Ordering a pressure relieving mattress

Assessment flowchart for ordering therapeutic mattresses from Arjo

Patient at risk of Pressure Damage

OR

Blanching erythema/Grade 1-2/WATERLOW <20
Carry out positional changes on electric profiling bed/30 degree tilt
Nurse on pressure reducing foam mattress (Pentaflex)

Deteriorating skin integrity/ Established pressure damage/DTI/Unable to carry out regular positional changes/Up to Grade 4/Ungradable
WATERLOW > 20
HIGH-VERY HIGH RISK
AURALIS (incorporates Heelguard)
Max weight 39 stones/250kg
If patient cannot tolerate an alternating support surface contact TVN or Arjo clinical nurse advisor for clinical advice

Specialist products
Bariatric equipment
Arjo Clinical Nurse Advisor: Jo Robertson (07815 660628 Joanna.Robertson@arjo.com)
or
Bariatric equipment specialist Christina Boyle (07812766981 Christina.Boyle@arjo.com)

Seating cushions: AURA (Indicated for all Grades of Pressure Ulcers Max Weight 18 Stones/120kg)

Consider the following:

  • Continual reassessment of patient utilising the flow chart is essential to ensure all patients receive optimum benefit of equipment
  • Waterlow Risk Assessment score must be used in conjunction with Clinical Judgement
  • If the patient has a spinal injury or unstable fracture consent from a clinician must be obtained before using a therapeutic mattress
  • Ensure positional changes are carried out as per Care Rounding Tool.

Stepping down: Ask yourself: -

  • Are the patients pressure areas improving?
  • Is their mobility improving and they are now able to move themselves independently?
  • Can they turn in bed with minimal assistance? Is the patient to be discharged within 72 hours? Will they be discharged with an Alternating/Specialised Support Surface?
  • If the patients mobility and/or skin is now improving and/or they are not being discharged with a specialised mattress then step down to Pentaflex.

Ordering or cancelling Arjo rental mattresses and beds

Steps to registering with Arjo Express

Email arjoexpresssupport.uk@arjo.com to request a username and password stating your ward and hospital site

You will be sent a username and password as well as a link to Arjo Express

Save link to ‘My favourites’ or ‘Desktop’ for quick access

Insert username and password when prompted to access Arjo Express

The systems listed below can be ordered, cancelled or faults reported via the online ordering service Arjo Express. No purchase order numbers are required for these systems. Please remember to either move or cancel equipment once the patient has left your ward.

To move equipment on ArjoExpress: click on hyperlink next to patients’ name > select change unit/ward > select appropriate ward from drop down menu

Rental system Maximum patient weight (kgs)
Auralis mattress replacement 250
Aura seat cushion 120
Citadel plus bed with Atmosair fit, Sapphire or comfort turn mattress 454
Baros Bed with Sapphire or comfort turn mattress 454

If requested for a ‘Bill to’ – choose 2124672

For clinical advice, please contact within working hours, the Arjo clinical nurse advisors;

Jo Robertson: 07815 660628

Sarah Smith: 07836 238676

For clinical advice out with working hours, contact Arjo head office: 0345 734 2000