Posey KeepSafe® Deluxe - Manual (Page 24)

*http://www.fda.gov search keyword “HBSW”
24 KeepSafe ® Deluxe

The KeepSafe Deluxe and Use of Physical Restraints
The use of physical restraints should be a last resort, and only after a full physical and mental assessment
by the facility healthcare team. If the patient’s Care Plan calls for the use of a restraint, staff should read
and follow all instructions and warnings for the device you choose.
The position of the sensor pad is vital when using a restraint. Make sure the restraint is applied correctly
per instructions for that device. Straps must NoT cross over sensor pad.
For bed use, sensor pad should be placed at shoulder blade level so alarm will activate if patient sits up,
tries to climb over side rails, or scoots to bottom of bed (see fig. 28, page 22).
if straps cross over sensor pad and patient moves, pressure from straps may prevent alarm from
activating. if patient falls out of bed or chair and is suspended in the restraint, serious injury or death
may occur from chest compression or suffocation (fig. 34).
• ALWAYS use Hospital Bed Safety Workgroup (HBSW*) compliant bed side rails. Use gap fillers to
reduce the risk that patient’s body or limbs may fit over, under, around, through or between rails.
• Full compliant bed side rails must be UP when restraints are used on a patient.
To reduce the risk of entrapment, use side rail covers, especially with split side rails. a failure to do
so may result in serious injury or death if patient’s body goes under, around, through or between the
bed side rails.
use extreme caution with chair cushions. if a cushion dislodges, straps may loosen and allow patient
to slide off seat and become suspended.
Fig. 34