Posey Synthetic Leather Connected Locking Cuffs for Wrist/Ankle Bookmark and Share - 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: Wrist/ankle restraints for use with patients who are potentially dangerous to themselves or others.
Rx ONLY
Connected Locking Cuffs
© 2013 Posey Company. All rights reserved. I9297 REV B 032913
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.
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.
Posey Locking Cuffs
REF 2212 Connected Wrist Set -
Synthetic Leather
REF 2213 Connected Ankle Set - Synthetic
Leather
REF 1074 Posey Universal Key
Application Instructions:
2212
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.
• 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:
1. Attach the bed strap on each side, to a movable part of the bed
frame, at a comfortable level for either wrist or ankle use.
2. Lay the patient down on the bed on top of the connecting strap
between the cuffs.
3. Wrap the cuff around the patient’s limb.
4. Insert the metal post through the most suitable adjustment hole.
5. Secure the lock to the post.
6. Check for proper fit by inserting one finger between the cuffs and
the patient’s wrist or ankles. The cuffs must be snug enough to
prevent escape, but not interfere with circulation.
7. 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. Fig. 1
Posey
Keylock
Counterclockwise
TO OPEN
• Make sure the patient is unable to reach the bed connecting straps and free
themselves.
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.
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.

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