**Guidelines for Evaluating Bed Systems**

This guide is intended to help you evaluate hospital bed systems. We
will use the information you give us to make better decisions when
purchasing beds. Wait until you have used the bed a few times before
completing the survey, and make sure you use all of the features
including:

1.  Use both the hand and footboard controls to raise and lower the head
    of bed and foot of bed, position the bed in Trendelenburg and
    reverse Trendelenburg, and lower and raise the whole bed.

2.  Raise and lower the side rails.

3.  Lock and unlock the wheels.

4.  Roll the bed a distance of 15 feet.

5.  Remove the headboard.

6.  Put someone in the bed and use the scale feature.

7.  Get in the bed and use the side rails as hand holds for turning from
    side to side, move from a recumbent to sitting position, and to get
    into and out of bed.

8.  If equipped with a fall detection system, test it with someone
    moving in bed and getting out of bed.

9.  Attach Oxygen tank and IV Pole to bed.

10. **Remember to check the boxes for your Unit and the Bed**

**SURVEY FORM IS ON THE BACK OF THIS PAGE**

**Please circle the correct response for each question.**

+-------------------------------------------+----+----+----+----+----+
| **Questions**                             | ** | ** | *  | ** | *  |
|                                           | Ve | Po | *A | Go | *V |
|                                           | ry | or | ve | od | er |
|                                           | Po | ** | ra | ** | y\ |
|                                           | or |    | ge |    | Go |
|                                           | ** |    | ** |    | od |
|                                           |    |    |    |    | ** |
+-------------------------------------------+----+----+----+----+----+
| 1.  How would you rate this bed's overall | 1  | 2  | 3  | 4  | 5  |
|     features (fowler, trend., chair       |    |    |    |    |    |
|     positioning) during use of this       |    |    |    |    |    |
|     product?                              |    |    |    |    |    |
+-------------------------------------------+----+----+----+----+----+
| 2.  What is your impression of this bed's | 1  | 2  | 3  | 4  | 5  |
|     overall ease of use?                  |    |    |    |    |    |
+-------------------------------------------+----+----+----+----+----+
| 3.  How effective do you think this       | 1  | 2  | 3  | 4  | 5  |
|     product will be in reducing PATIENT   |    |    |    |    |    |
|     injuries?                             |    |    |    |    |    |
+-------------------------------------------+----+----+----+----+----+
| 4.  How effective do you think this       | 1  | 2  | 3  | 4  | 5  |
|     product will be in reducing STAFF     |    |    |    |    |    |
|     injuries?                             |    |    |    |    |    |
+-------------------------------------------+----+----+----+----+----+
| 5.  How effective do you think this       | 1  | 2  | 3  | 4  | 5  |
|     product will be in ASSISTING patients |    |    |    |    |    |
|     in TRANSFERRING in and out of bed?    |    |    |    |    |    |
+-------------------------------------------+----+----+----+----+----+
| 6.  How would you rate the EASE of        | 1  | 2  | 3  | 4  | 5  |
|     locking/unlocking the wheels?         |    |    |    |    |    |
+-------------------------------------------+----+----+----+----+----+
| 7.  How easy was it for you to USE the    | 1  | 2  | 3  | 4  | 5  |
|     controls?                             |    |    |    |    |    |
+-------------------------------------------+----+----+----+----+----+
| 8.  How would you rate EASE OF MOVING the | 1  | 2  | 3  | 4  | 5  |
|     bed?                                  |    |    |    |    |    |
+-------------------------------------------+----+----+----+----+----+
| 9.  How would you rate the FALL           | 1  | 2  | 3  | 4  | 5  |
|     DETECTION/BED EXIT ALARM SYSTEM?      |    |    |    |    |    |
+-------------------------------------------+----+----+----+----+----+
| 10. How would you rate EASE OF ADJUSTING  | 1  | 2  | 3  | 4  | 5  |
|     SIDE RAILS?                           |    |    |    |    |    |
+-------------------------------------------+----+----+----+----+----+

11\. Should we buy this bed for \<list units\> at the \<hospital name\>?

□ Yes □ No □ Maybe

12\. What do you [like most]{.underline} about this bed?

13\. What do you [like least]{.underline} about this bed?

14. Do you have any other comments about the bed? (Use back of page, if
    necessary)

15\. In the event that we have to omit some of the optional features on
beds due to the cost, we would like to know features you prefer the
most. Please [rank]{.underline} the following features from 1-5, where 1
is the most preferred feature to 5 the least preferred feature.

> Built in fall alarm detection system
>
> Built in scales
>
> Central locking and steering system
>
> Low bed height
>
> Chair position
>
> Ability to attach trapeze system