Frequently Asked Questions

How do I put the enhancer on the bed?


Bed Enhancer Set-up with Patient in Bed

1. Prior to applying, ensure that the patient is not too low in the bed. Boost the patient to the appropriate position if needed.
2. To assist with correctly placing the enhancer, ensure that the patient icon on the enhancer is appropriately oriented in relation to the patient. Roll the bed enhancer up halfway.
3. With the patient in the side-lying position, place the enhancer beneath the fitted sheet and align the sacral target and arrow with the bend zone of the mattress, where the head of the bed meets the lower portion of the bed. Ensure that the enhancer is centered horizontally on the bed.
4. Position the patient to the opposite side and unroll the enhancer. It is recommended to elevate the knees to promote proper positioning on the enhancer while the patient is in supine with the head of the bed elevated.

Bed Enhancer Set-up without Patient in Bed
1. To assist with correctly placing the enhancer, ensure that the patient icon is appropriately oriented in relation to the bed.
2. Place the enhancer underneath the bed linens, with the sacral target aligned with the bend zone of the mattress, where the head of the bed meets the lower portion of the bed.
3. Ensure that the enhancer is centered horizontally on the bed.




Are the enhancers reusable?


Yes, the enhancers are designed for multi-patient use. Both sides can be cleaned just as a mattress is and reused. However, if an enhancer becomes too soiled to thoroughly clean at any time, please discard according to facility policy and procedure and replace with a new enhancer.




How do I position my patient on the enhancer?


Correct patient alignment is with the sacrum centered both horizontally and vertically on the enhancer. Use the enhancer markings to assist with positioning your patient. The enhancer is marked with a white target to indicate the center of the enhancer. The patient’s sacrum should align with the center target. The blue arrows on the bed enhancer's side flaps point to the center target. Please refer to the Guardian User Manual for more details on upright, sidelying, and prone positions.




What do I do when the controller alarms?


It depends on the type of alert. Patient weight not entered:
The alert will consist of an auditory chime, red status lights, and a red banner message across the top of the enter patient weight screen. The only way to dismiss this alarm is to select the patient weight. This alarm will activate if the patient data is not entered within 5 minutes after the screen appears. Therapy will automatically start with a default patient weight selection at this time; however, it is vital to select the correct patient weight in order for the patient to receive the appropriate therapy. Conditions that interrupt therapy: The alert will consist of an auditory chime, red status lights, and a red alert screen. The alert screen will display instructions. Respond to each alert as follows:

  • Place patient properly on the bed enhancer: check to ensure that the patient is positioned correctly on the enhancer, with his/her sacrum centered on the sacral target, using the visual on the screen as a guide
  • Place patient properly on the procedure table, seat, or wheelchair enhancer: check to ensure that the patient is positioned correctly on the enhancer, with his/her sacrum centered on the sacral target
  • Initial problem detected: disconnect and reconnect the enhancer, confirming it is latched, using the visual on the screen as a guide
  • Persisting problem detected: a leak has occured in a component-- replace the enhancer
  • Pinched tubing: check for pinched tubing, starting from the enhancer and proceeding to the controller

Battery alerts: The alert will consist of an auditory chime, red status lights, and a red alert screen, for the following battery conditions:
  • AC Power Disconnected: plug the controller in as soon as possible or mute the alert to continue using battery mode
  • Low battery: plug the controller into AC power as soon as possible
  • Battery depleted / terminal battery shutdown: plug the controller into AC power immediately to avoid interruption in therapy




Do I still need to turn my patient who is using the Guardian System?


Yes. While the TurnCare Guardian System has been effective for certain patients who are too unstable to turn, it has not yet been studied in a large-scale clinical trial to investigate its effectiveness with less frequent repositioning. The TurnCare Guardian System is recommended as a therapy in addition to the standard of care, including Q2 repositioning, and not as a replacement to the standard of care.




Will I be able to perform CPR on my patient who is using the Guardian System?


Yes, CPR can be safely performed while the Guardian System is set up on the patient bed. The controller can be paused and the enhancer can be disconnected from the controller to deflate the enhancer if preferred, however it is not necessary. A CPR board can be placed on top of the of the enhancer.




How do I transfer my patient out of bed with the Guardian System?


Before transferring a patient in or out of bed, the enhancer must be fully deflated for patient and staff safety.
1. Press pause to temporarily stop therapy. Allow the enhancer to fully deflate. 2. Transfer the patient safely according to facility protocol. 3. If the patient is being transferred to the chair or recliner, be sure to reconnect the connector to the seat enhancer.




How do I transfer my patient to and from the stretcher with the Guardian System?


Prior to transferring the patient to or from the stretcher, enhancer must be fully deflated for patient and staff safety. 1. Press Pause on the touch screen. Allow the enhancer to fully deflate. 2. Place the transfer assist device beneath the patient according to facility policy and procedure. 3. Transfer the patient according to facility policy and procedure. 4. To perform the transfer from the stretcher to the bed, follow the above instructions.




Does the enhancer have a weight limit?


Yes. The Guardian System is not for use with patients exceeding 250 kilograms or 550 pounds.




How is the Guardian System cleaned?


Standard bed mattress cleaner is safe to use to clean the enhancer and the connector. It is also safe to use hospital-approved disinfectants.




How often should my patient be using the Guardian System?


If the patient is identified as a candidate for the Guardian System, he/she should use the Guardian System at all times unless it is interfering with safety or unless the patient develops a contraindication. The Guardian System should be used both in the bed and in the hospital chair or wheelchair. It is recommended that the Guardian System be sent with the patient to off-unit procedures longer than 2 hours (excluding MRI). For surgical procedures, appropriateness of use will depend on procedure specifics and patient positioning. Always consult with the surgeon for approval.




Is the enhancer surface reversible?


No, the enhancer surface is not reversible. The enhancer should be applied with the non-slip backing against the underlying surface.




Should the enhancer surface be covered with a sheet?


Yes, the enhancer surface should be covered by a sheet while in patient use.




What is the recommendation for sheet and incontinence pad usage with the enhancer?


The recommendation for sheet and incontinence pad usage is to utilize the least possible layers between the enhancer surface and the patient.




Is the enhancer latex free?


Yes, the enhancer surface is latex free.




Can I prone my patient on the Guardian System?


Patients can be placed in the prone position while using the Guardian System. First, ensure the enhancer is positioned properly on the hospital bed. Press “Pause” on the controller, allowing the enhancer to deflate. Then, place your patient in the prone position, following organizational policies. Press resume to re-start Guardian therapy.





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p: (203) 437-6768

e: info@turncare.com

a: 2100 Geng Rd.

    Suite 119

    Palo Alto, CA 94303

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