Posey E.D. Security Cuffs - Manual

Application
Instructions
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.
DESCRIPTION OF PRODUCT:
Reinforced Cuffs for use with extremely violent patients and/or patients who are potentially dangerous to themselves or others.
Rx ONLY
E.D. Security Cuffs
© 2012 Posey Company. All rights reserved. I9216 REV B 092412
ADDITIONAL SAFETY AND LAUNDERING
INSTRUCTIONS ON OTHER SIDE
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.
• 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.
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.
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.
• Patients assessed as being in extreme danger of injury to themselves or to others.
• 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 self-injury, or compromises wound site
integrity.
Contraindications:
Indications for Use:
• 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 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. Posey E.D. Security Cuffs for Wrists/
Ankles
REF 2835 E.D. Security Cuff, Key Lock,
17”L x 2¼”W (43 cm x 6 cm),
Circum. 5½”-15” (14 cm - 38 cm)
REF 1074 Posey Universal Key
(Connecting straps sold separately)
Application Instructions:
2835
• 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.
Follow these steps to apply device (repeat steps 1-4 on the other limb):
1. Wrap the cuff around the patient’s limb.
2. Bring the tongue through the metal buckle.
3. Check for proper fit by inserting one finger between the cuff and the patient’s wrist
or ankles. The cuff must be snug enough to prevent escape, but not interfere with
circulation.
4. 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.
Application Instructions: Connecting Straps
(sold separately)
1. Loop the connecting strap (sold separately) through the U-bar on the cuff.
2. Wrap the strap around a movable part of the bed frame, out of the patient’s reach.
Ensure that the strap is wrapped around the frame at least once before passing the
end of the strap through the buckle or lock.
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.
Posey Keylock
Counterclockwise
TO OPEN
TURN
TO
OPEN
Fig. 1
MONITOR PER FACILITY POLICY. Check to ensure that:
• Bed attachment straps cannot slide in any direction or loosen if the patient
pulls on them, or if the bed is adjusted;
• Cuffs are properly secured. If applied too tightly, circulation will be
restricted; if applied too loosely, the patient may be able to slip his or her
limb from the device;
• 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.

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