Warning, Always monitor patients per facility policy – Posey Houdini Security Suit User Manual

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MDSS GmbH

Schiffgraben 41

D-30175 Hannover, Germany

Quality Products since 1937

Safety Information for the Use of Posey Torso and Limb Restraining Products

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



Warning:

aLWaYS Monitor patients per facility policy.

Improper application or use of any restraint may result in serious injury or death.

© 2009 Posey Company. All rights reserved.

I9200B 060909

4. nEVEr use Posey products on toilets, or on any chair or

furniture that does not allow proper application as directed

in the application instructions. Do not use at home.

5. nEVEr expose this product to open flame, fire, smoking

materials, or high heat sources. Some products may melt or

ignite and burn. The facility smoking/no smoking policy should

be strictly enforced.

6. nEVEr use a Posey product as a seat belt in a moving

vehicle. Posey products are not designed to withstand the

force of a crash or sudden stop.

StoragE anD HanDLing:

• This device is designed for use in normal indoor environments.

• This device may be stored in ambient warehouse temperatures at normal

humidity levels. Avoid excess moisture or high humidity that may damage

product materials.

rX onLY. not For HoME USE. Federal law (USA) restricts this device to sale

by or on order of a physician. For use in a licensed healthcare facility only.

3. aLWaYS secure straps, to a movable part of the bed or chair frame, out

of the patient’s reach, using quick-release ties (see drawing below) or

buckles. These allow easy release in the event of an accident or fire. Test to

make sure straps cannot tighten, loosen, or slip and create excess slack. If

this occurs, the patient may slide off the chair or bed, increasing the risk of

serious injury or suffocation. Restraint release is an important part of facility

fire and disaster drills. Straps can be cut with scissors in an emergency.

StaFF training: Staff must have on going training and be able to

demonstrate competency to use this device in accord with: Posey instructions;

your facility policies and state and federal regulations (Federal Register, Part IV,

42 CFR Part 482.13(e)(5) and (f)(6); Posey offers inservice training aids at no

charge. Contact Posey online at www.posey.com or call toll-free at

1.800.447.6739 (press 5).

SELECting tHE rigHt PoSEY ProDUCt: Refer to the Posey catalog to help

select the right device to meet individual patients’ needs.

aDDitionaL WarningS:

1. aLWaYS monitor patient per facility policy. Be aware

that constant monitoring may be required for:

• Aggressive or agitated patients; and

• Patients deemed at risk of aspirating their vomit. This

includes patients in the supine position, or who are not

able to sit up. If the patient vomits, he or she could aspirate the vomit and

suffocate.

• Be prepared to intervene at the first sign of danger. Such patients require

frequent review and evaluation of their physical and psychological status.

2. nEVEr alter or repair this product. aLWaYS inspect before

each use: Check for broken stitches or parts; torn, cut or frayed

material; or locks, buckles, or hook and loop fasteners that do not

hold securely. DO NOT use soiled or damaged products. Doing

so may result in serious injury or death. Dispose of damaged

products per facility policy for BIOHAZARDOUS material.

BEForE aPPLYing anY rEStraint:
• Make a complete assessment of the patient to ensure restraint use is

appropriate.

• Identify the patient’s symptoms and, if possible, remove the cause. You may

need to: cater to individual needs and routines; increase rehabilitation and

restorative nursing; modify the environment; or increase supervision.

• Use a restraint only when all other options have failed. Use the least

restrictive device, for the shortest time, until you find a less restrictive

alternative. Patients have the right to be free from restraint.

• Obtain informed consent from the patient or guardian prior to use. Explain

the reason for restraint use to the patient and/or guardian to help ensure

cooperation.

• A restraint must only be used in accord with the patient’s

Individualized Care Plan (ICP). The ICP is an assessment by an

interdisciplinary team, which may include, but is not limited

to: PT, OT, Nursing, the Physician, and Social Services. The

ICP should include: restorative nursing; patient release; and

pressure sore prevention.

1. Wrap the strap once around a movable part of the bed frame leaving at least an 8” (20 cm) tail. Fold

the loose end in half to create a loop and cross it over the other end.

2. Insert the folded strap where the straps cross over each other, as if tying a shoelace. Pull on the loop

to tighten.

3. Fold the loose end in half to create a second loop.
4. Insert the second loop into the first loop.
5. Pull on the loop to tighten. Test to make sure strap is secure and will not slide in any direction.
6. Repeat on other side. Practice quick-release ties to ensure the knot releases with one pull on the

loose end of the strap.

notE: Just as patient behavior is not 100% predictable, no product is 100%

foolproof. Patient safety requires regular reassessment and monitoring per

facility policy. A product that worked in the past may be inappropriate if the

patient’s mental or physical health status changes. NEVER apply any product

that you feel is unsafe. Consult with the proper medical authority if you have

questions about patient safety.

Sizing table for Posey Products

AlwAYS use the proper size product. Products that are too small or large may compromise
patient comfort and could result in severe injury or death.

BIndIng Color

SIze

WeIght lb. (kg.)

CheSt in. (cm)

white

X-Small

60-90 (27-41)

28-34 (71-86)

Red

Small

80-120 (36-54)

32-39 (81-99)

Green

Medium

110-155 (50-70)

37-45 (94-114)

Yellow

large

145-190 (66-86)

43-49 (109-124)

Blue

X-large

180-230 (82-104)

47-52 (119-132)

Black

XX-large

220-275 (110-125)

50-56 (127-142)

Yellow/Black

XXX-large

265-305 (120-139)

54-60 (137-152)

Blue/Black

XXXX-large

295-340 (134-155)

58-64 (147-163)

Posey Belts are not color-coded, but are sized according to this table.
Flame-retardant fabric is available on request.
Patient weight and size are a general indicator only. Consider individual physical characteristics

to choose the right product for each patient. Refer to product label for specific sizing information.

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how to tie the Posey Quick-release tie

LaUnDEring inStrUCtionS (if applicable):

• Fasten all buckles and locks to reduce risk of damage during wash and dry

cycles. DO NOT put buckles or locks through extractors. For maximum life,

launder in a laundry bag.

• Before laundering, zip up and turn the product inside out to protect zipper.

• Hook and loop fasteners may collect lint after repeated use or laundering,

reducing grip strength. Fasten the “hook” to the “loop” before laundering to

help prevent lint buildup. As needed, use a stiff- bristle brush to remove lint

from the “hook” side.

• These products, other than foam products, can

be machine washed under CDC guidelines for

material soiled with blood or bodily fluid.

• For non-contaminated material, use lower temperature wash and dry cycles

to extend product life.

• For foam products:

test Zippers or hook and loop fasteners before each use. DiSCarD device if

it does not fasten securely.

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