Posey Restraint Net User Manual

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Restraint Net

Application

Instructions

DESCRIPTION OF PRODUCT: A full body restraint for total immobilization in a supine position. For hospital bed application only.

Indications For Use:

8115

• Patients assessed as being in extreme danger of injury to themselves or to others.

Contraindications:

• DO NOT use this device on a patient who is or becomes: suicidal; highly aggressive or combative; self- destructive; or

deemed to be an immediate risk to others, UNLESS the patient is under constant supervision.

• 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.

• DO NOT use on patients with: ostomy, colostomy, or G-tubes; hernias, severe Cardio Obstructive Pulmonary Disease

Photo for application illustration only. See side rail
information below.

Posey Restraint Net

REF

8115 Restraint Net, 48”L x 35¼”W (122 cm x

90 cm), cross strap length 55” (134 cm)

Application Instructions

• Before each use, check for tears, fraying or excessive wear; or cracked or broken
buckles or locks; and/or that hook and loop adheres securely. Discard if device is
damaged.

• If you have any questions about patient safety, ask the appropriate medical authority
for alternatives.

• Make sure patient wears proper undergarments to protect skin.

1. Spread the Restraint Net with the neck and shoulder opening toward the head of the bed. See above
photo.

2. Attach one side of the Restraint Net to a movable part of the bed frame by securing each of the five (5)
cross straps. There are two different connection options: D-rings and Quick-Release Buckles.

IF USING D-RING IF USING QUICK-RELEASE BUCKLES

Fig. 1

Fig. 2

Fig. 3

3. Place the patient on the bed, face up, using the side where the net has not yet been secured to
the bed. Insert the patient’s arms through the arm holes in the Restraint Net and rest the arms
on the bed parallel to the patient’s body. Place the patient’s ankles (or calves for larger patients)
in the bottom restraints. These are double security fasteners. Secure the ankles or calves by
wrapping the fuzzy loop strap around the limb and “sandwiching” it between the two hook
straps. The red straps will fit most ankles and the blue straps will fit most larger calves. You
should be able to slide one finger between each of the patient’s limbs and the hook and loop
cuffs.

4. Attach the remaining five cross-straps to the other side of
the bed using the methods as described in step 2. If this
device is applied too tightly, circulation and/or breathing
can be impaired. If too loose, the patient may be able
to slip limbs free from the device. Check circulation and
breathing frequently and monitor for skin discoloration.
The flat palm of your hand should fit between the device
and the patient’s body.

Ensure the Quick-Release
Buckles are closed & the
strap length is at the
furthest length. ( fig. 1)

Wrap the end of the strap
around a movable part
of the bed frame, then
pass the strap through the
D-ring and pull the strap
tight. (figs. 2-4)

Fig. 4

Fig. 5

Fig. 6

the Posey Quick-Release tie method. DO NOT tie
a knot in case the patient must be released in an
emergency. Make sure Posey Quick-Release Buckle
/ D-Ring / Quick-Release tie is out of the
patient’s reach and the straps do not loosen if the
restraint is pulled or jerked.

(COPD); or with post-surgery tubes, incisions or monitoring lines. These could be disrupted by a restraint.

Adverse Reactions

• Severe emotional, psychological, or physical problems may occur: if the applied device is uncomfortable; or if it
severely limits movement. If the patient is likely to cause injury to him/herself or others, get help from a qualified
medical authority to find an alternate intervention or method of restraint.

5. Attach the end-strap to the bed frame at the foot of the bed using the D-ring or quick-release

buckle as described in step 2. Be sure this strap is snug, to prevent the Restraint Net from riding up
around the neck if the patient tries to slide down.

6. Lay the patient’s left arm on the two vertical restraint straps (see Fig. 1). These are double

security fasteners. Secure the upper arm by wrapping the fuzzy loop strap around the arm and
“sandwiching” it between the two hook straps. The red straps will fit most arms and the blue
straps will fit most larger arms.

7. Repeat the steps for securing the right arm using step 6. The patient is now secure under the

Restraint Net, with arms secured resting on top of the Restraint Net parallel to the body.

MONITORING

• Posey recommends constant direct supervision for patients deemed to be at risk of
injury to themselves or others. For times when direct supervision is not possible, monitor

Wrap the connecting
strap once around a
movable part of the
bed frame, out of the
patient’s reach. ( fig. 5)

Close the Quick-Release
Buckle. Listen for a
“snapping” sound. Pull
firmly on straps to ensure
a good connections.
( fig. 6)

If tying the straps, ONLY use

Fig. 1

by line of sight or by a video/audio device.

• NEVER allow a patient to have access to any tool, utensil, or object that might be used
to unlock or damage cuffs.

• Be aware that a sudden mood swing may cause agitated or aggressive behavior.
Contact the medical team AT ONCE if this occurs. No level of monitoring may avoid
the risk of serious injury to highly agitated or aggressive patients.

• NEVER use on a child under 46” (117 cm) tall.

• Check the patient regularly to ensure that:

• Circulation is not impaired. Serious injury may occur if the cuffs restrict circulation.

• Cuffs are secure. Death or serious injury to the patient or others may occur if the

patient can remove the cuffs.

BED SAFETY

• ALWAYS use Hospital Bed Safety Workgroup (HBSW)
(http://www.fda.gov search keyword “HBSW”)
compliant side rails in the UP position and fill ALL
gaps to reduce the risk of entrapment.

• Use side rail covers and gap protectors to help prevent the
patient’s body from going under, around, through or between the side rails. A failure
to do so may result in serious injury or death if a patient becomes suspended or
entrapped. Posey offers a full range of side rail pads and/or gap protectors to cover
gaps.

• There is a risk of chest compression or suffocation, if the patient’s body weight is
suspended off the mattress (figs. 2 and 3).

• Monitor per facility policy to ensure that the patient cannot slide down, or fall off the
mattress and become suspended or entrapped (figs. 2 and 3).

Fig. 2

ADDITIONAL SAFETY AND LAUNDERING

INSTRUCTIONS ON OTHER SIDE

Rx ONLY

Fig. 3

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

© 2011 Posey Company. All rights reserved.

EC REP

MDSS GmbH
Schiffgraben 41
D-30175 Hannover, Germany

I9202 REV C 072011

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