Posey Twice-as-Tough™ Ambulatory Belt - 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. Place the belt around the patient’s waist
snugly. Slide an open hand (flat) between
the device and the patient to ensure proper
fit. The device must be snug, but not
interfere with breathing.
2. Use one of the application methods
(either in front of, or behind the patient) as
described:
a. Position the cuffs in front of the
patient, keep hands down by his
or her sides, and place the cuffs on the
adjacent wrist (figs. 1 and 2).
b. Position the cuffs in front of the patient,
cross the wrists and place the cuffs on
the adjacent wrist. This application may
not be suitable for all patients because
it provides less hand mobility and may
be uncomfortable (fig. 3).
c. Position the cuffs behind the patient;
place the cuffs on the adjacent wrists
(fig. 4).
APPLYING THE CUFFS:
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. 5). 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. Pass the end of the wrist strap over the top of the cuff and through
the lock.
Applicable Products: REF 2800
DEscription oF proDuct: Ambulatory Restraint Belt with locking belt and locking cuffs.
rx onlY
AMBulAtorY rEstrAint BElt
© 2009 Posey Company. All rights reserved. I9268 060609
posEY AMBulAtorY
rEstrAint BElt
REF 2800
REF 1074 Posey Universal Key
ApplicAtion instructions:
FiG. 5
2800
FiG. 1
FiG. 2
FiG. 3
FiG. 4
ADDitionAl sAFEtY AnD lAunDErinG
instructions on othEr siDE
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 who require a device to limit arm movement by securing wrists to a locking waist belt.
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.
• NEVER allow a restrained patient to walk without assistance. The
patient is at risk of injury from a fall or harm from others.
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.
• 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.
• 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.
4. 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.
To Unlock Cuffs:
1. Insert the Posey Key into the lock and turn
counterclockwise. This will prevent jamming
(fig. 6).
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 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 Keylock
Counterclockwise
TO OPEN
TURN
TO
OPEN
FiG. 6
•
Who may be self-abusive. This device does not totally restrict hand movement.
•
With respiratory problems.