Posey Locking Twice-as-Tough™ Cuffs - Manual

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
1. Position the patient on the bed.
2. Bring the ends of the strap down through the inside of the side rails so they do not
interfere when the side rails are raised. Thread the end of the strap over the top,
around the frame, and through the lock. Make sure that the straps are attached to a
movable part of the bed frame, out of the patient’s reach.
3. Pull the strap snug and close the lock. 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.
ApplYinG tHE cuFFs (repeat steps 1-3 for each limb):
1. Wrap the neoprene piece (the blue or red side should
be positioned against the skin) around the wrist/
ankle. Attach the black hook and loop pieces together,
followed by the blue or red hook and loop pieces. The
fuzzy piece should be sandwiched between the two
pieces of hook (fig. 1). Be sure to overlap at least one
inch (3 cm).
2. Press the hook and loop closure together firmly and
make sure it adheres securely. Slide ONE finger (flat)
between the cuff and the inside of the patient’s wrist
to ensure proper fit. The cuffs must be snug enough to
prevent escape, but not interfere with circulation.
3. 2792, 2793-Pass the end of the limb strap over the
top of the cuff and through the two D-rings on the cuff.
Bring the strap back over the first ring and through the two D-rings on the cuff (fig. 2).
2798, 2799-Pass the end of the short strap through the lock and adjust it to the
desired length. 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 a
key.
• 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.
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.
inDicAtions For usE:
• 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:
• 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.
Applicable Products: REF 2792, 2793, 2798, 2799
DEscription oF proDuct: Very secure, padded limb restraints with double hook & loop closure.
rx onlY
tWicE-As-touGH cuFFs - KEY locK
© 2009 Posey Company. All rights reserved. I9266 072409
posEY tWicE-As-touGH cuFFs
REF 2792 Wrist, pair, key lock (color coded blue)
REF 2793 Ankle, pair, key lock (color coded red)
REF 2798 Wrist, pair, key lock cuff and strap
(color coded blue)
REF 2799 Ankle, pair, key lock cuff and strap
(color coded red)
2792
MONITOR PER FACILITY POLICY. Check to ensure that:
• 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.
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.
• 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.
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.
THREADING THROUGH
D-RINGS
FiG. 2
ApplicAtion instructions: (Connecting Straps) (repeat steps 1-3 for each side)
TO UNLOCK CUFFS:
1. Insert the Posey Key into the lock and turn
counterclockwise. This will prevent jamming (fig. 3).
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 Keylock
Counterclockwise
TO OPEN
TURN
TO
OPEN
FiG. 3
2798
FiG. 1
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.
ADDitionAl sAFEtY AnD lAunDErinG
instructions on otHEr siDE