Evaluation of the Dyna-Form Static Air HZ in a coronary care setting

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Evaluation of the Dyna-Form Static Air HZ in a coronary care setting
PRODUCT EVALUATION

                                      Evaluation of the Dyna-Form™
                                        Static Air HZ in a coronary
                                                care setting
  KEY WORDS                          A year-long evaluation is underway in a cardiac unit in Wales to see whether a
  Cardiac
          intensive care            switch to using Dyna-Form Static Air HZ for every patient (apart from when
  Dyna-Form
            Static Air HZ
                                     they are in Cardiac Intensive Care) would reduce the number of hospital-acquired
  Hospital-acquired
                    pressure
                                     pressure ulcers (HAPUs) on the unit and also reduce the amount of money that was
      ulcers
  Prevention
   
                                     previously being spent on alternating pressure mattresses. Patients in this group
                                     have a particularly high risk of pressure ulcer development, and in the previous year
                                     19 cases were documented. This article reports on the interim findings 5 months
                                     into the evaluation and discusses the problems of conducting an evaluation in
                                     a busy clinical environment. As yet, there have been no reported HAPUs in the
                                     383 patients placed on the mattress to date. The attempt to reduce the number of
                                     pressure ulcers in this environment is part of the zero tolerance to pressure ulcers
                                     inspired by the 1000 lives campaign.

                                    T
                                            he prevention of pressure ulcers has          The measure, described by Whitlock, has over
                                            been high on the clinical agenda in Wales   the following years spread across many hospitals,
                                            since the inclusion of pressure ulcers      including the Abertawe Bro Morgannwg
                                    as a quality measure as part of the 1000 Lives      University, with the hope of eliminating avoidable
                                    Plus campaign (NHS Wales, 2010). Activity to        pressure ulcers. Despite intensive interventions
                                    prevent pressure ulcers in Wales was escalated      including the use of alternating pressure
                                    when they became part of a mandatory target         mattresses (APAMs) and the implementation of
                                    which required a zero tolerance approach to         SKIN bundles, the cardiac unit at Abertawe Bro
                                    pressure ulcer formation.                           Morgannwg University Health Board identified
                                      In 2011, Whitlock et al described the impact      19 hospital-acquired pressure ulcers (HAPUs) in
                                    of implementing a quality improvement               the previous 12 months, all of which were in the
                                    programme based on Surface, Keep moving,            cardiac area. Of the 19 pressure ulcers:
                                    Incontinence, Nutrition (or SKIN) bundles               Ten were to the sacrum/buttocks:
                                    in acute care on the occurrence of pressure                 Of which one grade IV was related to
                                    ulcers. The study used the Institute for                      extended time in theatre, complications
                                    Health Improvement model of improvement                       and cardiac instability
                                    to undertake Plan Do Study Act cycles in                    Four were grade II
                                    order to transform staff attitudes to pressure              Five that, when reviewed by the tissue
                                    ulcers from accepting them as an inevitability                viability team, were identified as being
JACQUI FLETCHER                     to active scrutiny and efforts to prevent                     moisture lesions
Clinical Strategy Director, Welsh   them. The use of the SKIN bundle alongside              Nine were to the heel and these were a
Wound Innovation Centre             the very visible measure of the Safety Cross              mixture of suspected deep tissue injury and
                                    (a ward-based measure of pressure ulcer                   grade II pressure ulcers.
JULIE EVANS
                                    occurrence) resulted in a significant increase        In addition to this there were five device-related
Tissue Viability Nurse,
Abertawe Bro Morgannwg              in the days between the occurrence of pressure      pressure ulcers.
University Health Board             ulcers.                                               The cardiac unit is made up of an eight-

78                                                                                                          Wounds UK | Vol 11 | No 4 | 2015
Evaluation of the Dyna-Form Static Air HZ in a coronary care setting
PRODUCT EVALUATION

bed intensive care unit, an eight-bed high                 Time on the operating table
dependency unit (HDU) and a 25-bed ward.                   Frequency of repositioning
The unit has an average length of stay of                  Immobility
7–10 days, with the most common reasons                    Older age
for admission being elective coronary grafting             Low albumin levels
and coronary artery bypassing, which makes up              Use of corticosteroids.
80% of admissions. Emergency care admissions               In addition, several papers report a reluctance
make up 10% of admissions and these patients go          to reposition patients due to cardiac instability
direct to the cardiac intensive care unit (CICU).        (Brindle et al, 2013; Cooper, 2013). This
Elective patients are admitted to the ward from          intolerance to movement in cardiopulmonary
theatre. They are then transferred to CICU post-         status can cause delays or omissions in turning,
operatively for 48–36 hours, moved down to cardiac       repositioning and other interventions designed
HDU for 24–48 hours, and then go back to the ward        to improve a patient’s mobility, thereby increasing
for 4–5 days before discharge. This is a complex         the risk of pressure damage.
pathway with five points of admission (ward, theatre,
CICU, cardiac HDU, and then back to the ward) for        EVALUATION OF THE DYNA-FORM
the majority of patients, meaning that transfer of       STATIC AIR HZ
information — particularly regarding pressure ulcer      An evaluation of the Dyna-Form Static Air HZ
risk — is crucial. It also means that the patient may    was proposed at the unit to determine whether
experience five different pressure-redistributing        placing the patient on a surface designed for people
surfaces during his or her stay.                         at a higher risk of pressure damage immediately on
   The hospital was using more than its contracted       admission would reduce the number of pressure
number of APAMs and was looking to both                  ulcers occurring and also reduce the amount
improve patient outcomes and reduce costs.               of additional equipment (specifically APAMs
   The staff working in the cardiac unit were            and heel boots) being used. The Dyna-Form
keen to reduce the incidence of pressure ulcers          Static HZ was previously evaluated in a group
and acknowledged the specific challenges of              of general medical patients (Fletcher, 2014) to
the patient group that they cared for. Patients          determine equivalence with existing equipment.
in the coronary care setting present with an             This 26-patient evaluation identified that no
increased risk of pressure damage. Paul et al            new damage occurred during the evaluation
(2014) identified that 6% of patients developed          and concluded by recommending that further
pressure damage within a high-volume cardiac             evaluation be carried out in patients who had a
care environment. Brindle and Wegelin (2012)             greater risk of pressure damage.
performed a prospective study on the use of a               Dyna-Form Static Air HZ is a mattress
prophylactic dressing in cardiac surgery patients        replacement system that combines the benefits of
and identified that in the control group eight           effective air displacement technology with the best
pressure ulcers developed in four patients (from         of modern foams for a new standard of innovative
a sample of 35), again suggesting a high rate of         pressure ulcer prevention and management. A
occurrence in this patient group. Feuchtinger et         new and unique ‘air only’ intelligent heel zone
al (2005) performed a literature review to identify      and specially designed U-Core effectively off-
specific risk factors in cardiac patients, identifying   load pressure on the particularly vulnerable heel
the following factors:                                   area. The U-Core is the outer foam frame of the
   Tissue tolerance for oxygen due to                  mattress, which has carefully placed slits that allow
     temperature manipulation                            the mattress to conform better to an articulating
   Vasoactive drugs                                    bed frame. Dyna-Form Static Air HZ is specifically
   Hypotensive periods                                 designed for patients considered to be at ‘very
   Reduced haemoglobin and haematocrit                 high risk’ of pressure ulcer development (Direct
     levels.                                             Healthcare Services, 2015).
Other significant factors were:                             The evaluation is being performed over a

Wounds UK | Vol 11 | No 4 | 2015                                                                                79
PRODUCT EVALUATION

        [Type here]                                                                                           [Type here]
                      PLEASE LEAVE THIS FORM IN PATIENT KARDEX.                                                             PLEASE LEAVE THIS FORM IN PATIENT KARDEX.
                        WHEN COMPLETED LEAVE IN RED/YELLOW                                                                    WHEN COMPLETED LEAVE IN RED/YELLOW
                               FILE ON NURSES’ STATION                                                                               FILE ON NURSES’ STATION
        Section 1: Please complete on admission to the unit                                                   Section 3
        Date of admission:
                                                                                                              End of evaluation of mattress
        Patient data:                                                                                         *Date
        *Age:                  *Gender:       M           F          *Height (f/m):        *Weight (kg):
        Patient ID:                                                                                           How many days was the mattress in use?

                                                                                                              Reason for completion of evaluation – please tick
        Diagnosis:

                                                                                                              Patient                Patient                Patient requires        Patient died       Other please
                                                                                                              discharged             transferred            higher                                     state
                                                                                                                                                            specification
        Start of Evaluation of mattress                                                                                                                     mattress

        Waterlow Pressure Ulcer Risk Score
                                                                                                              Status Pressure Ulcer
                                                                                                                    No pressure ulcers developed                               New pressure ulcer developed

        Existing pressure ulcer:                                                                                    Existing pressure ulcer improved                           Existing pressure ulcer deteriorated
        Are there already any existing pressure ulcers:   YES                         NO
                                                                                                              If new pressure ulcer developed, please add grade and localisation:
        If yes, please add grade and location and healing response                                                          Grade (EPUAP)                              D / NC / I
                                                                                                                  Grade I
                                             Healing yes/no /static /
               Grade (EPUAP)
                                                   don’t know
            Grade I                                                                                               Grade II

            Grade II                                                                                              Grade III

            Grade III                                                                                             Grade IV

            Grade IV                                                                                          D= Deteriorated NC= No Change I = Improved

        Section 2 in Cardiac ITU                                                                              *Please check your response (1 = No/ Poor 5 =Yes / Excellent) :
                                                                                                                                                                                                                      Don’t
                                                                                                                                                                                            1      2   3    4     5
                                                                                                                                                                                                                      know
        Date and Time Patient put on air mattress_____________________
        (if applicable)                                                                                    How easy was mattress to use?

        Date and Time patient returned to HZ _________________________                                     In your opinion were patient turning times reduced during treatment?
        (if applicable)

      Figure 1. Sections 1–3 of the form used by staff to evaluate the use of the Dyna-Form Static Air HZ.

                                                          2

                                                     12-month period with all mattresses on the                                     the Welsh Wound Innovation Centre. During
                                                     coronary care ward being replaced with the Static                              the first month of the evaluation it became
                                                                                                                                                      3
                                                     Air HZ, with an interim analysis at 5 months. After                            evident that there was confusion among staff
                                                     approval via local governance procedures, local                                about who should start the documentation and
                                                     champions were identified to support the evaluation                            it was difficult to track when the patient was
                                                     and training was given to all staff across all shifts,                         transferred on to and off the APAM in CICU. The
                                                     including night duty.                                                          form was therefore amended and a new section
                                                        The same evaluation form was used as had                                    added specifically for CICU staff to complete
                                                     been used in the previous study (see Figure 1)                                 (see section 2 of Figure 1). Further support and
                                                     to ensure consistency of data capture (Fletcher,                               training were then put into place.
                                                     2014). The CICU did not switch from APAMs
                                                     due to the patients being at high risk during their                            RESULTS
                                                     short stay in the unit. Visits to the ward to support                          This represents an interim analysis carried out
                                                     staff with the documentation and address any                                   at 5 months to identify lessons learned and the
                                                     ongoing queries were made every week by the                                    outcomes that have been observed so far.
                                                     tissue viability nurse and supporting team from                                  Forms have been returned for 41 patients, but

80                                                                                                                                                                         Wounds UK | Vol 11 | No 4 | 2015
PRODUCT EVALUATION

seven had insufficient data to report. Data are           Table 1. Demographic details
therefore presented regarding the remaining 34                            Minimum         Maximum              Mean All
patients. Of those whose data were used, there                            All (M:F)       All (M:F)            (M:F)
were 11 women and 23 men with an average age              Age             50 (54:50)      84 (81:84)           69.1
of 69. The patients’ pressure ulcer risk scores
                                                          Risk Score      5(5:7)          30 (30:25)           13.9
(Waterlow) ranged from 5 to 30 and one patient
had a grade II pressure ulcer on admission.              clinical staff, with decisions made at key points
  Two patients developed pressure ulcers during          of a patient’s care pathway. This initiative aims
this period. After a root cause analysis, however,       to simplify one area of activity and reduce staff
these were attributed to an extended period in           actions by implementing an all-in-one equipment
theatre with complications and an extended time          solution at the first point of care.
in the CICU, again due to complications. No                 The initial stage of the evaluation suggests that
patient developed a pressure ulcer due to the use        so far the initiative has been successful. Due to
of the Dyna-Form Static Air HZ.                          the low monthly pressure ulcer occurrence due
                                                         to previous initiatives, however, it is important
DISCUSSION                                               to continue the evaluation for the full 12 months
Data capture has been challenging in the initial         to ensure that this change is a true change and
phase of the evaluation, but it has been possible to     not a product of chance. The reduction in the
monitor the occurrence of pressure ulcers in other       occurrence of pressure ulcers so far suggests
ways, such as via Datix reporting and Safety Cross,      that it is possible to improve the quality of care,
and therefore we are confident that in comparison        simplify nursing processes and achieve financial
with the previous 12 months, the number of               savings by switching to the Dyna-Form Static Air
pressure ulcers that have occurred is considerably       HZ mattress.                                  Wuk
lower and those that have occurred cannot be
attributed to time spent on the new mattress.            REFERENCES
                                                         Brindle CT, Malhotra R, O’Rourke S et al (2013) Turning
   Use of the new mattress has simplified
                                                            and repositioning the critically ill patient with hemodynamic
nursing procedures and reduced the use of APAMs             instability: a literature review and consensus recommendations. J
on the ward. Completing evaluation forms has                Wound Ostomy Cont Nurs 40(3): 254 –67

been challenging for the ward staff within their         Brindle CT, Wegelin JA (2012) Prophylactic dressing application
                                                            to reduce pressure ulcer formation in cardiac surgery patients. J
normal busy clinical environment, despite the               Wound Ostomy Cont Nurs 39(2): 133–42
appointment of product champions.                        Cooper KL (2013) Evidence-based prevention of pressure ulcers in the
   This study is a clear example of where real-            intensive care unit. Crit Care Nurs 33(6): 57–66

world evaluation activity varies from the research       Direct Healthcare Services (2015) Product Information Page.
                                                            Available at: http://directhealthcareservices.co.uk/products/
activity, when actions would be much more
                                                            dyna-form-static-air-hz-2-2 (accessed 16.10.2015)
controlled. The mattresses are being evaluated
                                                         Feuchtinger J, Halfens RJ, Dassen T (2005) Pressure ulcer risk factors
in the setting they would be used in and within a           in cardiac surgery: a review of the literature. Heart Lung 34 (6): 375
normal environment. This real-world approach                –85

to the building of evidence does not replace the         Fletcher J (2014) Development and preliminary evaluation of a static
                                                            air mattress with a heel flotation zone. Wounds UK 10 (3): 80–7
randomised controlled trial but does provide an
                                                         NHS Wales (2010) 1000 Lives Plus. Pressure Ulcer Safety Cross.
alternative and equally valuable form of evidence          Available at: http://www.1000livesplus.wales.nhs.uk/pressure-
with strong relevance to daily practice.                   ulcers (accessed 16.10.2015)

                                                         Paul R, McCutcheon SP, Denend LT, Zenios SA (2014) Sustaining
                                                           pressure ulcer best practices in a high – volume cardiac care
CONCLUSION                                                 environment. Am J Nursing 114 (8): 34 –44
The prevention of pressure ulcer occurrence is a         Whitlock J, Rowlands S, Ellis G, Evans A (2011) Using the SKIN Bundle
multifaceted intervention requiring considerable          to prevent pressure ulcers. Nursing Times 107: 35, 20-23
assessment skill and preventive activity from

Declaration of interest
The product evaluation and preparation of the manuscript was supported by Direct Healthcare Services Ltd

Wounds UK | Vol 11 | No 4 | 2015                                                                                                    81
A 351 PATIENT EVALUATION OF THE DYNA-FORM STATIC AIR HZ                                                                                                                                 

MATTRESS IN A CARDIOTHORACIC UNIT
Fletcher J , Evans J and Cooper H
                  1                  2                            2    1
                                                                        Jacqui Fletcher Limited Abertawe Bro Morgannwg University Health Board
                                                                                                                       2

Contact: jacqui.fletcher@live.com
Introduction                                                                                                               Results                                                                                                             ITU Patients
Despite intensive pressure ulcer prevention strategies being in place, patients on the Cardiothoracic Ward were            Over a 1 year period 351 patients completed the evaluation (125 female, 206 males, 20 not recorded) – see Table 1   143 patients were cared for in ITU for a part of their stay, overall they spent on average longer on the HZ mattress
still developing a small but consistent number of pressure ulcers. Over the previous 12 months, 24 pressure ulcers         for demographic details. No patient developed a pressure ulcer whilst on the HZ mattress.                           (11.8 days) than patients who did not require an ICU stay (8.6 days) despite their increased risk (average Waterlow
occurred of which 9 were heel pressure ulcers (10 sacral and 5 device related). It was therefore decided to evaluate                                                                                                                           18.3 compared to non ITU patients average 8.9) and increased length of stay. None of these patients developed a
                                                                                                                           There were 8 patients who developed 9 hospital acquired pressure ulcers however following a full root cause
a new mattress, the Dyna-Form Static Air HZ mattress. In addition, there was a high use of alternating pressure                                                                                                                               pressure ulcer whilst on the HZ – see Table 2.
                                                                                                                           analysis procedure it was identified that all of the patients had been cared for on the APAM systems and had
mattresses (APAMs) resulting in a high spend.
                                                                                                                           extended periods in theatre. 2 were deemed to be equipment related.
The Cardiothoracic Unit cares for 2 main groups of patients those having cardiac surgery e.g. coronary artery
                                                                                                                           Spend on APAMs was significantly reduced with only 1 patient outside of CITU requiring an APAM (compared to
bypass surgery; heart valve surgery; aortic surgery and those having thoracic surgery e.g. lobectomy, to remove                                                                                                                                                                         All Patients Mean (Range)
                                                                                                                           11 in the 4 months prior to the evaluation).
one or more lobes of a lung; pneumonectomy, to remove a lung; chest-wall deformities (pectus surgery).
Both groups of patients are generally admitted via the Cyril Edwards Ward (CE) but follow different pathways;                                                                                                                                   Age                                     71.2 (30 – 89)
patients undergoing cardiac surgery are warmed in theatre and then go to the cardiac intensive care unit (CITU)
before returning to the ward, patients undergoing thoracic surgery are cooled in theatre and then go Cardiac High
Dependency Unit (CHDU) prior to return to the ward.                                                                                       351 PATIENTS                                                                                         Weight                                  83.24 (46.5 – 170)

                                                                                                                                                                                                                                                Waterlow post ITU                       18.3 (12 – 25)
Method
Mattresses across the admission ward (CE) and CHDU were all replaced with the Dyna-Form Static Air HZ
mattress; CITU retained their APAM mattresses. Patient data was collected on admission, on return from CITU and
                                                                                                                                          NO PATIENT DEVELOPED A PU WHILST ON THE STATIC AIR HZ
                                                                                                                                                                                                                                                Number of days on HZ                    11.8 (1 – 34)

immediately prior to discharge. This included their risk status and presence / absence of pressure ulcers.
For the first 4 months forms were completed by ward / unit staff however there was a very poor compliance rate.
After analysis of the first 4 months data a dedicated member of staff (HC) was allocated to follow the forms and
                                                                                                                                          SPEND ON APAMS SIGNIFICANTLY REDUCED                                                                Table 2. ITU Patients Demographic Data

ensure they were fully completed.
                                                                                                                                                                                                                                               Discussion
                                                                                                                                                       All Patients Mean (Range)   Female Mean (Range)          Males Mean (Range)             Use of the Dyna-Form Static Air HZ alongside education on the appropriate use of the equipment has been
                                                                                                                                                                                                                                               beneficial for the patients and staff of the Cardiothoracic Unit. Despite the reduction in use of APAMs, the overall
                                                                                                                            Age                        67.9 (21 – 98)              67.5 ( 21 – 89)              68 (26 – 93)                   number of pressure ulcers has reduced across the area suggesting that a good quality standard mattress with a
                                                                                                                                                                                                                                               specific heel zone plays a role in prevention of their occurrence.
                                                                                                                            Height                     164.8 cm (111 – 184)        156.5 (131 – 170)            170.4 (111 – 184)              Collecting the data over the time period proved challenging but the allocation of a specific member of staff to
                                                                                                                                                                                                                                               follow up the forms made a significant improvement in the data quantity and quality.
                                                                                                                            Weight                     81.7 kg (42 – 170)          72.9 (42 – 126.1)            86.9 (48.3 – 170)
                                                                                                                                                                                                                                               Conclusion
                                                                                                                            Waterlow on Admission      8.9 (1 – 20)                8.8 (4 – 20)                 8.9 (1 – 20)                   Patients have been safely nursed on the new hybrid mattresses for as long as 34 days. Over this evaluation,
                                                                                                                                                                                                                                               patients were on the hybrid for 3007 days with no pressure damage occurring. Use of the hybrid mattresses
                                                                                                                            Days on HZ                 8.6 (1 – 34)                8. 9 (1 -34)                 8.4 (1 – 34)                   has resulted in reduction in the number of patients developing pressure damage and cost savings (based on:
                                                                                                                                                                                                                                               not developing PU, not using additional APAMs and there was no additional heel protection used).
                                                                                                                            Days in ITU                1.9 (1 – 7)                                                                             The hybrid mattress has proven to be effective in this group of patients.

                                                                                                                           Table 1. Demographic Data
POSITIVE OUTCOMES FOR PATIENTS, STAFF AND HEALTH BOARD WHEN BEDS ARE
PRE-EQUIPPED WITH A DYNAMIC SURFACE – DYNA-FORM STATIC AIR HZ
                                                                                                                                                                                                                                ®

Heather Hodgson, Lead Nurse Tissue Viability Acute and Partnerships, Greater Glasgow and Clyde. e-mail: heather.hodgson@ggc.scot.nhs.uk

Introduction                                                                                                                                                                                 Results
Organisations rent pressure relieving surfaces that play an integral part in preventing pressure damage. Over the past decade pressure relieving surfaces have become                        The mattresses have been in place for 12 weeks.
sophisticated, less complicated and individual costs reduced. The success of these surfaces cannot be argued; however it could be argued that it would be more beneficial                    Senior charge nurses, staff nurses, health care
to patients, staff and the organisation if beds were pre-equipped with a pressure relieving surface.                                                                                         assistants and patients were interviewed to
The opening of a new hospital provided an opportunity to explore this option. The rationale being:                                                                                           determine whether this approach was proving
• Instant provision of pressure relieving surface to vulnerable patients.                                                                                                                    beneficial in terms of patient and staff benefit.
• Within the pre-existing rental contractual arrangements it could take up to four hours to receive a mattress and another 30 minutes to transfer the patient,                               100% of staff interviewed commented positively
  however having a high-specification mattress provides instant therapy.                                                                                                                     and do not want to revert back to the rental system.

Efficient and effective use of resources                                                                                                                                                       The benefits derived included:
It takes two nurses, 30 minutes each to inflate and transfer a patient onto a therapeutic mattress. This equates to one hour of nursing time as a minimum, this time will increase
if the patient is unable to assist or if there is additional equipment e.g. intravenous line, urinary catheter etc. Using a bed pre-equipped with a pressure relieving surface should also
                                                                                                                                                                                               100 hours of nursing time over 12 months*
                                                                                                                                                                                               TIME SAVING
have positive outcomes in terms of moving and handling: a rental mattress weights around 20kg which requires to be lifted on and off a bed, and patients require to be transferred
on and off mattresses.
It was decided that 118 receiving beds would be pre-equipped with Dyna-Form Static Air HZ – A New Generation of Static Support Surface, developed in conjunction
                                                                                                                                                                                               Less skin marking
                                                                                                                                                                                               INSTANT PRESSURE RELIEF
with the Welsh Wound Innovation Centre.
The mattress was selected for the following reasons:
• Dyna-Form Static Air HZ is specifically designed for patients considered to be at ‘Very High Risk’ of pressure ulcer development.
                                                                                                                                                                                               RENTAL COSTS
• Dyna-Form Static Air HZ is a mattress replacement system that combines the benefits of effective air displacement technology with the best of modern foams for a new standard
                                                                                                                                                                                               £5k over 12 months*
                                                                                                                                                                                               DRASTICALLY REDUCED
  of innovative pressure ulcer prevention and management.

A new and unique ‘air only’ Intelligent Heel Zone and specially designed U-Core effectively offload pressure on the particularly vulnerable heel area. With patient compliance                 REDUCED MOVING AND HANDLING
enhanced through the high levels of comfort offered and requiring no powered pump the system is ideal in community and palliative care settings whilst the clinical benefits and               OF PATIENTS AND EQUIPMENT
ease of use make it equally suitable in the acute ward environment. Incorporating air and foam and air only cells in the unique low pressure heel zone, a patented valve system
allows Reactive Airflow System (RAS™) technology to adjust to the patient’s body weight and movement.                                                                                          INCREASED PATIENT COMFORT
Dyna-Form Static Air HZ pressure maps 20% better than a high specification foam mattress and has a higher maximum weight capacity of up to 40 stone / 254kg. All component                     AND COMPLIANCE
parts are interchangeable and replaceable, maximizing product life, reducing dynamic mattress usage and offering a very cost effective solution to pressure care management.
                                                                                                                                                                                               * Over 118 beds only
The vapour permeable, multi way stretch fabric cover incorporates high frequency welded seams and deep flap zip protection conforming to the strictest infection control policies.

                                                                                                                                                                                              Discussion & Conclusion
                                                                                                                                                                                              The trailing of equipping all beds with a pressure relieving mattress has proved beneficial in a very short space of time and the benefits in terms of cost effectiveness
                                                                                                                                                                                              will increase as time increases. With time pressure on nurses becoming more evident, this simple approach appears to have huge positive impacts in terms of efficient
                                                                                                                                                                                              and effective use of resources and patient safety. Already staff have verbalized that they would not wish to return to the previous rental system and suggested that it
                                                                                                                                                                                              would be a ‘nightmare’ if this were to happen.
                                                                                                                                                                                              In a very short period of time, the utilization of a high specification mattress on all in-patient beds has proved beneficial for patients, staff and the organisation.
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