The new technology in turn management The system is a major innovation in the management and prevention of pres-sure ulcers. It provides caregivers with technology to implement standard care protocols as individualized turn man-agement care plans, providing better care and making more efficient use of staff resources.

Key featuresContinuously monitors for turns, urinary incontinence and bed exitsThe monitor tracks the movement of patients in bed to ensure that they shift position at regular intervals, and remain in the new position long enough to allow tissue re-oxygenation. If the patient fails to move within a programmable interval, is incontinent or attempts to exit the bed, staff is immediately informed.

Programmable settings Both the turn time and re-oxygenation time are fully programmable to implement an individual care plan for each person.

Complete record of eventsThe monitor records all changes in bed position, urinary incontinence events and bed exit events, as well as any power interruptions and caregiver resets to the device, to help staff improve its care and document its due diligence.

Encourages bed-ridden individuals to move on their ownThe monitor can be programmed to emit sounds that encourage the individual to shift on their own. The unit sends out a gentle background noise that helps drown out facility sounds. This “white noise” is automatically switched off as the time comes for the patient to turn, and is replaced by a steady beep to disturb the patient’s sleep even further if they do not move. If these attempts fail, caregiver intervention will be required by the unit’s alarm.

From the makers of Bed-Check fall monitorsThe turn management system was developed by the same team the that introduced the first fall monitor more than 30 years ago. It’s another innovation driven by our commitment to help you improve patient care.

Benefits of the System

y Easier admission assessments The assessment mode gives you complete history of a new patient’s movements during their first 72 hours

y Reduce F-Tag risk You will have data to show that you followed your care plan

y Helps with pressure ulcer treatment The system helps you better manage existing pressure ulcers and your efforts to prevent new ones

y Improve care Programmable settings let you customize the care program for each patient

Call us toll free at 800-523-7956 or visit www.stanleyhealthcare.com

Turn Management SystemFrom the makers of Bed-Check® fall monitors

©2009 Stanley Security Solutions, Inc. DOC-12-70020-AA

ProblemTwo of the most critical AMDA Pressure Ulcer Clinical Practice Guidelines – Pressure Ulcer Preven-tion Measures are also the most tedious to achieve:• Create a turning and positioning schedule that is based on the patient’s individual risk factors• Evaluate and manage urinary and fecal incontinence

SolutionA new device will be available soon that will make achievement of these guidelines much less tedious:

The Roll-Check™ turn management system by Stanley Healthcare Solutions – the makers of Bed-Check® fall management systems

The Roll-Check is a significant new innovation in the management and reduction of pressure ulcers. It provides caregivers with technology to implement individualized turn management care plan protocols, providing more certainty of care while also allowing more efficient use of staff resources.

The elapsed time between staff visits to the patient’s room will no longer be a “blind spot” or an information gap for the staff. All of the patient’s position changes, incontinence events or bed exit events will be documented and the Roll-Check will ensure that the patient’s individual care plan has not only been implemented but also achieved. What is the Roll-Check turn management system?The Roll-Check is a new device designed to:• Monitor patient position changes within a bed and alert staff if the patient is not turning according to programmed time parameters• Alert staff of any patient liquid incontinence events• Alert staff of any patient bed exit events (creating a potential fall risk)

The Roll-Check automatically tracks and records patient movements, 24/7, and uses a sophisti-cated, artificial intelligence program to continually interpret this information and then to adjust its operation based on the patient’s actual activity.

The Roll-Check assures caregivers that the patient does not remain in one position longer than the programmed turn time selected by the caregiver. The factory setting is two (2) hours.

The Roll-Check assures caregivers that ischemic tissue which has been under pressure is allowed a programmed amount of time to re-oxygenate. The factory setting for re-ox time is fifteen (15) minutes.

The Roll-Check validates a position change only if the patient remains in the new position for the duration of the programmed “re-ox time”. If not, the position change is ignored.

New Technology To Assist Caregivers In Reliably Achieving Turning Schedules and Incontinence Management

Stanley Healthcare SolutionsAs long as the patient moves according to the programmed turn and re-ox times, the caregiver is not required to attend to the patient. In fact, the Roll-Check will encourage the patient to turn. In either situation, the Roll-Check saves precious caregiver time. However, if, at any time, the patient fails to move according to the programmed times, the caregiver is alerted that the patient requires their attention.

Caregiver intervention is always required if an incontinence or bed exit event occurs.

All patient activity and caregiver responses are recorded and stored in the Roll-Check and can be downloaded to a PC for care planning, reporting or analysis.

Roll-Check Equipment and InstallationThe Roll-Check turn management system comprised of 3 pieces of equipment: • Control unit with IV stand• Turn Sensormat® for detecting patient turn and exit events• Wet-Check® for detecting patient liquid incontinence events

The Turn Sensormat is centered on top of the mattress, under the sheet, and located under the patient’s buttocks and is held in place using rubber bands. The cord from the Turn Sensormat is attached to the control unit. The Wet-Check sensor is centered on top of the Chux pad and paper tape is used to hold the sensor in place. The sensor itself is discarded after each event and the cir-cuit strip can be cleaned and re-used. The cord from the Wet-Check Sensormat is attached to the control unit. The Roll-Check control unit can be mounted on an IV pole (preferred) or, optionally, on the headboard or footboard of the bed.

Roll-Check is a significant innovation in management and reduction of pressure ulcers.

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How does the Roll-Check work?For turns, the Roll-Check continuously tracks and records patient position using information provided by sixteen (16) discreet switches located along the length of the Turn Sensormat. An artificial intelligence program continuously interprets the input from these switches using sophisticated algorithms to determine when turns occur.

The caregiver programs the Roll-Check to define two key time intervals: turn time and re-ox time. Turn time is the maximum time that the caregiver wants the patient to remain in the same posi-tion. This interval is factory set at two (2) hours – a commonly used care protocol. Re-ox time is the minimum amount of time that the caregiver wants the patient to remain in a new position to allow ischemic tissue that has been under pressure to re-oxygenate. This interval is factory set at fifteen (15) minutes - which is not clinically substantiated as a sufficient re-ox time for all patients. However, this patented and unique capability of the Roll-Check ensures that the new patient posi-tion is maintained for a known amount of time.

The factory settings can be easily re-programmed, using the touch screen on the control unit, so that the turn and re-ox times match the protocols that the caregiver has determined will be best for the patient’s individual care plan.

If the patient turns, without assistance, and remains in a new position according to the pro-grammed turn and re-ox time intervals, the caregiver is not required to attend to the patient. A record of the patient’s position changes is stored in the Roll-Check and can be downloaded to a PC using a simple USB cable connection.

If the patient does not re-position themselves according to the programmed turn and re-ox time intervals, the Roll-Check is designed to encourage them to turn: • In the normal monitoring mode, the Roll-Check control unit produces white noise to create a soothing sound around the patient’s bed that will tend to mask the facility noise. Fifteen (15) minutes prior to the end of the programmed turn time interval, the Roll-Check will turn off the soothing white noise. This may disturb the patient enough that they will turn by themselves.• If the absence of white noise does not disturb the patient and cause them to turn, the Roll- Check control unit will start to emit a low volume intermittent beep five (5) minutes prior to the end of the programmed turn time interval. This beep may disturb the patient enough that they will turn by themselves. • If the patient still does not turn before the end of the programmed turn interval after these two disturbances, the Roll-Check control unit will sound an audible alarm in the patient’s room and also send a signal to the facility’s nurse call system. Caregiver intervention is now required to assist the patient to turn.

If the patient is able to turn during the programmed turn time interval and maintain their new po-sition longer than the pre-set minimum re-ox time, the monitor restarts the turn interval and the caregiver is not required to intervene, saving precious staff time. If the patient fails to maintain a new position for as long as the programmed re-ox time, the turn is considered invalid.

To evaluate new patients, the caregiver may also use the Roll-Check to evaluate newly admit-ted patients, e.g. during their initial 72 hours (3 days), to determine their current profile regarding movement, incontinence and bed exit. When the Roll-Check is set to its ‘EVALUATION’ mode the control unit emits no audible alarms to disturb the patient. However, by connecting the Roll-Check to the nurse call system, the patient is still kept ‘safe’ and the staff is alerted if the Roll-Check determines that there is a need. The data collected by Roll-Check can be downloaded to a PC for analysis and may be helpful in creating the patient’s individual care plan.

For liquid incontinence and bed exit events, the Roll-Check will immediately alert the staff if the patient is incontinent or attempts to exit the bed.

Value of Roll-Check to Pressure Ulcer Prevention ProgramsVisibility• Know what’s happening when staff is not in the patient’s room• Position changes• Liquid incontinence events• Bed exit attempts

Staff has more confidence in preparing individual patient care plans based on real data regarding patient movement, incontinence and bed-exit events. Eliminate the ‘information gap’ that occurs when staff is not in the patient’s room.

Certainty• Know what position the patient has been in, and for how long.• Make every staff-initiated position change the BEST choice

Staff is assured that they are not re-positioning the patient back into a position they had just recently moved from – thus unwittingly placing them at risk. Staff can improve care by knowing that their individual patient care plan was implemented and that the data is available to show that the care plan was achieved. Facilities can be assured that they are offering their patients the most sophisticated and staff friendly device available to compliment their existing Pressure Ulcer Prevention Programs.

Efficiency• Patients are encouraged to turn on their own• Staff intervention is required only if the patient does not have a valid turn

The Roll-Check enhances staff utilization and decreases staff workload by providing 24/7 tracking and recording of all patient position changes, then qualifies the position changes as either ‘valid’ or ‘invalid’ based on re-ox time and ensures immediate notification of all incontinence and bed exit attempts. Staff is free to perform other duties until the Roll-Check alerts them that the patient needs assistance.

Patients will nearly always be on their own unique turn schedule and the Roll-Check gives each patient ‘personal’ attention to their specific schedule, eliminating the need for the staff to remem-ber who needs their assistance and when.

ConclusionHow many more pressure ulcers could you prevent if: • You knew about every turn, even when you were out of the patient’s room?• You knew immediately about liquid incontinence events?• You could encourage patients to turn on their own?

The Roll-Check was created to be a “partner” in your efforts to reduce the occurrence of pressure ulcers.

©2009 Stanley Security Solutions, Inc. DOC-12-70021-AA

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