Ossur Miami Jr. Bedienungsanleitung Seite 8

Unless otherwise specified by your child's doctor: do not remove the collar except to
wash under it and change the pads.
COLLAR REMOVAL AND SKIN CARE
Your child must be lying down in proper anatomical (airway and c-spine) alignment to
remove the collar, unless your doctor gives you permission to do this in a sitting
position.
1. Before removing the collar, note or mark with a pen where the ends of the velcro straps are. When
the collar is replaced, the straps should be returned to the same position (Figure 13).
2. Undo the Velcro straps. Remove the Back of the collar, sliding out from under neck if necessary
(Figure 14).
3. Remove collar Front. If present, unfasten the elastic Assist Strap that goes around the back of the
neck (Figure 15).
4. Clean the Front and Back of collar and replace the soiled pads with clean ones as directed in "Collar
Cleaning" section.
5. Wash front of neck with mild facial soap and water and completely dry the skin Observe for any
redness or irritation under the collar, especially over bony areas like the chin, clavicles or occiput
(back of head) (Figure 16).
6. Slide the Back carefully behind the child's neck. Make sure it is centered evenly
7. Replace collar Front by sliding it up the chest wall and scooping it up! under the child's chin.
(Figure 18).
8. Place a small pillow or folded towel under child's cheek to prevent the head from tilting sideways.
Gently roll the patient onto his/her side (Figure 19).
9. Undo the Velcro strap on the top side of the collar and fold the Back down to clean and check the
back of the child's head for redness or irritation. Make sure the back collar is re-placed and securely
refastened after skin check (Figure 20).
COLLAR CLEANING
1. Peel the soiled, blue pads off velcro attachment. Look carefully at the shape as you remove them so
that you can reposition the clean pads properly.
2. Wash pads with mild facial soap and water
DO NOT use bleach or harsh detergents. Thoroughly rinse pads with clean water. Wring
out excess water and squeeze pads in a towel. Lay pads out flat to air dry. It should take
less than 60 minutes for them to dry.
3 Wipe white plastic collar shell clean with mild soap and water (Figure 22).
4 Attach new pads. Fold pads in half with dull side out next to the velcro (shiny side goes against
skin); then center pad in the white shell. Adjust the pads as needed to make sure no plastic touch-
es the skin (Figure 23).
FINAL CHECKLIST
A properly applied Miami Jr will look like the bottom two pictures in Figure 24.
- Collar extends from jaw to just below sternal notch.
- Chin is centered comfortably in the chin piece. Chin should not extend over edge of
Sorbatex™ pad, nor fall inside collar.
- Velcro straps oriented blue-on-blue, both the same length.
- Sides of the Back should overlap sides of the Front.
- Front of collar angled up toward ears. Lower plastic edge should not be resting on
patient's clavicles nor digging into the shoulder.
- No plastic touching skin. Blue Sorbatex™ pads extend beyond all plastic edges.
No slack or gaps in any of the straps.
The large front/back openings are centered on the neck.
TROUBLESHOOTING:
An improperly applied Miami Jr will look like the top two pictures in
A. is too small
B. is too large
(Figure 21).
(Figure 24)
(Figure 17).
.
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