The exitMASTER Elite provides the highest specification evacuation chair in the range, with a four-point safety harness and headrest with headband for high-dependency residents requiring maximum security, padded seat and armrests for comfort during dual use as a standard transit chair, and a four-wheel system for flat and staircase evacuation. Footrest included. Wall mounting bracket included. SWL 150kg. Required in residents' PEEPs per the Regulatory Reform (Fire Safety) Order 2005. NCL-HTE201.
| Specification | Detail |
|---|---|
| Maximum User Weight | 150kg (24 stone) |
| Operation | One-person |
| Wheel System | Four-wheel - flat surface rolling and stair-edge tracking |
| Patient Security | 4-point harness (bilateral shoulder and lap) |
| Head Support | Advanced headrest with headband |
| Seat and Armrests | Padded |
| Footrest | Included |
| Dual Use | Also functions as a standard transit chair |
| Storage | Wall mounting bracket included |
| Reference | NCL-HTE201 |
| Compliance | Regulatory Reform (Fire Safety) Order 2005; PEEP documentation; competency training |
The exitMASTER Elite must be included in the PEEP of each designated resident. All operators must receive documented competency training in the four-point harness application and headband fitting as well as the staircase descent technique. When the Elite is used as a transit chair, its use in transit mode must not compromise its availability or condition as an evacuation chair; the four-point harness and headrest must be confirmed intact and functional before each use in either mode. CQC Regulation 12 compliance requires training records, inspection records, and PEEP documentation.
How does the four-point harness differ from the belt guide on the Versa, and what resident assessment indicates the four-point harness is required?
The belt guide on the Versa is a single-point restraint system at the resident's chest or lap level that is actively managed during descent to maintain consistent positional security; it prevents forward exit from the seat and reduces torso movement during the pitch changes of staircase descent. The four-point harness on the Elite provides two shoulder straps (crossing over the chest or running parallel from the shoulders) and two lap straps, creating four separate attachment points that together prevent forward exit, lateral torso shift, torso rotation, and shoulder movement simultaneously. The four-point harness is indicated for residents who have profound trunk and limb muscle weakness (such as advanced motor neurone disease or high-level spinal cord injury) where any single-point restraint would not prevent multi-directional body movement; residents with severe involuntary movement or high-level spasticity that generates forces in multiple directions simultaneously; and residents whose inability to actively contribute to their positional management during the descent means that the restraint system must passively maintain full-body alignment without any voluntary stabilisation from the resident. The occupational therapist's evacuation assessment for each resident should specifically address whether single-point restraint is sufficient or whether the four-point harness is required, and this assessment must be documented in the PEEP.
How does using the Elite as a transit chair benefit emergency preparedness?
Evacuation chairs that are stored exclusively for emergencies and never used in routine care have two practical disadvantages: staff infrequently interact with the specific chair model and may be less proficient at its operation during the stress of an actual emergency; and residents who have never been in the chair may find the unfamiliar piece of equipment distressing during an emergency evacuation, adding to their anxiety at an already stressful moment. Using the Elite as a day-to-day transit chair for non-emergency resident transport within the care setting addresses both disadvantages: staff who regularly use the chair for routine transits become proficient at the harness application, headrest adjustment, and manoeuvrability of the specific model, so that emergency operation uses a familiar skill set rather than a recalled but infrequently practiced one; and residents who are regularly transported in the Elite are familiar with the sensation of the chair, the harness, and the headrest, reducing the novelty and anxiety of the evacuation scenario. For this dual-use approach to work, the care setting must maintain the chair's evacuation readiness during transit use - confirming the harness and headrest are fully functional after each transit use, ensuring the chair is returned to its wall-mounted storage position when not in use for transit, and confirming that transit use does not create wear or damage that would compromise the evacuation function.