Posey Self-Releasing Roll Belt User Manual

Application instructions, Rx only self-releasing roll belt

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Posey Company • 5635 Peck Road, Arcadia, CA 91006-0020 USA • www.posey.com

Phone: 1.800.447.6739 or 1.626.443.3143 • Fax: 1.800.767.3933 or 1.626.443.5014



MDSS GmbH

Schiffgraben 41

D-30175 Hannover, Germany

EC REP

APPLICATION

INSTRUCTIONS

INDICATIONS FOR USE:

• Patients needing a reminder to call for assistance before

exiting a bed, and are able to follow instructions.

• Patients needing a positioning device for added safety while

in a bed.

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.

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.

Applicable Products:

REF

1135, 1135QR, 1135QXL

DESCRIPTION OF PRODUCT: Self-Releasing Cotton Belt with quick-release buckle. For hospital bed use only.

Rx ONLY

SELF-RELEASING ROLL BELT

© 2009 Posey Company. All rights reserved.

I9258 040609

1135

POSEY SELF-RELEASING ROLL BELT

REF

1135

Self-Releasing Roll Belt

REF

1135QR Self-Releasing Roll Belt with

Quick- Release Buckles

REF

1135QXL Self Releasing Roll Belt (XL) with

Quick-Release Buckles

APPLICATION INSTRUCTIONS:

1. Open the belt and center it across the mattress with the

waistband facing up. The hook fastening section will be

located on the right side, and the long straps will hang off

both sides of the bed.

2. Position the patient in bed with the belt at waist level.

3. Bring the belt around the patient’s waist and secure with

the hook and loop fastener. Connect the quick-release

buckle. 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. Attach the two long straps on each side to a movable part

of the bed frame, at waist level, using quick-release ties or

buckles.

5. Check that the straps are secure and will not change

position, loosen, or tighten if the patient pulls on them, or if

the bed is adjusted.

1135

ADDITIONAL SAFETY AND LAUNDERING

INSTRUCTIONS ON OTHER SIDE

FIG. 1

FIG. 2

Before use, check device for damage and that hook

and loop adheres securely. Discard if you have any questions

about patient safety.

BED SAFETY
• ALWAYS use Hospital Bed Safety

Workgroup (HBSW) (http://www.fda.

gov/cdrh/beds/modguide.html)

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.

1 and 2).

• Monitor per facility policy to ensure that the patient

cannot slide down, or fall off the mattress and become

suspended or entrapped (figs. 1 and 2).

• 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 bed;

and

how to self-release in an emergency.

Heed these warnings to reduce the risk of serious injury or death:

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