Posey Torso Support User Manual

torso support

Applicable Products:

REF

3656s, 3656M, 3656l, 3656Xl, 3656XXl

ApplicAtion

instructions

DEscription oF proDuct:

posEY torso support

REF

3656 Sizes: S, M, L, XL, XXL

Five-inch (13 cm) wide belt with shoulder straps for wheelchairs or similar non-wheelchair applications.

3656

inDicAtions For usE:

• Patientsrequiringuppertorsoposturalsupportto

help reduce tilting, leaning and falling from chairs.

3656

LATEX

• Patientsrequiringapositioningdevicetoassist

medical treatment.

• Productapplicationsconsidered“self-release”or“assisted-

release” must be specified by the ordering physician.

is 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.

• 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. ese could be disrupted by a restraint.

• STOP USE AT ONCE: if the patient has a tendency to slide forward or down in the

device; or is able to self-release.

NOTE: A restraint with a pelvic piece will reduce the risk of sliding, or of the patient

pulling the device over his or her head. See Posey Catalog.

• 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qualiedmedicalauthorityand

find a less restrictive, product or intervention.

cAtAlog
nuMbEr WAist strAp DiMEnsions shoulDEr strAp lEngth

3656S 48”L x 5”W 122 cm x 13 cm 34”L x 3”W 86 cm x 8 cm

3656M 54”L x 5”W 137 cm x 13 cm 37”L x 3”W 94 cm x 8 cm
3656L 60”L x 5”W 152 cm x 13 cm 41”L x 3”W 104 cm x 8 cm
3656XL 72”L x 5”W 183 cm x 13 cm 41”L x 3”W 104 cm x 8 cm
3656XXL 84”L x 5”W 213 cm x 13 cm 46”L x 3”W 117 cm x 8 cm

rx onlY

ApplicAtion instructions:

1. Seat the patient with the hips

against the chair back.

2. Wrap the chest strap around the

patient and the chair. Press hook
and loop firmly together. e patient
should be comfortably seated and
breathing easily.

3. Bring the shoulder straps over the

shoulders, crossing them in an “X”
behind the seat rest (fig. 1). Secure
the shoulder straps to chest strap.

notE: e “hook and loop” may be secured in front of the

-patient for “self-release,” or behind the patient for
“assisted-release.” e proper medical authority should
determine which way the belt is to be utilized.

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.



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

© 2009 Posey Company. All rights reserved.

Fig. 1

but not interfere with breathing or

Straps must ALWAYS be snug,

circulation. After application, slide an open
hand (flat) between the device and patient
to ensure proper fit. Make sure that the
straps are secured at a juncture of the
frame, out of the patient’s reach, and

Fig. 2

cannot slide in any direction, as this would
change the position of the device. If a patient’s body weight
becomes suspended off the chair, chest compression and
suffocation could result. Restraints with a pelvic piece may be
necessary to reduce sliding down.

• ereisariskofchestcompressionorsuocation,ifthe

patient’s body weight is suspended off the chair seat. Use
extreme caution with chair cushions. If a cushion
dislodges, straps may loosen and allow the patient to slide
off the seat (fig. 2).

• Monitorperfacilitypolicytoensurethatthepatient

cannot slide down, or fall off the chair seat and become
suspended (fig. 2).

ADDitionAl sAFEtY AnD lAunDEring

instructions on othEr siDE

MDSS GmbH

EC REP

Schiffgraben 41
D-30175 Hannover, Germany

I9242 042209

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