![Preparing Waffle Overlay Preparing Waffle Overlay](https://static.webareacontrol.com/OptimizeCommonImage/5112020416waffle-overlay-prepare-gen.png)
Unfold the overlay with the closed red and clear valves facing up at the foot of the bed. The red valve is for rapid deflation (CPR). Secure the straps under the corners of the bed.
![Inflating Waffle Overlay Inflating Waffle Overlay](https://static.webareacontrol.com/OptimizeCommonImage/5112020932waffle-overlay-inflate-gen.png)
Using the clear valve, inflate the overlay with the Waffle M.A.D. hand pump. The recommended number of strokes can be found on the pump or overlay and should be used as a starting point.
![Inflate Check Inflate Check](https://static.webareacontrol.com/OptimizeCommonImage/51120201310waffle-overlay-inflate-check-gen.png)
To check for proper inflation, slide your hand between the overlay and support surface, under the patient's sacral area. Your hand should slide easily beneath the patient and you should notice approximately 1/2 inch to 1 inch of air. If ther is more than 1 inch of air, remove air by tapping the clear valve. If your hand does not slide easily beneath the patient, add additional air.
Waffle Overlay : Turning and Positioning
![Positioning Patient on Waffle Overlay Positioning Patient on Waffle Overlay](https://static.webareacontrol.com/OptimizeCommonImage/51120204644position-patient-gen.png)
The caregiver on one side of the support surface grasps the overlay hand wells. He or she hands off the overlay to the caregiver on the opposite side, while rolling the patient.
![Placing Wedges on Waffle Overlay Placing Wedges on Waffle Overlay](https://static.webareacontrol.com/OptimizeCommonImage/51120205122place-wedges-gen.png)
Place the first position perfect wedge just above the waist area and the second just below the hip area, one hand-width apart, to offload the sacrum. Return the patient down onto the wedges
![Checking the Wedges Checking the Wedges](https://static.webareacontrol.com/OptimizeCommonImage/5112020558check-wedges-gen.png)
The wedges are properly positioned when you can slide your hand between them and verify the sacrum is offloaded.
Waffle Overlay Mattress : Lateral Patient Transfers
Weight Limit: 350 lbs.
![Preparing Surface Preparing Surface](https://static.webareacontrol.com/OptimizeCommonImage/511202049prepare-surface-gen.png)
Ensure both surfaces are at a comfortable height and are locked in place.
![Release Overlay Strap Release Overlay Straps](https://static.webareacontrol.com/OptimizeCommonImage/511202062release-overlay-straps-gen.png)
Remove the overlay straps from underneath the corners of the support surface.
![Transfer Patient Transfer Patient](https://static.webareacontrol.com/OptimizeCommonImage/5112020810transfer-patient-gen.png)
Grasp the hand wells and gently slide the patient onto the receiving surface.
Prone Position
![Deflate Overlay Deflate Overlay](https://static.webareacontrol.com/OptimizeCommonImage/51120201357deflate-overlay-gen.png)
Prior to repositioning the patient from supine to prone, deflate the waffle pad for bed and ensure the straps are looped under the corners. Follow your facility protocol for placing a patient into the prone position.
![Inflate Overlay Inflate Overlay](https://static.webareacontrol.com/OptimizeCommonImage/5112020178inflate-gen.png)
Once the patient is in prone position, inflate the overlay. Reinflation may require less air than listed on the product.
![Check Position Check Position](https://static.webareacontrol.com/OptimizeCommonImage/51120201914check-prone-position-gen.png)
To check for proper inflation, slide your hand between the overlay and support surface, under the patient's iliac crest area. Your hand should notice approximately 1/2 inch to 1 inch of air. If there is more than 1 inch of air, remove air by tapping the clear valve. If your hand does not slide easily beneath the patient, add air.