Posey 2794, 2795, 2796, 2797 Product Instructions

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APPLICATION INSTRUCTION SHEET

POSEY

DESCRIPTION OF PRODUCT: Very secure, padded limb

restraints with double hook & loop closure. Models available for stretcher or bed application.

CONNECTED TWICE-AS-TOUGH CUFF

Applicable Products:

Cat. No. 2794, 2795, 2796, 2797

CAUTION: FEDERAL LAW (USA) RESTRICTS THIS DEVICE TO SALE OR USE BY OR ON ORDER OF A PHYSICIAN.

INDICATIONS: (Ref: 23)

- Patients who continually disrupt lifesaving treatment (e.g., chronic tubepulling which breaks the integrity of an IV line or self-extubation). (Ref: 24)

- When a patient’s pulling lines prevents the healthcare professional from adequately monitoring the vital signs of the patient. (Ref: 25)

- When a patient’s picking, pulling, scratching or peeling exacerbates a skin condition, causes self-injury, or disrupts wound site integrity. (Ref: 26)

CONTRAINDICATIONS: (Ref: 38) Contraindications include, but are not limited to the following conditions:

- Do not use limb restraints on patients with dislocations, fractures or open wounds on the affected limb.

(Ref: 38C)

- Do not use limb restraints if the I.V. site could be compromised. (Ref: 38D)

- Aggressive, combative, restless, or suicidal patients should not be put into a restrictive product unless they will receive constant monitoring.

(Ref: 17)

ADDITIONAL SAFETY

INSTRUCTIONS ON

OTHER SIDE

We welcome your suggestions for improving our products or service:

Posey Co.

5635 Peck Road Arcadia, CA 91006 USA Tel: 1-800-44-POSEY Fax: 1-626-443-5014 www.posey.com

ADVERSE REACTIONS:

Severe emotional, psychological, and physical problems may occur if a patient’s movement is severely limited. The patient may become restless or agitated if the device is uncomfortable or severely limits movement. Request assistance from a qualified medical authority for an alternative product or intervention. (Ref: 46)

A patient in a supine position who cannot sit up requires extra vigilance. Should the patient vomit, he/she could aspirate his/her vomitus and suffocate. Monitor constantly and be prepared to intervene at the first sign of danger.

(Ref: 48)

If this device is applied too tightly, circulation will be impaired; If too loose, the patient may be able to slip his/her limb from the device. Check circulation frequently and monitor for skin discoloration. (Ref: 57)

SAFETY CONSIDERATIONS:

Do not attach the limb holder in a way that the patient may use his/her teeth to remove the device or inflict selfinjury. Additional body restraint (fifth point) may be required to prevent the patient from moving the line/wound/ tube site to within access of his/her hands. Refer to Posey Psychiatric and Emergency Dept. Product Book, Part No. M1031.) Always secure strap at a frame juncture which will not allow the straps to slide in any direction, changing the position of the product.

(Ref: 47B)

Laundering Instructions:

This product was designed to be washed under CDC recommendations for linen soiled with blood or bodily fluids: (Ref: 80)

160˚ F

WASH HOT

25 MIN.

Lower temperature washing and drying cycle for non-contaminated linen will prolong product life. (Ref: 96)

The “hook” of hook and loop closure material has a tendency to collect lint after repeated use and/or laundering, reducing the grip strength of the hook and loop. Test for secure hold before each use. Discard if it does not hold securely. Occasionally go over the “hook” with a stiff brush to remove lint. Fastening the “hook” to the “loop” during laundering will also help to prevent lint buildup. (Ref: 84)

DO NOT PUT STAINLESS STEEL BUCKLES THROUGH A WATER EXTRACTOR! It crushes the buckle. For maximum life, launder in a laundry bag. (Ref: 82)

BLEACH AS DIRECTED

ON CONTAINER

DRY ON

LOW

APPLICATION INSTRUCTIONS

The color of the cuff liner designates "wrist" or "ankle" application– blue cuffs are "wrist" and red cuffs are "ankle".

CONNECTED WRIST/ANKLE W/ SQUARE LOOP RINGS - STRETCHER Models 2796, 2797.

1) Place the cuffs in the correct anatomical position on the stretcher.

2) Place the ends of the straps to the inside of the siderails so the straps do not interfere when siderails are raised. Secure the strap under the stretcher by pulling the strap through both square rings and then passing it back between the first and second ring. (See figure A.) Pull the strap snug.

3) Position the patient on the stretcher and secure the cuffs as noted under figure B below.

CONNECTED WRIST/ANKLE W/ KEY LOCK - BED

Models 2794, 2795

1) Place the cuffs in the correct anatomical position on the bed.

2) Place the ends of the straps to the inside of the siderails and attach them to the moveable part of the bed frame. The end of the strap threads over the top of the frame, around the frame and back through the lock. Pull the strap snug and close the buckle making sure the lock "clicks" shut and will not open. Use the same procedure for both sides.

3) Position the patient on the bed and secure the cuffs as noted under figure B below.

NOTE: Make sure the lock "clicks" shut when closing. If the lock is not completely closed, it can open without the key. Test the lock before leaving the patient to be sure it is locked correctly. Always have keys readily available to all staff members in the event of an emergency. Straps may also be cut with scissors in an emergency. Universal Posey keys fit all Posey locks interchangeably. Turn the key COUNTERCLOCKWISE when OPENING to avoid jamming. (See figure C.)

Posey Keylock

Counterclockwise

TO OPEN

TURN

OPEN

FUZZY

LOOP

ROUGH

HOOK

SMOOTH

NEOPRENE

Fig. B

TO APPLY CUFF:

1) Wrap the smooth neoprene piece (blue or red side against the skin) around the wrist/ankle. See figure B for steps 1 and 2.

2) Sandwich the neoprene piece with fuzzy material between the two pieces of rough hook. (See figure B.) Be sure to overlap at least one inch. Press the hook and loop material together firmly.

3) Pass the end of the short strap over the top of the cuff and through the two square rings on the cuff. Bring the strap back over the first ring and through the second ring. (See figure A.)

NOTE: When completed, you should be able to pass one finger between the device and the wrist/ankle. Always secure both hands to prevent the patient from releasing him/herself.

Cuff liner is made of neoprene. Straps are polypropylene and nylon. Cat. No. 2794 Connected Wrist - Bed, pair, keylock (blue)

Cat. No. 2795 Connected Ankle - Bed, pair, keylock (red) Cat. No. 2796 Connected Wrist - Stretcher, pair, (blue) Cat. No. 2797 Connected Ankle - Stretcher, pair, (red)

Fig. C

THREADING

THROUGH SQUARE

LOOP RINGS

Fig. A

I9260 122297

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#1 Posey restraints are labeled: Caution:

Federal law (USA) restricts this device

to sale by or on order of a physician.

All staff should receive proper inservice training so products are applied in accordance with the manufacturer's instructions, state and federal regulations and the facility's policies and procedures. Posters, Videos and Inservice materials are available free from Posey Company.

#2 Restrictive products should only be used within the care-

fully defined and documented parameters of the patient’s Individualized Care Plan (ICP)

which addresses (but is not limited to) restorative nursing, patient release, and pressure sore prevention. The ICP is created after an assessment by an interdisciplinary team which may represent (but is not limited to) PT, OT, Nursing, the Physician, and Social Services.

#3 NEVER use a Posey product as a seat belt in a moving vehicle.

Posey

products are not de-

signed to withstand the force of a crash.

#4 DO NOT expose any Posey Product to open fire, flame, or contact with smoking materials.

Components such as fabric, webbing, thread, etc. are susceptible to ignition and burning. The facility’s smoking/no smoking policy should be vigorously enforced. Flame retardant fabric is available on request.

#5 Never crisscross the straps of a Posey Vest/Jacket in back of the patient unless

there is a positioning slot in the rear of the product. Any restraint applied incorrectly and/or worn backwards may cause strangulation or injury.

#6 Secure straps of restrictive products out of the patient’s reach at a juncture of the movable part of the bed frame at waist level so the device will not tighten or loosen when any section of the bed is raised or lowered.

Make sure the strap will not slide in any direction, changing position of the device.

#7 After applying a restraint or self-

release product; always put all side rails in the UP position.

Side rail covers, or gap protectors, especially with split side rails, may be required to keep the patient on top of the mattress, and avoid entrapment zones.

If the patient’s body weight becomes suspended off the mattress by going under, around, over, through or between the side rails, chest compression and suffocation could result.

Restraints with pelvic pieces may be necessary to reduce sliding down or pulling the restraint over their head.

#8 Hips should be

held securely against

the back of the chair

whenever any type

of restrictive product

is used.

The straps

should be at 45 degrees over the hips and secured under the seat out of the patient’s reach.

Make sure straps are secured at a juncture of the frame and will not slide in any direction, changing position of the device.

Use extreme caution with all cushions. If dislodged, patient injury could occur. (see #9).

#9 Monitor to make sure the patient is not able to slide down, or fall off a chair seat.

If their body weight becomes suspended off the chair seat, chest compression and suffocation could result.

Restraints with pelvic pieces may be necessary to reduce sliding down or pulling the restraint over their head.

#10 Straps must always be snug, but not interfere with breathing.

You should be able to slide your open hand (flat) between the device and the patient. Make sure straps do not slide in any direction, changing position of device.

#11 Always use quick-releasing ties (see drawings) or buckles to secure straps – they allow easy release in the

event of accident or fire. Restraint release should be an integral part of the facility's fire/disaster evacuation drills. Straps can be cut with scissors in an emergency.

#12 Patients in restrictive products require appropriate monitoring per your facility’s policy.

Aggressive, agitated, restless patients and/or those in danger of aspirating their vomit require constant monitoring and a systematic review and evaluation of both physical and psychological status.

#13 Inspect before use for broken stitches or parts; torn, cut or frayed straps or fabric; or hook

and loop fastener or locks that do not hold securely. These products could fail, resulting in injury or death. Destroy and discard

them. Straps must be long enough to secure out of the patient's reach. DO NOT alter products.

#14 Do not use Posey

products on toilets, or

on any type of furniture

which does not allow

application as directed in the product application sheet.

Posey limb and torso restraints should NOT be used at home without constant supervision of a licensed healthcare provider, physician’s order and an Individualized Care Plan.

WARNING Monitor patients appropriately per your facility’s policy!

Inappropriate and/or incorrect usage of any restrictive product may result in serious injury or death. The Posey Company recommends the following steps before any restrictive product is used:

• Identify the patient’s symptoms.

• Determine and remove, if possible, the cause of the symptoms. This may include

catering to individual needs and customary routines; increased rehabilitation and restorative nursing; modifying the environment; and increased supervision.

• If the cause cannot be determined and removed, attempt alternative treatments

under proper medical supervision.

• A restraint should be used only when practicable alternatives have failed. The

least restrictive device that will protect the patient and others should be selected and used for the shortest time while less restrictive alternatives are sought. It is critical that the appropriate restraint is selected.

• Follow the directions on the Application Sheet accompanying each product.

Safety Information for the Use of Posey Torso and Limb Restrictive Products

How to Tie the Posey

Quick Release Tie

45˚

➔

Just as patient behavior is not 100% predictable, no product is 100% foolproof under all circumstances. A restraint is not a substitute for good nursing care. Patient safety requires regular reassessment and appropriate monitoring per your facility’s policy. A product that worked successfully in the past may prove inappropriate as the patient’s mental and physical health status changes. Never apply any product you feel is unsafe and consult with the proper medical authority if you feel a product is inappropriate for the patient.

J.T. Posey Company

5635 Peck Road•Arcadia, CA 91006-0020 USA•Tel. 800-447-6739 or 626-443-3143•Fax 800-767-3933 or 626-443-5014•www.posey.com

1. Wrap the attachment strap once around the movable part of the bed frame leaving at least an 8" tail. Fold the loose end in half to create a loop and cross it over the other end. Make sure straps are secured at a juncture of the frame and will not slide in any direction, changing position of device.

Insert the folded strap where the straps cross over each other, as if tying a shoe or making a tourniquet knot. Pull on the loop to tighten.

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

Insert the second loop into the first loop.

Pull on the loop to tighten.

Sizing Table for Posey Products

Always use the proper size product. Products that are too small or

large compromise patient comfort and safety and should not be used.

Binding Color Size Weight (lb./kg) Chest (in./cm)

White X-Small 60-90/27-41 28-34/71-86 Red Small 80-120/36-54 32-39/81-99 Green Medium 110-155/50-70 37-45/94-114 Yellow Large 145-190/66-86 43-49/109-124 Blue X-Large 180-230/82-104 47-52/119-132 Black XX-Large 220-275/110-125 50-56/127-142 Yel/Blk XXX-Large 265-305/120-139 54-60/137-152 Blu/Blk XXXX-Large 295-340/134-155 58-64/147-163

Posey belts are not color-coded, but are also sized according to this table. Flame-retardant fabric is available on request.

Weight and size measurements give a general indication of the proper size. Individual physical characteristics should be taken into account before the medical authority determines the correct size. Refer to label on product for specific sizing indications.