Medline Work Light Mds400El Users Manual
2015-02-09
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PATIENT HANDLING SOLUTIONS REDUCE PATIENT FALLS AND CAREGIVER INJURIES A $1,000 Value Comprehensive Safe ‘n Easy Lifting Program is included with the purchase of two or more powered lifts/stand assists! See page 10 for details. 3 Solutions for Your Facility Evaluating Your Program. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Benefits of a Lifting Program. . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Choosing Medline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Your Facility in Action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-9 Safe ‘n Easy Lifting Program. . . . . . . . . . . . . . . . . . . . . . . . 10-11 Patient Handling Equipment Stand Assists . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-13 Elevating Floor Lifts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-15 Comparison Chart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16-17 Slings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18-21 SoloLift, SoloVests and Gait Pacer. . . . . . . . . . . . . . . . . . 22-23 Transfer Boards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 PolyGlide Transfer Sheets. . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Stretchers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26-27 Mobile In-Bed Scale. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28-31 Evaluating Program Evaluating Your Patient Handling Program If you answer “NO” to any of the questions below, there are opportunities for improvement. YES NO ■ ■ 1. Are we designing tasks to limit the amount of weight nurses lift? (35 pounds is the maximum weight a nurse should be expected to lift.)3 ■ ■ 2. Are we avoiding manual handling of patients as much as possible? (Skin tears and falls can sometimes be traced back to manual handling.) ■ ■ 3. re we avoiding light duty as much as possible by A preventing injuries? (Morale problems sometimes stem from light duty assignments among nurses.) ■ ■ 4. Are we decreasing our workers compensation claims by enforcing safe patient lifting? (Back injuries can cost as much as $50,000 in some cases.)2 ■ ■ 5. Are we successfully retaining our best nurses? (12% of nurses exit the profession due to chronic back pain.)1 ■ ■ 6. o we have an effective and consistent means of D determining if and how a patient should be handled by a mechanical lift? (A proper assessment should consider a patient’s complete medical history, current physical condition and cognitive state.) ■ ■ 7. re we properly training our nurses and do they A comply with our lifting policy? (Lifting policies are sometimes ignored, with nurses choosing to manually handle patients.) ■ ■ 8. Do we have enough patient lifts? (You should have at least 1 lift for every 8 patients who require it.)4 ■ ■ 9. Are we effectively employing stand assists? (Stand assists should be used for most patients who are partial weight-bearing.) ■ ■ 10. Are our lifting equipment and slings always in safe and working order? (Frequent equipment breakdowns and frayed or missing slings are two reasons why nurses get in the habit of manually handling rather than using lifts.) 4 Studies show that approximately 52% of all nurses experience significant back pain each year, and 12% of nurses leave the profession because of chronic back pain.1 Financially, a single back injury can cost an institution more than $50,000 in workers compensation claims, lost time, light duty, and turnover.2 Despite these statistics, many healthcare institutions have been slow to implement the proper lifting programs and equipment to prevent further injuries and ensure safety for both workers and patients. 1 Moses, E. B. (1992). The registered nurse population: Findings from the national sample survey of registered nurses. Washington DC: U.S. Department of Health and Human Services, U.S. Public Health Service, Division of Nursing. 2 Collins, M. (1990). Occupational back pain in nursing: Development, implementation, and evaluation of a comprehensive prevention program in nursing homes 3 Waters TR, When is it safe to manually lift a patient, American Journal of Nursing, 2007. 4 Department of Health and Human Services, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, DHHS (NIOSH) Publication Number 2006-117 Benefits/Lifting Program Safe Lifting And Movement Of Nursing Home Residents Benefits, Cost and Effectiveness of a Safe Resident Lifting Program TM Workplace DHHS (NIOSH) Publication Number 2006-117 Safety and Health What are the benefits of a safe resident lifting program? The following benefits can be derived from a safe resident lifting program that includes mechanical lifting equipment, worker training on the use of the lifts, and a written resident lifting policy: Benefits for Residents • Improved quality of care • Improved resident safety and comfort • Improved resident satisfaction • Reduced risk of falls, being dropped, friction burns, dislocated shoulders • Reduced skin tears and bruises Benefits for Employers • Reduced number and severity of staff injuries • Improved resident safety • Reduced workers’ compensation medical and indemnity costs • Reduced lost workdays • Reduced restricted workdays • Reduced overtime and sick leave • Improved recruitment and retention of caregivers • Fewer resources required to replace injured staff Benefits for Caregivers • Reduced risk of injury • Improved job satisfaction • Increased morale • Injured caregivers are less likely to be re-injured • Pregnant caregivers can work longer • Staff can work to an older age • More energy at the end of the work shift • Less pain and muscle fatigue on a daily basis How effective is mechanical lifting equipment in preventing injuries to caregivers? Research has shown that safe resident lifting programs reduce resident-handling workers’ compensation injury rates by 61%, lost workday injury rates by 66%, restricted workdays by 38%, and the number of workers suffering from repeat injuries (Collins et al., 2004). Similar findings have been reported by other investigators (Tiesman et al., 2003; Nelson et al., 2003; Garg, 1999). Furthermore, this research has shown an increase in caregiver job satisfaction, and a decrease in “unsafe” patient handling practices performed. Nurses ranked lifting equipment as the most important element in a safe lifting program (Nelson et al., 2003). What benefits will a safe resident lifting program have for nursing home residents? Although some residents may be reluctant to try new lifting devices, studies have shown that the use of mechanical lifting equipment increases a resident’s comfort and feelings of security when compared to manual methods (Zhuang et al., 2000; Garg and Owen 1992). Injuries to residents are also reduced because the mechanical lifts protect residents from being dropped. Anecdotal information indicates that a reduction in skin tears and bruises may result when residents are handled mechanically rather than manually (Garg, 1999). 1-800-MEDLINE | www.medline.com 5 10 Choosing Medline Why Choose Medline for All Your Patient Handling Needs? 1. Patient Handling Expertise Medline designs its own patient handling equipment with input from industry experts in hospitals, nursing homes, and homehealth. Our patient handling experts are specialists in ergonomics, physical therapy, and human factors engineering — with years of experience in implementing patient handling programs. 2. The Right Product for Every Move Whether you are moving patients vertically, laterally, or from the floor, we have the right product to safely accomplish the move. These include elevating floor lifts, stand assists, comfortable slings, sliding transfer sheets, transfer boards, stretchers, multi-positional chairs, air-assisted transfer devices, beds, and much more. 3. Competitive Prices Safe patient handling can be a large capital investment for most organizations, but Medline can help you with solutions that fit your budget. We also offer flexible financing programs to help you manage your cash flow better. 4. A Simple, Yet Comprehensive Safe Patient Handling Program Our program is evidence-based, reflecting the best thinking and practices in patient lifting. Our Safe ‘n Easy Lifting Program includes training videos, assessment tools, lift policy, implementation roadmap, financial tools, and much more. 5. Educational Programs in Patient Handling We regularly hold educational forums to educate your staff on patient handling topics. Some of our most popular conferences include a. Safe Patient Handling in the Acute Care Environment b. Safe Patient Handling in the Operating Room c. Safe Patient Handling in the Long Term Care Environment d. Specifying and Selecting Safe Patient Handling Equipment e. How to Implement a Safe Patient Handling Program in Your Facility f. Lateral Transfers and Repositioning for Healthcare Facilities g. Safe Patient Handling for the Developmentally Disabled 1-800-MEDLINE | www.medline.com 7 Your Facility in Action Medline Has the Right Patient Handling Equipment For Your Entire Facility Bathing Room Bariatric Room and Bathroom nB ariatric Sling and Trapeze n Bariatric Commode n Grab Bars nB ariatric Transfer Bench n P VC Shower Bench nH andling Belt n Bariatric Bed nB ariatric Elevating Floorlift n Walker n Wheelchair nG rab Bars n Trapeze n Commode n P olyGlide Transfer Sheet n T ransfer Bench n Bed n Powered Stand Assist Patient Room and Bathroom 8 Charging Station Your Facility in Action Rehab Room Exam Room Intensive Care Room n Stretcher n Mobile Scale nM anual Stand Assist n PolyGlide Transfer Sheet n Transfer Board n PolyGlide Transfer Sheet n Stretcher Waiting Area Operating Room Invest in Reducing Caregiver Injuries. “Cost-benefit analyses demonstrate that the initial investment in lifting equipment and employee training can be recovered in two to three years through reductions in workers’ compensation expenses.” “Research has shown that safe resident lifting programs reduce resident-handling workers’ compensation injury rates by 61%, lost workday injury rates by 66%, restricted workdays by 38%, and the number of workers suffering from repeat injuries.” Collins JW, Wolf L, Bell J, Evanoff B [2004]. An Evaluation of a “Best Practices”. Musculoskeletal Injury Prevention Program in Nursing Homes. Injury Prevention 10:206-211. 9 Lifting Program A $1,000 Value Comprehensive Safe ‘n Easy Lifting Program is included with the purchase of two or more powered lifts/stand assists! Medline is dedicated to providing a safe environment to all facilities using their equipment. Protect patients and staff with Medline’s Safe ‘n Easy Lifting Program. Our program is evidence-based, reflecting the best thinking and practices in patient lifting. This includes, for example, work accomplished by the 2001 Technical Advisory Group (a collaboration of the VHA Public Health and Environmental Hazards, the Patient Safety Center Inquiry, and the Healthcare Analysis and Information Group), as well as the 2005 National Task Force (representatives from the American Association of Rehabilitation Nurses, the American Physical Therapy Association, and the Veterans Administration). Medline’s Safe ‘n Easy Lifting Program Includes: Expert Phone Support Our lifting specialists can help you with your questions and guide you step-by-step in implementing a complete patient lifting program. 10 Inservicing Video Train your employees in the proper operation and maintenance of patient lifting equipment. This short DVD reviews all the basic moves to ensure your employees are competent in moving and repositioning patients. Lifting Program Safe andling Patient H ement and Mov ms Algorith sy Safe ‘n Ea Lift Policy to keletal injuries musculos to reduce that the ensive program s to ensure of a compreh nds guideline one part recomme policy is s. The policy patient lifting resource valuable Safe resident/ our most . s, one of caregiver are assessed frontline residents on the correct of all patients/ and trained ng needs are being shall be aware transferri residents ng patients that patients/ le for transferri patient lifting policy ensures l responsib resident/ e to this e personne Adherenc ence. Safe s, All healthcar patients. independ and moving caregiver and mobility to frontline es for lifting ing patient procedur encourag keletal injuries ng needs musculos d safely while that the transferri to reduce transferre s to ensure liftedand ensive program nds guideline of a compreh recomme one part s. The policy policy is resource es most valuable procedur . one of our on the correct are assessed and trained residents liftedand shall be aware of all patients/ are being ng patients residents le for transferri that patients/ l responsib policy ensures e personne e to this All healthcar ence. Adherenc independ patients. to mobility and and moving keletal injuries for lifting ing patient encourag reduce musculos while to safely d that the transferre ensive program s to ensure of a compreh nds guideline one part recomme policy is s. The policy patient lifting resource resident/ valuable Safe our most . es s, one of procedur caregiver are assessed frontline residents on the correct of all patients/ and trained ng needs liftedand shall be aware transferri are being ng patients residents le for transferri that patients/ l responsib policy ensures e personne e to this All healthcar ence. Adherenc independ patients. mobility and and moving for lifting ing patient encourag d safely while transferre Safe 'n Easy General ctor: Center Dire , RN, FAAN on, PhD Audrey Nels 813-558-3902 Phone: Lift Assessm ent t Tool and Patient's Name Assessmen Your Name t Date Your Signature (sign after Level of Care Plan printing) Assistance (check Independe one) nt Partial Assist - Patient performs task safely, - Patient Dependent with or without requires no more - Patient staff assistance, help than requires nurse to stand-by, with or without lift more than 35 lbs. cueing, or coaxing, Note: An assistive assessmen devices. of the patient's or caregiver t should is required weight, or be made to lift no is unpredictab prior to II. Weight more than each task le in the Bearing 35 lbs of amount of if the patient Capability a patient's assistance has varying (check one) weight. offered. In level of ability Full this case, assistive to assist III. Bi-Lateral devices should Partial due to medical Upper Extremity be used. reasons, None fatigue, Strength Yes IV. Patient's medication (check one) s, etc. When Level of No Cooperatio in doubt, n and Comprehen assume the patient Cooperativ sion (check cannot assist e Unpredicta - may need prompting; one) with the ble or varies transfer/rep V. Weight, able ositioning. (patient whose to follow simply Height, BMI commands behavior changes frequently Weight (lbs) should be considered Height (inches) as "unpredicta Calculated ble"), not cooperative Body Mass Note: if patient , or unable Index (BMI) to follow has a BMI simple commands of 50 or more, transfer care plan will be based Note: The on bariatric presence algorithms of the following . conditions VI. Applicable are likely conditions to affect the transfer/rep likely to affect the ositioning transfer/rep process ositioning and should Hip / Knee techniques be considered / Shoulder (check all History of Replaceme when identifying that apply) Falls nts Paralysis equipment / Paresis and techniques Unstable Respirator needed Spine y / Cardiac to move Severe Edema the patient. Wounds Compromi Affecting se Very Fragile Transfer Amputation Skin / Positioning Urinary Other Comments / Fecal Stoma Contractur : Fractures es / Spasms Tubes (IV, Chest, etc.) Splints / Traction Severe Osteoporo sis Severe Pain VII. Care / Discomfort Postural Plan Hypotensio n d By: Develope Center nt Safety 118M VISN 8 Patie a Avenue 673/ Nebrask 38 11605 N. pa, FL 33612-57 safetycenter/ Tam v/patient ed.va.go w.visn8.m http://ww Safe 'n Easy Assessmen Information I. Patient's Algorithm 1 2 3 4 5 6 Bariatric 1 Bariatric 2 Bariatric 3 Bariatric 4 Bariatric 5 Bariatric 6 Bariatric 7 Sling Type: Task Transfer To and Lateral Transfer From: Bed to Chair, Chair to and Transfer to Toilet, To and From: From: Bed to Stretcher, Chair to Chair, or Reposition Chair to Trolley Car to Chair Stretcher, in or Reposition Bed: Side-to-Side , Up in Bed Chair to Exam Table in Chair: Wheelchair Transfer Patient Up and Dependenc from the Bariatric y Chair Floor Transfer To and Bariatric Lateral Transfer From: Bed to Bariatric To and From: Chair, Chair to Toilet, Reposition Bed to Stretcher or Chair in Bariatric to Chair Reposition Bed: Side to Side, or Trolley in Chair: Up in Bed Patient Handling Wheelchair, Tasks Requiring Bariatric Chair, or Transportin Dependenc g (Stretcher) Access to Body Bariatric Parts (e.g., y Chair Toileting Tasks Limb, Abdominal Mass, Gluteal Seated Seated (amputatio n) Standing Supine Ambulation Limb Support Sling Size Additional data needed (XS, S, M, Equipment / Assistive Device # Staff Area) L, XL) for determinin Circumfere g slings: nce Around Distance Hips from Top of Head Distance to Just Above from Shoulder Kneecap Blade to Just Above Kneecap Customizable Lift Policy Ensures you have a thorough policy on record, covering all aspects of your lift program. Responsibilities, equipment requirements, and maintenance procedures are all addressed in this customizable policy. Implementation Plan Manage implementation of your formal lifting program through an easy-to-use checklist. You can designate who is responsible and stay on track. Assessment Tools Assess your incoming patients to ensure you have the proper lifting protocols in place. Consider all physical and cognitive factors to ensure you make the right decision – maximizing patient care and employee safety. 1-800-MEDLINE | www.medline.com 11 Stand Assists Stand Assists Assisting Patients from a Sitting to Standing Position Security Stand assists are used for lifting residents who are partially dependent, have some weight-bearing capacity, are cooperative, can sit up on the edge of the bed with or without assistance, and are able to bend hips, knees, and ankles. Transfers include moving to and from beds, chairs, bathing, and toileting. Manual Stand Assist • Appropriate for partial weight-bearing patients with some upper body strength • Perfect for functional rehabilitation therapy • Affordable alternative to battery-powered stand assists • Patient grasps an assist bar and pulls up using their upper body strength item number STA182 Manual Stand Assist description wt. capacity seat width 400 lb (181 kg) 20" (51 cm) A $1,000 Value Comprehensive Safe ‘n Easy Lifting Program is included with the purchase of two or more powered lifts/stand assists! See page 10 for details. 12 Stand Assists Points to remember when using: • Always requires at least 1 caregiver. • C hoose a lift that has a variety of sling sizes, lift-height range, battery portability, hand-held control, emergency shut-off, and manual override. • E nsure the lifting device is in good working order before use and is rated for the load weight to be lifted. • B attery-powered lifts are preferred to crank or pump type devices to allow a smoother movement for the resident, less physical exertion, and risk of musculoskeletal injury to the caregiver. MDS600SA Battery-Powered Stand Assist • Appropriate for partial weight-bearing patients • Removable foot platform for gait training • B attery-powered stand assists available in 400 and 600 lb (181 and 272 kg) versions • Controls are easy-to-operate warranty 3 years for mechanical/electrical components 1 year for battery item number description MDS400SA MDS600SA 400 lb (181 kg) Stand Assist 600 lb (272 kg) Stand Assist 7 Keys to Success 1. Have the right equipment: Partial weight-bearing patients — Sit-to-stand assist Non weight-bearing patients — Elevating floor lift 2. Ensure adequate equipment levels for staff use 3. Implement a safe patient handling policy 4. Identify a safe lifting program champion 5. Train caregivers on both the policy and equipment 6. Assess the patient’s weight-bearing ability on a regular basis 7. Encourage full reporting and tracking of all injury incidents 1-800-MEDLINE | www.medline.com 13 Elevating Floor Lifts Elevating Floor Lifts Lifting and Transferring NonWeight Bearing and Partially Weight Bearing Patients Safety Patient lift devices are used for patients who are non-weightbearing, partially weight-bearing, disabled physically, developmentally, or have other physical limitations. Transfers may be to and from beds, chairs, floor to bed, lateral transfers, bathing, and toileting. Hydraulic 400 Lb Lift • Elevating lift, hydraulic • Base opens with an easy hand lever • Lift comes with a FREE full-body sling packaged inside box specifications Weight capacity: 400 lb (181 kg) Cradle type: 6 point warranty 3 years item number MDS88200D 14 description 400 lb (181 kg) Hydraulic Lift Elevating Floor Lifts Points to remember when using: • May require 2 or more caregivers. • Choose a lift that has a variety of slings, lift-height range, battery portability, hand-held control, emergency shut-off, manual override and boom pressure sensitive switch. • H aving multiple slings allows one sling to remain in place while patient is in bed or chair for only a short period, reducing the number of times the caregiver lifts and positions resident. MDS600EL Powered Elevating Floor Lift • B ase legs on powered lifts spread with a reliable, easy-to-operate foot pedal • L ow-profile, base legs easily move under beds and other furniture • E nsure the lifting device is in good working order before use and is rated for the load weight to be lifted. • Battery-powered lifts are preferred to crank or pump type devices to allow a smoother movement for the resident, less physical exertion, and risk of musculoskeletal injury to the caregiver. • Controls are easy-to-operate and common between lifts • 6 -point sling cradles provide flexibility for maximum comfort and safety specifications Cradle type: 6 point Battery voltage: 24V DC Average lifts/charge: 80-100 warranty 3 years for mechanical/electrical components 1 year for battery item number MDS400EL MDS600EL A $1,000 Value Comprehensive Safe ‘n Easy Lifting Program is included with the purchase of two or more powered lifts/stand assists! See page 10 for details. description 400 lb (181 kg) Elevating Floor Lift 600 lb (272 kg) Elevating Floor Lift MDSELSCALE For use on elevating floor lift models (MDS400EL, MDS600EL) 1-800-MEDLINE | www.medline.com 15 Comparison Chart Technical Specification Chart and Reference Guide A $1,000 Value Comprehensive Safe ‘n Easy Lifting Program is included with the purchase of two or more powered lifts/stand assists! See page 10 for details. Stand Assist MDS400SA Stand Assist MDS600SA Weight Capacity 400 lbs (181 kgs) 600 lbs (272 kgs) Finish White Powder Coat Finish White Powder Coat Finish Cradle Type 6 Point 6 Point Battery Voltage 24V DC 24V DC Average Lifts/Charge 80-100 80-100 Base Spreader Type Foot Pedal Foot Pedal Overall Ht. Of Base 4.6" (11.7 cm) 4.6" (11. 7 cm) Outside Width of Base (open/closed) 37"/26.5" (94 cm/67 cm) 37"/26.5" (94 cm/67 cm) Inside Width of Base (open/closed) 32.5"/22" (82.5 cm/56 cm) 32.5"/22" (82.5 cm/56 cm) Overall Length 40" (102 cm) 40" (102 cm) Can Lift from Floor? N/A N/A Overall Lift Height N/A N/A Total Unit Weight 117 lbs (53 kgs) 122 lbs (55 kgs) Includes Sling? No No Includes Scale? (MDSELSCALE) N/A N/A Includes Charger Bag? Yes Yes * Can be converted to 4.6" (11.7 cm) with optional caster kit. For additional assistance, contact your Medline sales representative. 16 Comparison Chart Hydraulic Elevating Lift MDS88200D Powered Elevating Lift MDS400EL* Powered Elevating Lift MDS600EL* 400 lbs (181 kgs) 400 lbs (181 kgs) 600 lbs (272 kgs) Gray Hammertone Finish White Powder Coat Finish White Powder Coat Finish 6 Point 6 Point 6 Point N/A 24V DC 24V DC N/A 80-100 80-100 Arm Lever Foot Pedal Foot Pedal 5.5" (14 cm) 4.6" (11.7 cm) 6" (15.2 cm)* 31.5"/26" (80 cm/66 cm) 38"/26.5" (7 cm/67 cm) 43"/26" (109 cm/66 cm) 28.5"/23" (72 cm/58 cm) 33.5"/22" (85 cm/56 cm) 38"/21.5" (96.5 cm/55 cm) 42" (107 cm) 41" (104 cm) 50" (127 cm) Yes Yes Yes 73" (185 cm) 65" (165 cm) 71" (180 cm) 85 lbs (39 kgs) 115 lbs (52 kgs) 137 lbs (62 kgs) Yes No No No Yes (optional) Yes (optional) N/A Yes Yes *Many customers purchase MDS600EL since it lifts 6" (15.2 cm) higher than the MDS400EL and has 10" (25.4 cm) more room between the patient and actuator. MDS400EL is recommend only if you have very limited space in your facility. 1-800-MEDLINE | www.medline.com 17 Slings Slings Supporting the patient during transferring and lifting procedures How to Determine a Patient's Sling Size 1 Measure dimension around the shoulders (see A in diagram) 2. Measure dimension around the chest, under arms (see B in diagram) 3. Weigh the patient 4. Review the sling specifications chart below for appropriate sling size. Sling Specifications Chart Small Medium Large Bariatric A - Circumference in inches around the shoulders U-Shaped 28"-45" 37"-57" 47"-67" Universal Slings (71-114 cm) (94-145 cm) (119-170 cm) A B 57"-80" (145-203 cm) B - Circumference in inches around the chest Toileting Slings Stand Assist Slings 26"-42" (66-107 cm) 28"-42" (71-107 cm) 30"-48" (76-122 cm) 30"-48" (76-122 cm) 38"-60" (97-152 cm) 36"-60" (91-152 cm) 58"-73" (147-185 cm) 50"-79" (127-201 cm) 160-280 lbs. (73-127 kgs) 200-600 lbs. (91-272 kgs) Body Weight Full-Body Slings N/A 100-180 lbs. (45-82 kgs) Above dimensions are guidelines and may vary by user 18 Slings U-Shaped Slings Designed for comfort and created to be easy-to-use, the u-shaped sling is a secure, easy-to-fit general purpose sling. U-shaped slings have the advantage of being easy to put under and remove from patients. Washable For 6-Point Cradles Only MDSPHS3 Mesh Slings/No Head Support item number description MDSM2 400 lb (181 kg) Medium MDSM3 400 lb (181 kg) Large Mesh Slings With Head Supports item number description MDSMHS1 400 lb (181 kg) Small MDSMHS2 400 lb (181 kg) Medium MDSMHS3 400 lb (181 kg) Large Padded Fabric Sling/With Head Support item number description MDSPHS1 400 lb (181 kg) Small MDSPHS2 400 lb (181 kg) Medium MDSPHS3 400 lb (181 kg) Large MDSPHS4 600 lb (272 kg) Bariatric Padded Fabric Slings/No Head Support item number description MDSP2 400 lb (181 kg) Medium MDSP3 400 lb (181 kg) Large MDSP4 600 lb (272 kg) Bariatric Padded Fabric Slings/No Head Support item number description MDSHC70002 Medium 500 lb (227 kg) (best fit 99-210 lbs, 45-95 kg) MDSHC70001 Large 500 lb (227 kg) (best fit 198-350 lbs, 89-159 kg) MDSHC70000 X-Large 600 lb (272 kg) (best fit 270-600 lbs, 122-272 kg) MDSHC70002 MDSHC70012 Padded Fabric Slings With Head Support item number description MDSHC70012 Medium 500 lb (227 kg) (best fit 99-210 lbs, 45-95 kg) MDSHC70011 Large 500 lb (227 kg) (best fit 198-350 lbs, 89-159 kg) MDSHC70010 X-Large 600lb weight capacity (best fit 270-600 lbs) Disposable For 6-Point Cradles Only Disposable slings are great for reducing cross-contamination. They are intended for single patient use. Disposable slings are not to be laundered, they are to be disposed of before they begin to show signs of wear. U-Shaped Disposable Slings/No Head Support item number description MDSD2 600 lb (272 kg) Medium, 10 per pkg MDSD3 600 lb (272 kg) Large, 10 per pkg U-Shaped Disposable Slings with Head Support item number description MDSDHS1 600 lb (272 kg) Small, 10 per pkg MDSDHS2 600 lb (272 kg) Medium, 10 per pkg MDSDHS3 600 lb (272 kg) Large, 10 per pkg MDSDHS3 MDSD3 1-800-MEDLINE | www.medline.com 19 Slings Full Body Slings Designed with comfort and safety in mind, these slings feature a unique, fully padded fabric that forms a soft yet supportive surface. The full-body slings have a four point hookup. Full body slings have the primary advantage of fewer loops to connect to the cradle, as well as versatility to be used with either 4-point or 6-point lift cradles. Washable For 4-Point or 6-Point Cradles Full Body Solid Fabric Slings Full Body Mesh Slings item number item number description MDSR112 450 lb (204 kg) Medium MDSR113 450 lb (204 kg) Large MDSR117 450 lb (204 kg) X-Large description MDSR110 450 lb (204 kg) Medium MDSR111 450 lb (204 kg) Large MDSR140 600 lb (272 kg) XX-Large MDSR113 Full Body Mesh Slings with Commode Opening item number MDSR114 MDSR115 MDSR116 MDSR141 description 450 lb (204 kg) Medium 450 lb (204 kg) Large 450 lb (204 kg) X-Large 600 lb (272 kg) XX-Large MDSR115 Padded Toileting Slings Specifically designed for toileting and hygiene functions, the large opening around the seat of the sling facilitates dressing and undressing for toileting. These slings also feature a unique, fully padded fabric that forms a soft yet supportive surface. The stretch-resistant material means the slings will hold their shape for extended support and easy positioning. Patient must have head and neck control to use this sling. This sling can be used in combination with Medline’s stand assist or elevating floor lift. Padded Toileting Slings item number description MDSTO1 MDSTO2 MDSTO3 MDSTO4 400 lb (181 kg) Small 400 lb (181 kg) Medium 400 lb (181 kg) Large 600 lb (272 kg) Bariatric MDST03 20 Slings Stand Assist Slings For use with Medline’s stand assist lifts, these slings provide the extra support the patient needs to stand. The best feature of the Medline stand assist sling is the extra padding in the lumbar and under-arm areas for improved patient comfort. Washable Stand Assist Padded Slings item number MDSSA1 MDSSA2 MDSSA3 MDSSA4 description 400 lb (181 kg) Small 400 lb (181 kg) Medium 400 lb (181 kg) Large 600 lb (272 kg) Bariatric MDSSA3 Optional Accessory: Stand Assist Buttock Straps (Use with Stand Assist Padded Sling) item number description MDSBSS MDSBSB 400 lb (181 kg) Standard 600 lb (272 kg) Bariatric MDSBSS Disposable Disposable slings are great for reducing cross-contamination. They are intended for single patient use. Disposable slings are not to be laundered, they are to be disposed of before they begin to show signs of wear. 7 Keys to Success Single Patient Stand Assist Slings item number description MDSDSA662 Medium, 400 lb (181 kg) Torso 29"-48" (74-122 cm) MDSDSA663 Large, 400 lb (181 kg) Torso 36"-60" (91-152 cm) MDSDSA664 Bariatric, 600 lb (272 kg) Torso 50"-79" (127-201 cm) 1. Have the right equipment: Partial weight-bearing patients — Sit-to-stand assist Non weight-bearing patients — Elevating floor lift 2. Ensure adequate equipment levels for staff use 3. Implement a safe patient handling policy 4. Identify a safe lifting program champion 5. Train caregivers on both the policy and equipment 6. Assess the patient’s weight-bearing ability on a regular basis 7. Encourage full reporting and tracking of all injury incidents 1-800-MEDLINE | www.medline.com 21 SoloLift/SoloVest SoloLift and SoloVest Lifts for the developmentally disabled population SoloLift •S upports all patients, up to 350 lbs., even those with no weight-bearing ability. •E nables a single caregiver to transfer a patient to and from a wheelchair, chair, toilet, gait trainer, bed, or the floor. •C reates many new opportunities for easier and more dignified transfers by lifting patients in a natural sit-to-stand arc, from above the waist, using the specialized SoloVest. specifications Overall Length: 48" (122 cm) Overall Width: 31" (79 cm) min – 52" (132 cm) max Overall Height: 39" (99 cm) min – 72½" (185 cm) max SoloLift Weight: 140 lbs (64 kgs) SoloVest Weight: 5 lbs (2.3 kgs) item number description Mdsr711 Frame, SoloLift, R711 Mdsr712 Frame, SoloLift, with Scale, R712 Mdsr706 Cord, Power Supply, R706 SoloVest •W ith no straps below the waist, preparing the patient for transfer is easier, and clothing remains accessible for toileting. •F oam padding ensures comfort and skin protection around the patient’s arms and upper torso. •T ightens with just two straps secured by automotive-grade snap-in buckles. item number Mdsr703 MDSR701 Mdsr702 SoloVest, 350 lb (159 kg), Small (green) Girth: 22"-34" (56-86 cm), R703 SoloVest, 350 lb (159 kg), Medium (Lt. Blue) Girth: 28"-40" (71-102 cm), R701 SoloVest, 350 lb (159 kg) , Large (Dark Blue) Girth: 36"-60" (91-152 cm), R702 description Ordering Your SoloLift and SoloVest: 1. D etermine which size SoloVest is appropriate by measuring girth. 2. S elect the frame model (with or without scale), which includes two leg straps, two batteries, and a battery charger. 3. Order power supply cord. 22 Caregiver must consider patient’s girth when selecting appropriate SoloVest. Important: User’s weight and height must not exceed maximum 350 lbs / 76" (159 kg/193 cm). Gait Pacer Gait Pacer • Prompts mount anywhere; no tools required • Simple two-handed height adjusts in 1" increments • Innovative casters with separate swivel lock, brake, variable drag and one-way ratchet control • Fits easily in car trunks and through 32" door frames • Easy rear access for transfers from SoloLift • Patient’s can face either way (posterior or anterior) item number MDSK521 MDSK531 MDSK544 MDSK518 MDSK524 MDSK532 MDSK533 MDSK534 MDSK535 MDSK542 MDSK546 MDSK526 MDSK536 description medium, large and x-large gait pacers and accessories Frame, Medium For Gait Pacer Frame, Large For Gait Pacer Frame, XL, For Gait Pacer Tray, Communication, K518 Prompt, Chest, Medium, K524 Set, Prompt, Large Arm, K532 Positioner, Hip, K533 Prompt, Chest, Large, K534 Set, Prompt, Thigh, K535 Pad, Positioner, Hip, K542 Set, Prompt, Ankle, K546 Set, Prompt, Ankle, Med, F/Gait Pacer Set, Prompt, Ankle, Large, F/Gait Pacer Frame Colors Red How to order: 3. C hoose the accessories you need based on frame size selected. Purple Electric Lime Important: Make sure the chest prompt width is adequate, allowing for growth. User’s weight must not exceed the maximum working load. Small and medium prompts are recommended for most users of the medium Pacer. 2. Select frame and color. Arm Proper Height Overall Width x Length Chest Prompt Height (Top Edge) Frame Height Folded Frame Weight Max. Working Load Chest Prompt Circumference Raspberry Champagne Measure the vertical distance from the bent elbow to the floor while the user is standing upright. Choose the gait trainer that allows for growth. 1. D etermine the size needed based on the patient’s size (see chart below). item dimensions Blue medium large x-large 24"-34" (61-86 cm) 26" x 32" (66 x 81 cm) 28"-38" (71-97 cm) 21"-26" (53-66 cm) 32" x 26" x 17" (81 x 66 x 43 cm) 15 lbs (7 kg) 150 lbs 22"-40" (56-102 cm) 31"-46" (79-117) 271⁄2 " x 38" (70 x 97) 35"-50" (89-127) 28"-38" (71-97) 38" x 271⁄2 " x 171⁄2" (97 x 70 x 44 cm) 271⁄2 lbs (12.5 kg) 200 lbs 28"-50" (71-127 cm) 34"-50" (86-127 cm) 32"x45" (81 x 114 cm) 39"-54" (99-137 cm) 311⁄2"-411⁄2" (80-105 cm) 45" x 32" x 18" (114 x 81 x 46 cm) 45 lbs (20 kg) 275 lbs 28"-50" (71-127 cm) 1-800-MEDLINE | www.medline.com 23 Transfer Boards Transfer Boards • Smooth and strong, allowing for quick and effective patient transfers • Made of high density polyethylene • Easy to clean 24 Full Length Half Length Optional: Three 2" (5 cm) web nylon restraint straps with side release plastic buckles ensure safe and secure transfers Optional: Two 2" (5 cm) web nylon restraint straps with side release plastic buckles ensure safe and secure transfers item number description item number description PVCM600A 71" L x 231⁄2" W (180 cm L x 60 cm W) 8 carrying handles 500 lb (227 kg) weight capacity PVCM600H 31" L x 23" W (79 cm L x 58 cm W) 6 carrying handles 500 lb (227 kg) weight capacity Narrow Full-Length Wide Full-Length Optional: Three 2" (5 cm) web nylon restraint straps with side release plastic buckles ensure safe and secure transfers Optional: Three 2" (5 cm) web nylon restraint straps with side release plastic buckles ensure safe and secure transfers item number description item number description PVCM600N 71" L x 153⁄4" W (180 cm L x 40 cm W) 8 carrying handles 500 lb (227 kg) weight capacity PVCM600W 71" L x 351⁄2" W (180 cm L x 90 cm W) 8 carrying handles 500 lb (227 kg) weight capacity Transfer Sheets PolyGlide Transfer Sheets Helps reduce the potential of patient and caregiver injury • PolyGlide transfer sheets minimize manual patient handling during lateral transfers and repositioning, thereby increasing patient comfort. • For the caregivers, transfer sheets reduce the effort required during lateral transfers and repositioning and hence minimizes potential caregiver back injuries. Positioning Autoclavable for Use in the O.R.! • Can be autoclaved providing sterility for O.R. use. • Long lasting PolyGlide transfer sheets can be washed up to 150 times without losing the Anti-Bacterial finish.* Provides barrier protection • Constructed of Polyester and Taffeta with a Silicon finish. • PolyGlide transfer sheets have a Micro Barrier and finish. Promotes safe handling procedures Turning • Optional storage bag can be attached to bed or stretcher making sheets easy to access, which may increase compliance. *R ecommended washing is 149 to 167° F and drying from 122 to 149° F. Chlorine bleach is not recommended, but hydrogen peroxide or peracetic acid can be used instead. This product does not protect users or others, from disease causing bacteria. Putting patient to bed FSS6072BH FSS6072RH PolyGlide Transfer Sheets item number description FSS6072BH PolyGlide transfer sheet standard with handles, blue, 500 lb capacity, 60" x 72" (152 x 183 cm) FSS6072RH PolyGlide transfer sheet standard with handles, burgundy, 700 lb capacity, 60" x 72" (152 x 183 cm) FSSBAGB PolyGlide transfer sheet bag, blue Lateral Transferring ® 1-800-MEDLINE | www.medline.com 25 Stretchers Durable Stretchers Keeping you prepared for any situation in the ER, OR, ICU Height Adjustable Hydraulic Stretcher 450 lb (204 kg) Weight Capacity Dual Foot Pedal Control Trendelenburg and Reverse Trendelenburg; 28" x 76" (71 x 193 cm) patient surface. Includes: All surface carpet casters; Four wheel central wheel locks; Power assist fowler back rest, 0-90 degrees; Non-marring bumper; Swing down tuck away side rails; Zero transfer gap; Hinged 3" (8 cm) mattress pad; Beachwood/Beige powder coat finish; Fully welded litter top, prevents fluid accumulation; Height Adjustment From 24" to 34" (61 to 86 cm). item number MPH08S890 description 450 lb (204 kg) weight capacity Bariatric Transport Stretcher 1,000 lb (454 kg) Weight Capacity Rugged reinforced frame and litter top; Three position vertical side rails; Foot pedal control hydraulic fowler back rest; Four wheel central locking; Full perimeter non-marring bumper; Four IV receptacles; 4" (10 cm) high density mattress pad; Litter top usable patient surface measures 37" x 80" (94 x 203 cm); Overall bumper to bumper width 40" (102 cm) for door way access; Litter top to floor height measures 293⁄8" (75 cm); Beachwood/Beige powder coat finish. item number description MPH08S1190132 1,000 lb (454 kg) weight capacity Transport Stretcher 750 lb (340 kg) Weight Capacity Comes with 3" (8 cm) blue mattress, fold down IV poles, 5th wheel steering, tuck-away side rails, quick release O2 holder, dual sided mounted hydraulic raise/lower foot pedals, pneumatic assist positive and negative trendelenburg, pneumatic assist fowler backrest, brake steer foot pedals, 8" (20 cm) mobility casters. 26 item number description PED750NPC1G 750 lb (340 kg) weight capacity Stretchers General Transport Stretcher 350 lb (159 kg) Weight Capacity Designed for general patient transport; fully welded frame and litter top; shipped set-up no assembly is required; Four IV receptacles; Full perimeter non-marring bumper; All surface casters; Two locking casters; chrome plated frame, beachwood/beige powder coat litter top. Optional Accessories: Swing down side rails; Mattress pad; Manual fowler back rest item number description MPH08S1050 350 lb (159 kg) weight capacity MPH08S1050 General Transfer and Transport Stretcher 350 lb (159 kg) Weight Capacity Designed for general patient transport; Three position vertical side rails; Fully welded frame and litter top; shipped set-up no assembly is required; Four IV receptacles; Full perimeter non-marring bumper; All surface casters; Two locking casters; chrome plated frame, beachwood/beige powder coat litter top Optional Accessories: Mattress pad; Manual fowler back rest item number description MPH08S1150 350 lb (159 kg) weight capacity Mobile In-Bed Scale Scale Highly recommended for ICU, surgical recovery and geriatric areas A hydraulic lift raises patients just inches from bed, while LCD indicator provides a quick weight readout. item number description MPH07IB02 400 lb (181 kg) weight capacity In-bed scale MPH07IB06 600 lb (272 kg) weight capacity In-bed scale MPH07IB02 1-800-MEDLINE | www.medline.com 27 Beds High Position Height of 26" Shown with optional Soft-Touch Rails and Staff Control Custom Head and Footboard. Alterra 1232 Bed Safety and comfort for the resident Minimize the risk of caregiver injury — The Alterra 1232’s maximum height of 26" makes it easy to care for residents without straining, helping to reduce the risk of back injuries. Eliminate wall damage — The bed moves from its lowest (7.25") to highest (26") height without any horizontal movement, and includes a wall guard eliminating wall damage. Be better prepared for power failures — Battery backup keeps bed functioning during power outages or emergency situations. Improve Safety for fall-risk residents — Ideal for fall-risk or Alzheimer’s patients with a low height of 7.25". 28 Ideal for Nursing Homes, Skilled Nursing Facilities and Hospices The Alterra 1232 is built with the resident in mind, with the following features designed for safety and comfort: • A smooth, quiet performance is delivered by four ultra-quiet, dependable DC motors. • Multiple positioning options are made possible by the bed’s motors, which control the bed’s height, knee hinge and reclining head deck. Residents are able to choose the perfect position for watching TV, reading, socializing or just resting. • Repositioning and rolling over are made easier by the bed’s soft-touch rails. When lowered, the rails are lower than the height of a standard mattress, making transfer on and off a stretcher hassle-free. • Strength and comfort are afforded by the bed’s unique grid/rib deck that prevents the structure from sagging. • The easy-to-operate hand pendant makes experiencing all of the Alterra 1232’s features quick and hassle-free. • Convenient T-cable allows the hand pendant to be operated from either side of the bed. • Head and footboards are secured by stability knobs. Beds The Alterra 1232 eliminates potential wall damage by moving straight up and down. Low Position Height of 71⁄4" The Alterra 1232’s battery back-up is mounted on the bed frame and keeps bed functional during a power outage or emergency situations. specifications Height Range: 71⁄4" to 26" (18-66 cm) Bed Deck Dimensions: 80" (203 cm) long, 341⁄2" (88 cm) wide Overall Length: 871⁄2" (222 cm) Weight Capacity: 450 lbs (204 kgs) Movement Styles: head, knee hinge, hi-low Deck Style: combination grid/rib Rolling Position: move at any height Motors: 4 DC Casters: 8 total, 4 locking Horizontal Movement: No The Alterra 1232’s wall guard is placed near the head section to prevent wall damage. warranty 4 years for electrical components 15 years for bed frame Lifetime for welds item number description Mattress retainers keep the mattress in place for safer transfer in and out of bed. FCE1232QO Alterra 1232 Bed Package (includes Alterra 1232 hi-low bed, head section assist rails, head/footboards in quartered oak finish, mounting hardware, 4 mattress retainers) HCPCS Code: E0266 FCE1232B Alterra 1232 hi-low bed only HCPCS Code: E0293 Stability knobs ensure that the head and footboards are properly secured. 1-800-MEDLINE | www.medline.com 29 Beds Alterra 1233 Bed Additional Width for Added Comfort Same comfort and features of 1232 but with a width of 39" Ideal for Nursing Homes, Assisted Living Facilities, Skilled Nursing Facilities and Hospices Our Alterra 1233 offers all of the same great features of the Alterra 1232 but adds increased comfort for residents with an extra-wide sleeping surface. This bed is sure to please people – such as private-pay residents – who are looking for comfortable, roomy beds similar to the beds they enjoyed in their own homes. specifications Height Range: 71⁄4" to 26" (18-66 cm) Bed Deck Dimensions: 80" (203 cm) long, 39" (99 cm) wide Overall Length: 871⁄2" (222 cm) Weight Capacity: 450 lbs (204 kgs) Movement Styles: head, knee hinge, hi-low Deck Style: combination grid/rib Rolling Position: move at any height Motors: 4 DC Casters: 8 total, 4 locking Horizontal Movement: No 4 years for electrical components 15 years for bed frame Lifetime for welds FCE1233B 30 1. Have the right equipment: Partial weight-bearing patients — Sit-to-stand assist Non weight-bearing patients — Elevating floor lift 2. Ensure adequate equipment levels for staff use 3. Implement a safe patient handling policy warranty item number 7 Keys to Success Alterra 1233 extra-wide hi-low bed only description 4. Identify a safe lifting program champion 5. Train caregivers on both the policy and equipment 6. Assess the patient’s weight-bearing ability on a regular basis 7. Encourage full reporting and tracking of all injury incidents Beds Instructions for Ordering Alterra Beds 1 Pick the Right Bed item number Custom Head/Footboard Design Options description FCE1232B FCE1233B FCE1100B FCE1000B Alterra 1232 hi-low bed only (Refer to page 28 and 29) Alterra 1233 extra-wide hi-low bed only (Refer to page 30) Alterra 1100 full-electric bed only Medline Manual 1000 manual bed only FCE01RHF* 2 Choose Your Head/Footboard & Mounting Hardware item number FCE1232RHFQO description Head/footboard in quartered oak finish with mounting hardware and mattress retainers for FCE1232B, FCE1100B and FCE1000B beds. FCE1232RHFQOS Head/footboard in quartered oak finish with staff control mounted on the footboard, staff control connecting cables, mounting hardware and mattress retainers for FCE1232B bed. MDR01HFB* MDR01HFBLS* Custom Head/Footboards Please see “Custom Head/Footboards Options” (to the right) to order custom head and footboards with or without a staff control. Examples of How to Build Your Custom-Finish Head/Footboard Item Numbers: EXTRA-WIDE BED ITEM NUMBER STAFF CONTROL FCE01RHFS ITEM NUMBER FCE01RHFW ITEM NUMBER EXTRA-WIDE BED STAFF CONTROL FCE01RHFCL* FCE01RHFWS Add suffix “S” to the item numbers to order the staff control (example: FCE01RHFS). Add suffix “W” to the item numbers to order the extra-wide bed panels (example: FCE01RHFW). Add suffix “WS” to the item numbers to order the extra-wide bed with staff control (example: FCE01RHFWS. FCE01RHFTR* FCE1232HDW Mounting hardware for head/footboards for FCE1232B, FCE1233B, FCE1100B and FCE1000B beds. 3 Select Assist Rails & Accessories item number FCE1232RSRN FCE01RHFCW* description Soft-touch assist rails for FCE1232B, FCE1233B, FCE1100B and FCE1000B beds. These assist rails can be mounted either on the head section or on the foot section of the bed deck. HCPCS Code: E0305 FCE1232RSR Head section assist rails for FCE1232B, FCE1233B, FCE1100B and FCE1000B beds. HCPCS Code: E0305 FCE1232RSRXT Extra-tall rails for FCE1232B, FCE1233B, FCE1100B and FCE1000B beds. These assist rails can be mounted either on the head section or on the foot section of the bed deck. FCE1232ABN Assist bar for FCE1232B, FCE1233B, FCE1100B and FCE1000B beds. FCE1232TPZ Trapeze adapter kit for FCE1232B, FCE1233B, FCE1100B and FCE1000B beds. Note: Trapeze (MDS80615T) not included FCE1232EXT Bed extenders to make bed 84" long for FCE1232B, FCE1100B and FCE1000B FCE123276FS Foot section to make bed deck 76" long for FCE1232B, FCE1100B and FCE1000B Custom Head/Footboard Finish Options Natural Maple Quartered Oak Wild Cherry Provincial Cherry Gunstock Walnut *Custom finish head/footboards for: FCE1232B, FCE1233B, FCE1100B and FCE1000B beds. FCE1232HDW must be ordered with this item. Items listed above are compatible with all beds except for the Medline Bariatric bed. 1-800-MEDLINE | www.medline.com 31 GUARDIAN® BATH SAFETY, WALKING AIDS AND MORE Quality and Innovative Products GET ALL THE DETAILS Contact your Medline sales representative for one of our other great catalogs and to find out how we can help you with your durable medical equipment needs. Guarantee — We guarantee everything we sell. Should you have an issue with a Medline product, please call us or speak to your Medline sales representative. We will take care of the problem immediately. We know cost is a consideration and that is why Medline offers a number of financing programs to help you purchase these products and keep your costs down. These range from lease programs to extended payment plans; ask your Medline sales representative to outline your options and the best program for your facility. If you have any questions about our products, call us at 1-800-MEDLINE or speak with your Medline sales representative. Medline Industries, Inc. One Medline Place Mundelein, IL 60060 Medline United States 1-800-MEDLINE (633-5463) Medline Canada 1-800-396-6996 Medline México 01-800-831-0898 www.medline.com | info@medline.com www.medline.ca | canada@medline.com www.medlinemexico.com | mexico@medline.com Some products may not be available for sale in Mexico or Canada. Please contact your Account Representative for additional information. We reserve the right to correct any errors that may occur within this catalog. ©2011 Medline Industries, Inc. CDC is a registered trademark of Centers for Disease Control and Prevention. NIOSH is part of the Centers for Disease Control and Prevention (CDC) within the U.S. Department of Health and Human Services. Medline is registered trademark of Medline Industries, Inc. MKT210385 / LIT539 / 10M / PPI / 17
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xmp.iid:A7AE17830D216811B4F2DDB17BF18067, xmp.iid:A8AE17830D216811B4F2DDB17BF18067, xmp.iid:0180117407206811B1A4A2C257E064DA, xmp.iid:0280117407206811B1A4A2C257E064DA, xmp.iid:0380117407206811B1A4A2C257E064DA, xmp.iid:0480117407206811B1A4A2C257E064DA, xmp.iid:0580117407206811B1A4A2C257E064DA, xmp.iid:0780117407206811B1A4A2C257E064DA, xmp.iid:0880117407206811B1A4A2C257E064DA, xmp.iid:0980117407206811B1A4A2C257E064DA, xmp.iid:0A80117407206811B1A4A2C257E064DA, xmp.iid:3A41576D9A206811B1A4A2C257E064DA, xmp.iid:3B41576D9A206811B1A4A2C257E064DA, xmp.iid:3C41576D9A206811B1A4A2C257E064DA, xmp.iid:3D41576D9A206811B1A4A2C257E064DA, xmp.iid:4041576D9A206811B1A4A2C257E064DA, xmp.iid:4141576D9A206811B1A4A2C257E064DA, xmp.iid:4241576D9A206811B1A4A2C257E064DA, xmp.iid:4341576D9A206811B1A4A2C257E064DA, xmp.iid:7142D5351F2068118083D96DDB0725A5, xmp.iid:7242D5351F2068118083D96DDB0725A5, xmp.iid:6745CCC91F2068118083D96DDB0725A5, xmp.iid:1D8C5774072068118083C620980313E1, xmp.iid:1E8C5774072068118083C620980313E1, xmp.iid:EF97AD48102068118C14AFED81A580F5 History When : 2010:12:30 22:38:44-06:00, 2010:12:30 22:46:08-06:00, 2010:12:30 22:46:08-06:00, 2010:12:30 23:14:59-06:00, 2010:12:31 09:39:09-06:00, 2010:12:31 09:51:56-06:00, 2010:12:31 09:56:15-06:00, 2010:12:31 10:06:29-06:00, 2010:12:31 10:15:55-06:00, 2010:12:31 10:24:21-06:00, 2010:12:31 10:45:48-06:00, 2010:12:31 10:47:35-06:00, 2010:12:31 10:49:42-06:00, 2010:12:31 11:22:10-06:00, 2010:12:31 11:46:37-06:00, 2011:01:02 21:14:13-06:00, 2011:01:02 21:23:03-06:00, 2011:01:02 21:41:10-06:00, 2011:01:02 21:44:44-06:00, 2011:01:02 21:46:13-06:00, 2011:01:02 21:46:52-06:00, 2011:01:03 08:27:40-06:00, 2011:01:03 14:14:39-06:00, 2011:01:03 14:26:46-06:00, 2011:01:03 14:35:13-06:00, 2011:01:03 14:38:06-06:00, 2011:01:03 14:47:29-06:00, 2011:01:03 14:51:38-06:00, 2011:01:03 14:56:23-06:00, 2011:01:03 14:56:59-06:00, 2011:01:03 14:57:29-06:00, 2011:01:03 14:59:24-06:00, 2011:01:03 14:59:46-06:00, 2011:01:03 15:06:46-06:00, 2011:01:03 15:07:51-06:00, 2011:01:03 15:10:19-06:00, 2011:01:03 15:58:36-06:00, 2011:01:03 15:58:36-06:00, 2011:01:07 09:57:12-06:00, 2011:01:07 16:18:52-06:00, 2011:01:07 18:01:49-06:00, 2011:01:07 21:40:51-06:00, 2011:01:07 21:44:47-06:00, 2011:01:07 22:07:46-06:00, 2011:01:07 22:08:13-06:00, 2011:01:07 22:12:20-06:00, 2011:01:07 22:22:54-06:00, 2011:01:07 22:28:22-06:00, 2011:01:07 22:32:29-06:00, 2011:01:07 22:35:38-06:00, 2011:01:07 22:46:42-06:00, 2011:01:07 22:47:53-06:00, 2011:01:07 22:55:33-06:00, 2011:01:07 23:40:05-06:00, 2011:01:07 23:45:54-06:00, 2011:01:07 23:51:47-06:00, 2011:01:08 00:01:39-06:00, 2011:01:08 09:17:58-06:00, 2011:01:08 09:17:58-06:00, 2011:01:08 09:30:10-06:00, 2011:01:08 09:39:48-06:00, 2011:01:08 09:49:37-06:00, 2011:01:08 10:22:09-06:00, 2011:01:08 10:26:47-06:00, 2011:01:08 10:38:53-06:00, 2011:01:08 10:49-06:00, 2011:01:08 11:12:55-06:00, 2011:01:08 11:15:04-06:00, 2011:01:08 11:43:56-06:00, 2011:01:08 15:39:57-06:00, 2011:01:08 16:22:56-06:00, 2011:01:08 16:25:30-06:00, 2011:01:08 16:33:22-06:00, 2011:01:08 16:39:47-06:00, 2011:01:08 16:45:40-06:00, 2011:01:08 16:53:35-06:00, 2011:01:08 17:00:06-06:00, 2011:01:08 17:06:43-06:00, 2011:01:08 17:13:07-06:00, 2011:01:08 17:20:36-06:00, 2011:01:09 00:08:36-06:00, 2011:01:09 17:25:47-06:00, 2011:01:09 17:26:15-06:00, 2011:01:09 19:06:33-06:00, 2011:01:09 22:52:12-06:00, 2011:01:10 08:50:03-06:00, 2011:01:10 09:59:13-06:00, 2011:01:10 10:51:16-06:00, 2011:01:10 10:52:33-06:00, 2011:01:10 10:53:28-06:00, 2011:01:10 10:57:53-06:00, 2011:01:10 12:38:12-06:00, 2011:01:10 12:47:18-06:00, 2011:01:10 12:50:04-06:00, 2011:01:10 14:41:40-06:00, 2011:01:10 17:58:38-06:00, 2011:01:11 15:29:39-06:00, 2011:01:11 15:47:33-06:00, 2011:01:12 14:23:04-06:00, 2011:01:12 14:23:04-06:00, 2011:01:12 14:27:12-06:00, 2011:01:13 07:14:46-06:00, 2011:01:13 07:27-06:00, 2011:02:09 09:20:07-06:00 History Software Agent : Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 6.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0 History Changed : /, /metadata, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /metadata, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /metadata, /;/metadata, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /, /;/metadata, /metadata, /;/metadata, /;/metadata, /;/metadata, /;/metadata Derived From Instance ID : xmp.iid:1ED17F22CB206811B4F2DDB17BF18067 Derived From Document ID : xmp.did:0A80117407206811958DD16D755C427E Derived From Original Document ID: xmp.did:01801174072068119A82F04BDA4091F4 Derived From Rendition Class : default Doc Change Count : 3095 Format : application/pdf Producer : Adobe PDF Library 9.9 Trapped : False Page Count : 32 Creator : Adobe InDesign CS5 (7.0.3)EXIF Metadata provided by EXIF.tools