Easy to us and is heavy-duty. It is designed to meet the demanding requirements of institutional healthcare use. The double call cord allows two patients to use a single bedside station. The geriatric pad attached to the call cord is a great alternative for patients that cannot call for assistance using a standard call cord. The large pad is easily activated using an entire hand, fist or elbow. All of the call cords are latex free, include security clips (two with the double call cord) to attach pendant end to bed linens and the 1/4" phone plug works with most brands of call systems.