Posey Circumstraint Board Straps User Manual

circuMstrAint BoArD strAps

Applicable Products:

REF

4749

ApplicAtion

ApplicAtion

instructions

instructions

DEscription oF proDuct: Soft foam straps with hook and loop closures for use during circumcision procedures.

4749

inDicAtions For usE:

• For use during circumcision procedures to hold the baby’s
limbs to the circumstraint board. is will help prevent the
baby from jerking his limbs during the procedure.

contrAinDicAtions:

• NEVER use 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.

See the Posey Catalog for other options for such a patient.

ADVErsE rEActions

• Not for long-term use. Severe emotional, psychological,
or physical problems may occur: if the applied device
is uncomfortable; or if it severely limits movement. If

posEY pEDiAtric liMB HolDErs

REF

4749

10”L x 2”W, (25½ cm x 5 cm), one dozen pair per package.

symptoms of these problems ever appear for any reason,
get help from a qualified medical authority and find a less
restrictive, product or intervention.

ApplicAtion instructions:

Before use, check device for damage. Discard if you

have any questions about patient safety.

1. read the foam straps through the top of the board, under

the indent for the limb, and up through the other slot.

2. Straps should be threaded through the slots so that rough

area of the hook and loop faces up and away from the
baby’s skin when the strap is closed.

3. Place infant in tray and position straps close to elbows and

knees.

MONITOR PER FACILITY POLICY. Check to ensure that:

• Straps cannot slide in any direction or loosen if the patient
pulls on them;

• Cuffs are properly secured. If applied too tightly,
circulation will be restricted; if applied too loosely, the
patient may be able to slip his or her limb from the device;

• Cuffs are intact, and not torn or damaged. DO NOT allow
patients to ingest product material.

• For short-term use only during circumcision procedures.

4. To close straps, hold one end of the strap in one hand, while

pressing down on baby’s arm or leg with the back of that
hand. Bring the opposite end of the strap across with the
other hand and fasten it snugly.

5. Discard straps contaminated with blood or other bodily

fluids.

notE: Make sure hook and loop fastener is firmly secured
before beginning procedure. If it is not secure, the baby could
wiggle loose and disrupt the procedure.

rx onlY



© 2009 Posey Company. All rights reserved.

Posey Company • 5635 Peck Road, Arcadia, CA 91006-0020 USA • www.posey.com
Phone: [phone] or 1.626.443.3143 • Fax: [phone] or 1.626.443.5014

ADDitionAl sAFEtY AnD lAunDEring

instructions on otHEr siDE

MDSS GmbH

EC REP

Schiffgraben 41
D-30175 Hannover, Germany

I9220 101209

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

WARNING:

ALWAYS Monitor patients per facility policy.

Improper application or use of any restraint may result in serious injury or death.

RX ONLY. NOT FOR HOME USE.

order of a physician. For use in a licensed healthcare facility only.

Federal law (USA) restricts this device to sale by or on

STAFF TRAINING: Staff must have on going training and be able to demonstrate

competency to use this device in accord with: Posey instructions; your facility policies and
state and federal regulations (Federal Register, Part IV, 42 CFR Part 482.13(e)(5) and (f)(6); Posey
offers inservice training aids at no charge. Contact Posey online at www.posey.

com or call

toll-free at 1.800.447.6739 (press 5).

SELECTING THE RIGHT POSEY PRODUCT:

Refer to the Posey catalog to help select the

right device to meet individual patients’ needs.

BEFORE APPLYING ANY RESTRAINT:

• Make a complete assessment of the patient to ensure restraint use is appropriate.

• Identify the patient’s symptoms and, if possible, remove the cause. You may need to:
cater to individual needs and routines; increase rehabilitation and restorative nursing;
modify the environment; or increase supervision.

• Use a restraint only when all other options have failed. Use the least restrictive device,
for the shortest time, until you find a less restrictive alternative. Patients have the right to
be free from restraint.

• Obtain informed consent from the patient or guardian prior to use. Explain the reason for
restraint use to the patient and/or guardian to help ensure cooperation.

• A restraint must only be used in accord with the patient’s Individualized
Care Plan (ICP). The ICP is an assessment by an interdisciplinary team,
which may include, but is not limited to: PT, OT, Nursing, the Physician,
and Social Services. The ICP should include: restorative nursing; patient
release; and pressure sore prevention.

NOTE: Just as patient behavior is not 100% predictable, no product is 100% foolproof.

Patient safety requires regular reassessment and monitoring per facility policy. A product
that worked in the past may be inappropriate if the patient’s mental or physical health status
changes. NEVER apply any product that you feel is unsafe. Consult with the proper medical
authority if you have questions about patient safety.

ADDITIONAL WARNINGS:

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

• Aggressive or agitated patients; and

• Patients deemed at risk of aspirating their vomit. This includes
patients in the supine position, or who are not able to sit up. If the patient vomits, he
or she could aspirate the vomit and suffocate.

• Be prepared to intervene at the first sign of danger. Such patients require frequent
review and evaluation of their physical and psychological status.

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 first 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.

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 movable part of the bed or chair frame, out of the
patient’s reach, using quick-release ties (see drawing below) or buckles. These

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

4. 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.

5. NEVER expose this product to open flame, fire, smoking materials,
or high heat sources. Some products may melt or ignite and burn. The

facility smoking/no smoking policy should be strictly enforced.

6. 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.

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 after repeated use or laundering, reducing grip
strength. Fasten the “hook” to the “loop” before laundering to help prevent lint buildup.
As needed, use a stiff- 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 fluid.

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

• For foam products:

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

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

AL WAYS use the proper size product. Products that are too small or large may compromise patient
comfort and could result in severe injury or death.

BINDING COLOR SIZE WEIGHT lb. (kg.) CHEST in. (cm)

White X-Small 60-115 (27-52) 25-32 (64-81)
Red Small 112-160 (51-73) 31-37 (79-94)
Green Medium 135-203 (61-92) 35-40 (89-102)
Yellow Large 160-225 (73-102) 38-44 (97-112)
Blue X-Large 180-247 (82-112) 42-48 (107-122)
Black XX-Large 220-275 (100-125) 46-55 (117-140)
Yellow/Black XXX-Large 265-305 (120-138) 54-60 (137-152)
Blue/Black XXXX-Large 295-340 (133-154) 58-64 (147-163)

Posey Belts are not color-coded, but are sized according to this table.
Flame-retardant fabric is available on request.
Patient weight and size are a general indicator only. Consider individual physical characteristics to choose the

right product for each patient. Refer to product label for specific sizing information.

Sizing Table for Posey Products

Posey Company • 5635 Peck Road, Arcadia, CA 91006-0020 USA • www.posey.com
Phone: [phone] or 1.626.443.3143 • Fax: [phone] or 1.626.443.5014

© 2012 Posey Company. All rights reserved.

EC REP

MDSS GmbH
Schiffgraben 41
D-30175 Hannover, Germany

I9200B REV B 092412