2) To quickly empty or change collectionperformed by soldier medic who has received training in (3) To change disposable systems; new system ready to be connected before clamping tube so that transfer can be rapid and drainage system reestablished (4) To change a broken water-seal bottle in the event that no sterile solution container is available (5) To assess if patient is ready to have chest tube removed (which is done by physician�s order); the solider medic must monitor patient for recreation of pneumothorax e. Position the patient to permit (1) Semi-Flower�s position to evacuate (2) High Flower�s position to drain fluid f. Maintain tube connection between chest and drainage tubes intact and taped
(1) Water-seal vent must be without (2) Suction-control chamber vent must be without occlusion when suction is used g. Coil excess tubing on mattress nextSecure with rubber band and safety pin or system�s clamp h. Adjust tubing to hang in straight line from top of mattress to drainage chamber. If chest tube is draining fluid, indicate time (e.g., 0900) that drainage was begun on drainage bottle�s adhesive tape or on write-on surface of disposable commercial system (1) Strip or milk chest tube only per (2) Follow local policy for this (1) Problem: Continuous bubbling is seen in water-seal bottle/chamber, indicating that leak is between patient and water (b) Tighten loose connection between patient and water seal (c) Loose connections cause air to enter (d) Leaks are corrected when constant
(2) Problem: Bubbling continues, indicating that air leak has not been corrected (a) Cross-clamp chest tube close to patient�s chest, if bubbling stops, air leak is inside the patient�s thorax or at chest tube insertion site (b) Unclamp tube and notify physician Leaving chest tube clamped caused a tension pneumothorax and mediastinal shift (3) Problem: Bubbling continues, indicating that leak is not in the patient�s chest or at the insertion site (a) Gradually move clamps down drainage tubing away from patient and toward suction-control chamber, moving one clamp at (b) When bubbling stops, leak is in section of tubing or connection distal to the clamp (c) Replace tubing or secure connection (4) Problem: Bubbling continues, indicating that leak is not in tubing (a) Leak is in drainage system
(b) Change drainage system b. Problem: Tension pneumothorax is (1) Problems: Severe respiratory distress or chest pain (a) Determine that chest tubes are not clamped, kinked, or occluded. (b) Obstructed chest tubes trap air in intrapleural space when air leak originates within patient (2) Problem: Absence of breath sounds on (a) Notify physician immediately (3) Problems: Hyperresonance on affected side, mediastinal shift to unaffected side, tracheal shift to unaffected side, (a) Immediately prepare for another chest (b) Obtain a flutter (Heimlich) valve or large-guage needle for short-term emergency release or air in intrapleural space (c) Have emergency equipment (oxygen and code cart) near patient (4) Problem: Dependent loops of drainage
tubing have trapped fluid (a) Drain tubing contents into drainage (b) Coil excess tubing on mattress and (5) Problem: Water seal is disconnected (6) Problem: Water-seal bottle is broken (a) Insert distal end of water-seal tube into sterile solution so that tip is 2 cm below surface (b) Set up new water-seal bottle (c) If no sterile solution is available, double clamp chest tube while preparing new bottle (7) Problem: Water-seal tube is no longer submerged in sterile fluid (a) Add sterile solution to water-seal bottle until distal tip is 2 cm under surface (b) Or set water-seal bottle upright so that tip is submerged Caring for a patient with a chest tube requires problem solving and knowledge application. Remember, a chest tubes is a catheter inserted through the thorax to remove air and fluids from the pleural space and