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APPLICATION INSTRUCTION SHEET
ADDITIONAL S AFETY
INSTRUCTIONS ON
OTHER SIDE
POSEY® JACKETS & VESTS
DESCRIPTION OF PRODUCT: Versatile jackets and vests
with tie ends. For bed or chair application.
Applicable Products:
3050, 3052, 3053, 3060, 3063,
3070, 3350, 3353, 3360, 3370
CAUTION: FEDERAL LAW (USA)
RESTRICTS THIS DEVICE TO SALE
OR USE BY OR ON ORDER OF A
PHYSICIAN.
INDICATIONS:
- Patients who are assessed to be at
risk of a fall which could result in injury.
- Patients who require a positioning
product to assist medical treatment.
CONTRAINDICATIONS:
Contraindications include, but are not
limited to the following conditions:
- Aggressive, combative, agitated, or
suicidal patients.
- Patients with ostomy, colostomy,
G-Tubes, Hernias, severe Cardio
Obstructive Pulmonary Disease (COPD),
those with post-surgery incisions that
might be compromised by the pressure
from a restrictive product, or those
with monitoring equipment, tubes or
lines that might be compromised by
rubbing against a restraint.
- Discontinue use immediately if the
patient is able to slide forward or down
underneath the device. ey could slide
far enough under the device to become
suspended, resulting in chest compression
and suffocation. Posey products with
a pelvic piece are designed to help
prevent sliding. Products without a
pelvic piece between the legs will not
hinder sliding as effectively. See your
Posey catalog for other more suitable
products to help prevent sliding.
ADVERSE REACTIONS:
Severe emotional, psychological, and
physical problems may occur if a patient’s
movement is severely limited. e
patient may become agitated if the
device is uncomfortable or severely
limits movement. Request assistance
from a qualified medical authority to
try to find a less restrictive alternative
product or intervention.
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.
All siderails should be HBSW compliant
and MUST be in the up position when
using restraints. If necessary, use a
siderail cover, especially with split
siderails, to prevent the patient’s body
from going under, around, through or
between the siderails.
After applying a restrictive product,
always monitor to make sure the patient
is not able to slide down, or fall off
the chair seat or mattress. Make sure
straps are secured at a juncture of the
© 2007 J.T. Posey Company. All rights reserved. (Ref: 97)
frame and will not slide in any direction,
changing position of device. If their body
weight becomes suspended off the
chair or the mattress, chest compression
and suffocation could result. Restraints
with pelvic pieces may be necessary
to reduce sliding down or pulling the
restraint off over their head.
APPLICATION INSTRUCTIONS: CHAIR
Put the Jacket on with the opening in the back, and close with the zipper,
ties, or hook and loop closures. e side seams should be under the arms.
Take the straps down the side of the chair, over the hips at a 45 degree
angle, and secure underneath the seat out of the patient’s reach. “Snug
up” tightness by pulling strap around back post, cross and twist before
securing. e patient's hips should be against the back of the chair.
Straps should always be snug, but not interfere with breathing. You should
be able to slide your open hand (flat) between the device and the patient.
APPLICATION INSTRUCTIONS: BED
Put the Jacket on with the opening in the back and
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.
LAUNDERINg INSTRUCTIONS:
is product was designed to be washed
under CDC recommendations for linen
soiled with blood or bodily fluids:
close with the zipper, ties or hook and loop fastener.
e side seams should be under the arms. Secure the
straps with quick-release knots to the movable part
of the bed frame at waist level out of the patient's
reach.
Straps should always be snug, but not interfere with
breathing. You should be able to slide your open hand
(flat) between the device and the patient.
is Jacket does NOT allow the patient to turn over in bed. If turning is
desired, check your Posey Catalog for more appropriate products.
NOTE: Agitated patients may pull aggressively against the device, breaking
the quick-release buckle. With agitated patients, it may be necessary to
Close the hook and loop closure before
washing to prevent lint buildup. Use
stiff brush to remove lint buildup from
normal use. Test for secure hold before
each use.
Lower temperature washing and drying
cycle for non-contaminated linen will
prolong product life.
Zip up the product before laundering
and turn inside out to protect zipper.
Fasten all buckles to minimize damage
during wash and dry cycle.
Inspect buckles regularly and discard
if cracked. Do not put buckles through
extractors.
wrap the connecting strap (from the device) once around the movable part
of the bed frame (as shown in fig. 1) before attaching the buckle. e strap
will absorb the stress of the pulling, and will help protect the buckle from
breakage.
SIZES: Small, Medium and Large in all fabrics. X-Small and X-Large available in some fabrics.
ADULT JACkETS:
(wITH SLEEvES) w/zIPPER w/ HOOk & LOOP
Cotton/poly print 3350 3370
Breezeline mesh 3353
(wITH SLEEvES) w/zIPPER & qUICk-RELEASE BUCkLE ON STRAPS
Cotton/poly print 3360
(wITHOUT SLEEvES) w/zIPPER w/HOOk & LOOP
Cotton/poly print 3050 3070
Flame retardant 3052
Breezeline mesh 3053
(wITHOUT SLEEvES) w/zIPPER & qUICk-RELEASE BUCkLE ON STRAPS
Cotton/poly print 3060
Breezeline mesh 3063
J.T. Posey Company •
5635 Peck Road, Arcadia, CA 91006-0020 USA
Phone: 800-447-6739 • Fax: 800-767-3933 • Web: www.posey.com
For clarity of application illustration, bed rails
do not have the recommended HBSW compliant
padding. See Posey catalog for more details.
Fig. 1
MDSS GmbH
Schiffgraben 41
D-30175 Hannover, Germany
I9204 050307
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Safety Information for the Use of Posey Torso and Limb Restraining Products
Ý
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.
e 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. is 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. e 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 and sized properly (See sizing table).
•
Follow the directions on the Application Sheet accompanying each product.
#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 the Posey Company.
#2 Restrictive products
should only be used
within the carefully
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
designed 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
and gap protectors, especially with split side
rails, may be required to keep the patient on
top of the mattress, and avoid entrapment
zones. Use HBSW compliant side rails.
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 the 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 that
do not slip or loosen (see drawings), or
Just as patient behavior is not 100%
predictable, no product is 100% foolproof
under all circumstances. 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.
buckles to secure straps - they allow easy
release in the event of accident or fire. Test
to make sure knots do not slip or loosen. If
knots slip or loosen, patient may slide off
chair or bed, possibly resulting in patient injury
or suffocation. 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
How to Tie the Posey
Quick Release Tie
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.
2. 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.
3. Fold the loose end in half to
create a second loop.
1
2
3
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.
4. Insert the second loop into
the first loop.
4
#14 Do not use Posey
products on toilets, or on
any type of furniture which
does not allow application
as directed in the product
5. Pull on the loop to tighten.
5
application sheet. Posey
limb and torso restraints should NOT be used
at home.
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 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.
© 2007 J.T. Posey Company. All rights reserved.97)
J.T. Posey Company •
5635 Peck Road, Arcadia, CA 91006-0020 USA
Phone: 800-447-6739 • Fax: 800-767-3933 • Web: www.posey.com
Qua lity Pr oduct s since 1937
MDSS GmbH
Schiffgraben 41
D-30175 Hannover, Germany
I9200 031507
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