<strong>Joerns</strong> ® Support Surfaces<strong>DermaFloat</strong> ® <strong>LAL</strong>Table of ContentsImportant Precautions............................................................................................................................................... 2Introduction................................................................................................................................................................ 5Moisture ControlShear and Friction ReductionIndications for use..................................................................................................................................................... 5Spinal Cord InjuryPressure RedistributionPain ManagementFeatures...................................................................................................................................................................... 6Therapy Control Unit FeaturesTherapy Mattress System FeaturesTherapy PadsGrounding Instructions............................................................................................................................................. 6Setup........................................................................................................................................................................... 7Operation.................................................................................................................................................................... 8Modes of OperationAdditional Features.................................................................................................................................................... 8CPRTransportPower FailureCairRailsOptional AccessoriesTroubleshooting......................................................................................................................................................... 9Therapy Surface Not InflatingUnable to Change Therapy Mode or Adjust Comfort ControlNursing Procedures................................................................................................................................................... 9Recommended LinenChanging the Therapy PadResident Positioning and ComfortIncontinenceSafety Information...................................................................................................................................................... 10Resident MigrationTractionSkin CareBed HeightCleaning...................................................................................................................................................................... 10Control UnitGeneral CleaningDisinfectingTherapy PadSteam CleaningFilter CleaningMaintenance............................................................................................................................................................... 11Storage and Care....................................................................................................................................................... 11Control UnitSupport SurfaceSystem Specifications............................................................................................................................................... 12WeightDimensionsElectrical SpecificationsEnvironmental ConditionsAgency ApprovalsCall for Assistance..................................................................................................................................................... 12Warranty...................................................................................................................................................................... 144
<strong>Joerns</strong> ® Support Surfaces<strong>DermaFloat</strong> ® <strong>LAL</strong>IntroductionThe <strong>DermaFloat</strong> ® <strong>LAL</strong>, provided by <strong>Joerns</strong> Healthcareis a unique therapy system that provides pressureredistribution by combining low air loss with pulsation.Low air loss therapy has been demonstrated to reducethe risk of pressure ulcers as well as being a valuableaid in the treatment of pressure ulcers. The pulsationfeature may provide additional resident comfort andenhance the lymphatic system. The <strong>DermaFloat</strong> <strong>LAL</strong>is designed as a mattress replacement system forresidents weighing up to 500 lbs.Warning: The risk of entrapment can arise whenequipment is placed on bed frames that leave gaps ofeven a few inches between the mattress and the headpanel, foot panel, and bed or side rails. The equipmentis NOT to be used when such gaps are present. See“Important Precautions” section of this manual.The <strong>DermaFloat</strong> <strong>LAL</strong> mattress replacement systemis suitable for both the treatment of existing pressureulcers Stage I through Stage IV as well as forthose who have been assessed at risk from thecomplications of immobility. The <strong>DermaFloat</strong> <strong>LAL</strong>is quiet, comfortable and simple enough for singlecaregiver installation, featuring rapid inflation in justfive minutes or less. The user-friendly controls allowfor easy adjustment of resident comfort.Additionally, low friction and low shear materials,together with average interface pressures well belowcapillary closure levels, means that the <strong>DermaFloat</strong><strong>LAL</strong> meets the comfort and clinical requirements ofyour residents up to 500 lbs.We have ensured that the <strong>DermaFloat</strong> <strong>LAL</strong> addressesthe four key areas in the treatment of compromisedskin: pressure redistribution, moisture control, andreduction in both friction and shearing forces.Moisture ControlResidents are at risk for skin maceration if excessmoisture is permitted to accumulate beneath theresident. This may be due to perspiration, incontinenceor wound drainage.On the <strong>DermaFloat</strong> <strong>LAL</strong>, moisture is controlled viathe specially treated breathable, fluid-proof, urethanecoated nylon therapy pad. The moisture vaporpermeable fabric of the therapy pad allows a sufficientamount of air to circulate beneath the pad and wicksaway excess moisture.Shear and Friction ReductionShearing occurs when the skin is stationary in relationto the support surface, while the underlying tissuesand vessels are stretched and damaged. When aresident’s skin rubs against another surface, the resultis friction. The top surface of the <strong>DermaFloat</strong> <strong>LAL</strong>therapy pad is constructed from a very smooth nylonfabric with low friction and low shear properties toprotect the resident’s skin from these damaging forces.Indications for UseNote: The selection of a pressure-redistributingsurface needs to be based on each individualresident’s clinical condition, diagnosis and/orco-morbidities. The choice and use of a supportsurface is one factor in a holistic program of woundcare and treatment.Spinal Cord InjuryThe <strong>DermaFloat</strong> <strong>LAL</strong> is not recommended for use byresidents with unstable spinal fractures. Advice shouldbe obtained from the appropriate physician beforeusing the <strong>DermaFloat</strong> <strong>LAL</strong> system for these residents.Pressure RedistributionPressure UlcersNeurologyBurnsPain ManagementAIDSOncologyRehabilitationDermatologyAmputationsArthritisThe <strong>DermaFloat</strong> <strong>LAL</strong> provides distribution of weightover a wide surface area, which redistributes pressureagainst bony prominences and provides a soft, gentletherapy surface to lie on. For residents experiencingsevere pain and discomfort due to pressure and/orpositioning limitations, consider the <strong>DermaFloat</strong> <strong>LAL</strong>as an adjunct to pain management interventions.Note: Pressure redistribution and pain managementare conditions and diagnoses for which the<strong>DermaFloat</strong> <strong>LAL</strong> may be indicated. Occasionally,there are orthopedic and neurological residents thatrequire body positioning to be maintained in specificalignment. The use of the <strong>DermaFloat</strong> <strong>LAL</strong> for theseresidents should be considered on an individual basisand discussed with the attending physician.5