Posey 2532A, 2551A Application Instructions

Posey® Limb Holders 2532A, 2551A

Application Instructions for Wrist and Ankle

DESCRIPTION OF PRODUCT: Limb holder for limiting limb movement. For bed and stretcher use only.

Indications for Use

•

Patients assessed to be at risk of disrupting life-saving treatments (e.g.,
pulling tubes or lines) or in danger of injury to themselves or to others.

•

Follow your hospital’s restraint policies and procedures which are in
compliance with CMS guidelines and state laws.

Contraindications

Do not use this device with someone who has continued highly
aggressive or combative behavior, self-destructive behavior, or deemed
to be an immediate risk to others or to self.

Application Instructions

Follow these steps to apply device (repeat steps 1-7 on each side):
1a. Attach the female end of the quick-release

buckle (short strap) to the frame that

Fig. 1

moves with the patient (Fig. 1), out of the
patient’s reach (do not attach to side rail or
head/footboard). You may also wrap the
connecting strap once around the frame to
move the buckle out of the patient’s reach. Secure by feeding the
female end through the loop in the strap.

1b. Insert the male end of the connecting strap into the female end

of the short strap. Listen for a “snapping” sound. Pull rmly on the

straps to ensure a good connection. Move
the slide buckle next to the male end of the
quick release buckle to prevent the strap

Fig. 2

Move Slide

Move Slide

Buckle next to

buckle next to
Quick-Release

Quick-Release

buckle

Buckle

from loosening (Fig. 2).

2. Wrap the limb holder cu around the
patient’s wrist/ankle so the buckle and
connecting strap is on the ulnar side of the

Fig. 3

wrist or lateral malleolus of the ankle. (Fig 3).

3. Secure the hook-and-loop fastener. Slide

ONE nger (at) between the cu and the

inside of the patient’s wrist/ankle to ensure

proper t (Fig 4). The strap must be snug, but

Fig. 4

not compromise circulation.

4. Close the quick-release buckle on the cu.

Insert ONE nger (at) under the buckle and

pull the strap snug, but not so tight as to

Fig. 5

restrict circulation (Fig 5).

5. Release the quick-release buckle, twist
buckle 180°, and reconnect (Fig 6). Listen for a
“snapping” sound.

6. Attach the “hook” end of the cu strap to the

Fig. 6

“fuzzy” backing on the cu to keep the quick-

release buckle from sliding (Fig 7).

7. Adjust the strap to allow for desired freedom
of movement, without compromising patient
or caregiver safety.

Fig. 7

To remove cus: Unsnap quick-release buckles
and release hook-and-loop fasteners.
Quick-Release Anchor Strap: Remove Anchor

Strap from frame aer use. Do not reuse quick-

release buckles, and do not mix male and

female ends from dierent products.

Posey Limb Holders

REF

REF

To limit lower limb range of motion for legs:

1. Attach the cu that is secured to the bottom

right side of the frame to the le ankle.

2. Crisscross the straps and attach the cu
secured to the bottom le side of the frame

to the right ankle.

3. Adjust connecting straps as necessary

Precautions

• Avoid using on a patient with a dislocation or fracture on the restrained

limb, or if an IV or wound site could be compromised by the device.

• Check the patient regularly to ensure that circulation is not impaired.

Serious injury may occur if the cuffs restricts circulation when the limb

holder is applied.

• Before each use, check cuffs and straps for cracks, tears,

and/or excessive wear or stretch, broken buckles or locks, and/or that
hook-and-loop adheres securely as these may allow patient to

remove cuff. Discard if device is damaged or if unable to lock.

•

needed (See Posey Catalog):

»

If the patient pulls violently against the bed straps.

»

To reduce the risk of the patient getting access to the line/

wound/tube site.

» To prevent the patient from ailing or bucking up and down and

causing self-injury.

Bed Safety

Refer to the Food and Drug Administration (FDA) for the most recent
Hospital Bed Safety Guidelines as well as the Bed Manufacturer for
their Instructions for Use.

2532A

2532A Quick-Release Limb Holders, single strap with

quick-release connecting strap

2551A Quick-Release Quilted Limb Holders, single strap with

quick-release connecting strap

Additional or different body or limb restraints may be

Rx ONLY

ADDITIONAL SAFETY AND LAUNDERING

INSTRUCTIONS ON OTHER SIDE

Posey Products, LLC • 5635 Peck Road, Arcadia, CA 91006-0020 USA
Phone: [phone] • Fax: [phone] • www.posey.com

EC REP

MDSS GmbH

Schigraben 41
D-30175 Hannover, Germany

I9290 REV B 120418© Posey Products, LLC. All rights reserved.

Safety Information for the use of
Posey

®

Restraining Products

WARNING: ALWAYS Monitor patients per facility

policy. Improper application or use of any restraint may result in

rious injury or death.

se

RX ONLY. Federal law (USA) restricts this device to sale by or on
order of a physician. For use in a licensed healthcare facility only.

STAFF TRAINING: Posey offers training aids at no charge. Contact Posey

online at www.posey.com or call toll-free at 1.800.447.6739.

BEFORE APPLYING ANY RESTRAINT:

Follow your hospital’s restraint policies and procedures which are in
compliance with CMS guidelines and state laws.

ADDITIONAL WARNINGS:

1. ALWAYS monitor patient per facility policy. Be aware
that constant monitoring may be required for:

•

Aggressive or agitated patients; and

•

Patients in a supine positon; ensure that being in this
position would not cause any complications for those
who are at risk of vomiting while being restrained.

2. NEVER alter or repair this product. ALWAYS Inspect before
each use: Check for broken stitches or parts; torn, cut or frayed material;
or locks, buckles, or hook-and-loop fasteners that do not hold securely.
DO NOT use soiled or damaged products. Doing so may result in serious
injury or death. Dispose of damaged products per facility policy for
BIOHAZARDOUS material.

3. ALWAYS secure straps to a part of the frame

that moves with the patient (not foot/head
board or siderails, out of the patients reach,
using quick-release ties (see drawing below) or
buckles. These allow easy release in the event of

an accident or re. Test to make sure straps cannot
tighten, loosen, or slip and create excess slack. If this occurs, the patient may
slide o the chair or bed, increasing the risk of serious injury or suocation.
Restraint release is an important part of facility re and disaster drills. Straps
can be cut with scissors in an emergency.

4. NEVER secure restraint strap to side rail or head/foot board.

5. NEVER use Posey products on toilets, or on any chair

or furniture that does not allow proper application
as directed in the Application Instructions. DO NOT
use at home.

6. NEVER expose this product to open ame, re, smoking materials, or
high heat sources. Some products may melt or ignite and burn. The facility
smoking/no smoking policy should be strictly enforced.

7. NEVER use a Posey product as a seat belt in a moving vehicle.
Posey products are not designed to withstand the force of a crash
or sudden stop.

8. Test Zippers or hook-and-loop fasteners before each use. DISCARD device if
it does not fasten securely.

LAUNDERING INSTRUCTIONS (if applicable):

•

Fasten all buckles and locks to reduce risk of damage during wash and dry
cycles. DO NOT put buckles or locks through extractors. For maximum life,
launder in a laundry bag.

•

Before laundering, zip up and turn the product inside out to protect zipper.

•

Hook-and-loop fasteners may collect lint aer repeated use or laundering,
reducing grip strength. Fasten the “hook” to the “loop” before laundering to
help prevent lint buildup. As needed, use a sti-bristle brush to remove lint
from the “hook” side.

•

These products, other than foam products,
can be machine washed under CDC*
guidelines for material soiled with blood or
bodily uid.

•

For non-contaminated material, use lower temperature wash and dry cycles
to extend product life.

•

For foam products:

BIOTHANE:

•

Sanitize by submerging the entire product in 70% isopropyl alcohol for 10
minutes; or

•

Apply an OSHA approved intermediate level disinfectant per manufacturer
instructions. Aer cleaning, products MUST be rinsed with water to remove
any residual chemicals.

•

Make sure products are completely dry before use.

•

Stainless Steel Locks: Posey recommends that locks be treated with a dry­lm lubricant (silicone) aer each cleaning. For best results, spray a small
amount into the lock. Work the action of the lock with a key several times to
ensure that all the surfaces are well lubricated.

STORAGE AND HANDLING:

•

This device is designed for use in normal indoor environments.

•

This device may be stored in ambient warehouse temperatures at normal
humidity levels. Avoid excess moisture or high humidity that may damage
product materials.

*www.cdc.gov

HOW TO TIE THE POSEY QUICK-RELEASE TIE

1 2 3 4 5

1. Wrap the strap once around a movable part of the bed frame leaving at least an 8" (20 cm)
tail. Fold the loose end in half to create a loop and cross it over the other end.

2. Insert the folded strap where the straps cross over each other, as if tying a shoelace. Pull on
the loop to tighten.

3. Fold the loose end in half to create a second loop.

4. Insert the second loop into the rst loop.

5. Pull on the loop to tighten. Test to make sure strap is secure and will not slide in any
direction.

6. Repeat on other side. Practice quick-release ties to ensure the knot releases with one pull
on the loose end of the strap.

Posey Products, LLC • 5635 Peck Road, Arcadia, CA 91006-0020 USA
Phone: [phone] • Fax: [phone] • www.posey.com

EC REP

MDSS GmbH

Schigraben 41
D-30175 Hannover, Germany

I9200B REV D 120418© Posey Products, LLC. All rights reserved.