Posey Self-Releasing Wrap-Around User Manual

“Wrap Around”

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Application

Instructions

DESCRIPTION OF PRODUCT: Five-inch (13 cm) wide belt. For chair application or temporary bed or stretcher use.

3658

Indications for Use:

• Patients requiring upper torso postural support to help reduce tilting, leaning and
falling from chairs.

• Patients needing a positioning device for added safety while in a chair or bed.

• Patients needing a reminder to call for assistance before exiting a chair or bed,
and are able to follow instructions.

This product is designed for self-release. If the patient is not able to

easily self-release, it is considered a restraint and must be prescribed by a physician.

Contraindications:

• DO NOT use on a patient who is or becomes highly aggressive, combative, agitated, or suicidal.

Posey “Wrap Around”

REF

3658 Beige Quilted, S-M - 5”W

x 66”L (13 cm x 168 cm), M-L -
5”W x 84”L (13 cm x 213 cm),
XL - 5”W x 100”L (13 cm x 254
cm), XXL - 5”W x 121”L (13 cm
x 307 cm)

REF

3659 Blue Foam, L - 5”W x 72”L

(13 cm x 183 cm), XXL - 5”W
x 121”L (13 cm x 307 cm)

Application Instructions: Wheelchair, Geri-Chair or
Recliner-Chair

loop adheres securely. Discard device if you have any questions about
patient safety.

1. Position the patient on the belt as far back

in the seat as possible, with the buttocks
against the back of the chair.

2. Wrap the foam belt around the patient and

chair backrest. Press the hook and loop
fastener firmly together.

3. Secure the hook and loop fastener in front

of the patient for self-release (Fig. 1), or
behind the patient for assisted-release (Fig.

2). The belt must be snug, but not interfere
with breathing. To check for proper fit,
slide an open hand (flat) between the belt
and the patient

4. Place the belt over the lower lap (Fig. 3) to

hold the buttocks against the backrest and
to help hinder sliding.

5. Wrap the belt under the seat on a part of

the frame that will not allow the belt to
slide forward.

Before use, check device for damage and that hook and

Application Instructions:

• DO NOT use on patients with: ostomy, colostomy, or G-tubes; hernias, severe Cardio Obstructive
Pulmonary Disease (COPD); or with post-surgery tubes, incisions or monitoring lines. These could be
disrupted by a restraint.

• DO NOT use on a patient who is unwilling or unable to follow instructions, and is at risk of a fall or
re-injury from self-release.

Adverse Reactions:

• Severe emotional, psychological, or physical problems may occur: if the applied device is uncomfortable; or
if it severely limits movement. If symptoms of these problems ever appear for any reason, get help from a
qualified medical authority and find a less restrictive product or intervention.

ADDITIONAL WARNINGS:
Heed these warnings to reduce the risk of serious injury or death:
BED SAFETY

• ALWAYS use Hospital Bed Safety Workgroup

(HBSW) (http://www.fda.gov search

Fig. 1

Fig. 2

Fig. 3

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 or chair seat. Use
extreme caution with chair cushions. If a cushion dislodges, straps
may loosen and allow the patient to slide off the seat (Figs. 5, 6,
and 7).

• Monitor per facility policy to ensure that the patient cannot slide

down, or fall off the chair seat or mattress and become suspended
or entrapped (Figs. 5, 6, and 7).

Hospital Bed

1. Wrap the belt underneath and around a

movable part of the bed frame.

2. Lay the belt over the top of the patient, and

press the hook and loop fastener firmly over
the patient to secure product. The belt must
be snug, but not interfere with breathing. To
check for proper fit, slide an open hand (flat) between the belt and the
patient.

3. For self-release, place the fastener in reach of the patient (Fig. 4). For

assisted-release, place the fastener out of the reach of the patient.
Check that the belt is secure and will not change position, loosen, or
tighten if the patient pulls, or if the bed is adjusted.

If the patient has, poor upper trunk control or has a
tendency to slide or fall off the chair, it should not be used over the
torso in a chair without a belt or pelvic piece over the lower pelvis/
lap area.

Fig. 4

• STOP USE AT ONCE: if the patient is at risk to slide forward or
down in the device.

NOTE: A restraint with a pelvic piece will help to reduce the risk

of sliding. See Posey Catalog.

• Before leaving the patient unattended, explain the purpose for
the belt. Make sure the patient understands:

• the need to call for assistance before exiting the chair; and

• how to self-release in an emergency.

Fig. 5 Fig. 6 Fig. 7

ADDITIONAL SAFETY AND LAUNDERING

INSTRUCTIONS ON OTHER SIDE

Rx ONLY

3659

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

© 2013 Posey Company. All rights reserved.

EC REP

MDSS GmbH
Schiffgraben 41
D-30175 Hannover, Germany

I9241 REV B 040913

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