Posey Quick-Release Twice-as-Tough™ Cuffs - Manual

Application
Instructions
DESCRIPTION OF PRODUCT: Very secure, padded limb restraints with double security closure.
Rx ONLY
Twice-As-Tough™ Cuffs
© 2010 Posey Company. All rights reserved. I92103 REV A 090910
AddITIONAL SAfeTY ANd LAuNdeRINg
INSTRuCTIONS ON OTheR SIde
1. Follow these steps to apply device:
a. Attach the female end of the quick-release buckle (short strap) to a movable
part of the bed frame, out of the patient’s reach. Secure by feeding the female
end through the loop in the strap.
b. Insert the male end of the connecting strap into the female end of the short
strap. Listen for a “snapping” sound. Pull firmly on straps to ensure a good
connection.
APPLYING THE CUFFS (repeat steps 1-4 for each limb):
1. Wrap the neoprene piece (the blue side should be
positioned against the skin) around the wrist. Attach the
black hook and loop pieces together, followed by the
blue 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. Release the quick-release buckle, twist, and reconnect
(fig. 2). Listen for a “snapping” sound. Pull firmly on
straps to ensure a good connection.
4. Adjust the bed strap(s) to allow desired freedom of movement, without
compromising patient or caregiver safety.
Posey Twice-As-Tough
Cuffs
REF 2789Q Wrist, pair, single strap
with quick-release
buckles (color-coded blue)
Application Instructions: Connecting Straps
2789Q
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.
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.
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.
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.
Fig. 2
Fig. 1
• 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.

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