Posey Quick-Release Twice-as-Tough™ Cuffs - 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
NOTE: ALWAYS secure both wrists to help prevent
patient release.
1. Use method a. or b. below to attach straps to the
bed (repeat steps 1-2 on each side):
a. Triangulation process; to restrict patient’s range
of motion: Separate the straps and attach them
at different points along a movable part of the
bed frame, out of the patient’s reach (fig. 1).
b. To increase patient’s range of motion: Place
the straps together and attach to a single point
along a movable part of the bed frame, out of
the patient’s reach.
2. 2790-Wrap the connecting strap to the frame by
pulling the strap back between the first and second
D-ring (fig. 2), or attach with a quick-release tie.
2790Q-Wrap the connecting strap once around a
movable part of the bed frame, out of the patient’s
reach. Close the quick-release buckle. Listen for a
“snapping” sound. Pull firmly on straps to ensure a
good connection (fig. 3).
APPLYING THE CUFFS (repeat steps 1-4 for each limb):
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.
4). 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. 2790-Pass the end of the limb strap over the top
of the cuff and through the two D-rings on the cuff.
Bring the strap back over the first ring and through the two D-rings on the cuff.
2790Q- Release the quick-release buckle, twist, and reconnect (fig. 5). Listen for
a “snapping” sound. Pull firmly on straps to ensure a good connection.
4. Adjust the bed strap(s) to allow desired freedom of movement, without
compromising patient or caregiver safety.
Applicable Products: REF 2790, 2790Q
DEscription oF proDuct: Very secure, padded limb restraints with double security closure.
rx onlY
tWicE-As-touGH cuFFs
© 2009 Posey Company. All rights reserved. I9253 062109
posEY tWicE-As-touGH cuFFs
REF 2790 Wrist pair; double strap
(color coded - blue)
REF 2790Q Wrist, pair, double strap
with quick-release
buckles (color-coded blue)
ApplicAtion instructions: connEctinG strAps
2790
THREADING THROUGH
D-RINGS
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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.
2790Q
• 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.
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 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.
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.
BED 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.
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ADDitionAl sAFEtY AnD lAunDErinG
instructions on otHEr siDE
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