Posey Twice-as-Tough™; Cuffs for Stretcher User Manual

Application instructions, Rx only twice-as-tough cuffs for stretcher

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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 cuffs on the stretcher at the wrist or ankle position.
2. Bring the ends of the strap down through the inside of the side

rails so they do not interfere with the movement of the side rails.

Thread the end of the strap over the top, around the frame, and

connect the blue or red hook and loop together.

3. Pull the strap snug.
4. Position the patient on the stretcher.

ApplYinG tHE cuFFs (repeat steps 1-2 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/ankle to ensure proper fit. The cuffs

must be snug enough to prevent escape, but not interfere with

circulation.

• 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

2750, 2755

DEscription oF proDuct: A full body restraint for total immobilization in a supine position. For stretcher application only.

rx onlY

tWicE-As-touGH cuFFs For strEtcHEr

© 2009 Posey Company. All rights reserved.

I9232 092309

posEY tWicE-As-touGH

cuFFs For strEtcHEr

REF

2750 Wrist pair, regular

stretcher (blue neoprene)

REF

2755 Ankle pair, regular

stretcher (red neoprene)

2750

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 stretcher 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.

• 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.

STRETCHER 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.

ApplicAtion instructions:

(Connecting Straps) (repeat steps 1-4 for each side)

ADDitionAl sAFEtY AnD lAunDErinG

instructions on otHEr siDE

FiG. 1

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