Posey Synthetic Leather Connected Locking Cuffs User Manual

Connected Locking Cuffs

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Application

Instructions

DESCRIPTION OF PRODUCT: Wrist/ankle restraints for use with patients who are potentially dangerous to themselves or others.

Indications for Use:

2212

• Patients assessed to be at risk of disrupting life-saving treatments (e.g., chronic tube pulling).

• Patients assessed to be at risk of line pulling, which may prevent monitoring of vital signs.

• Patients whose picking, pulling, scratching, or peeling exacerbates a skin condition, causes self­injury, or compromises wound site integrity.

• 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.

Posey Locking Cuffs

REF

2212 Connected Wrist Set -

Synthetic Leather

REF

2213 Connected Ankle Set - Synthetic

Leather

REF

1074 Posey Universal Key

Application Instructions:

• Before each use, check cuffs and straps for cracks, tears, and/or excessive
wear or stretch; cracked or broken buckles or locks; and/or that hook and
loop adheres securely, as these may allow patient to remove cuff. Discard if
device is damaged.

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

• Make sure the patient is unable to reach the bed connecting straps and free
themselves.

Follow these steps to apply device:

Attach the bed strap on each side, to a movable part of the bed

1.

frame, at a comfortable level for either wrist or ankle use.

Lay the patient down on the bed on top of the connecting strap

2.

between the cuffs.

Wrap the cuff around the patient’s limb.

3.

4. Insert the metal post through the most suitable adjustment hole.

5. Secure the lock to the post.

6. Check for proper fit by inserting one finger between the cuffs and

the patient’s wrist or ankles. The cuffs must be snug enough to
prevent escape, but not interfere with circulation.

7. Check that the lock “clicks” shut. If a lock is not completely closed, it
can pop open. Before leaving the patient’s side, test the lock by trying
to open it without the key.

TO UNLOCK CUFFS:

Insert the Posey Key into the lock and turn
counterclockwise. This will prevent jamming
(Fig. 1).

NOTE: Universal Posey Keys fit all Posey locks.
To order extra keys, contact Posey at

1.800.447.6739, press 5, and ask for

Cat. 1074.

Posey Keys MUST be readily available to staff at all times. In an emergency, it is
difficult to cut the cuffs with scissors to free the patient.

NOTE: Keep excess strap out of reach to prevent patient from pulling strap and
damaging or opening lock.

Use extreme caution when using any type of padding with the limb holder. If the
patient pulls violently, the padding may compress and allow the patient to
remove the cuff and cause injury to himself/herself or others.

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

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.

ADDITIONAL OR DIFFERENT BODY OR LIMB RESTRAINTS MAY BE NEEDED
(See Posey Catalog):

• If the patient pulls violently against the bed straps;

• To reduce the risk of the patient getting access to the line/wound/tube site;

• To prevent the patient from flailing or bucking up and down and causing
self-injury.

MONITOR PER FACILITY POLICY.
Check to ensure that:

• Bed attachment straps cannot slide in any direction, tighten or loosen if the
patient pulls on them, or if the bed is adjusted;

• Cuffs are attached in a way that the patient is not able to use his or her teeth
or otherwise remove the device;

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

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 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.

• Check the patient regularly to ensure that:

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

Posey

Keylock

Counterclockwise

TO OPEN

Fig. 1

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.

ADDITIONAL SAFETY AND LAUNDERING

INSTRUCTIONS ON OTHER SIDE

Rx ONLY

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

I9297 REV B 032913

Safety Information for the Use of Posey 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. Federal law (USA) restricts this device

to sale by or on order of a physician. For use in a licensed healthcare
facility only.

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.

3. ALWAYS use connecting straps that are designed for use with high
security restraint cuffs. Straps that are not designed for use with

Posey high security cuffs may break and increase the risk of death or
serious injury to the patients or others.

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):
Cotton and Polypropylene Products:

• These 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.

• 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.

• Inspect all buckles, locks, and metal parts after drying. Discard if
damaged.

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 supervision (by line of sight or
a video/audio device) may be required for:

• Highly 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.

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.

Leather Products:

DISCARD any leather product contaminated with blood or
bodily fluid. There is no CDC accepted method to sterilize or disinfect
leather. Normal methods (i.e., bleach, autoclaving, steam or ETO gas
sterilization) cannot be used because leather is very porous, and will
deteriorate if exposed to germicidal chemicals, high heat, or moisture.
Also, residual chemicals may accumulate and pose a risk of injury to the
caregiver or patient.

Synthetic Leather or Biothane:

• Sanitize by submerging the entire product in 70% isopropyl alcohol

for 10 minutes; or

• Apply an OSHA approved intermediate level disinfectant per

manufacturer instructions. After cleaning, products MUST be rinsed
with water to remove any residual chemicals.

• Make sure products are completely dry before use.

Stainless Steel Locks: Posey recommends that locks be treated with a
dry-film lubricant (silicone) after each cleaning. For best results, spray a
small amount into the lock. Work the action of the lock with a key
several times to ensure that all the surfaces are well lubricated.

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.

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

I9200A REV B 092412