Posey Pediatric Limb Holders - Manual (Page 2)

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
© 2012 Posey Company. All rights reserved. I9200B REV B 092412
Safety Information for the Use of Posey Torso and Limb Restraining Products
WARNING: ALWAYS Monitor patients per facility policy.
Improper application or use of any restraint may result in serious injury or death.
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 60-115 (27-52) 25-32 (64-81)
Red Small 112-160 (51-73) 31-37 (79-94)
Green Medium 135-203 (61-92) 35-40 (89-102)
Yellow Large 160-225 (73-102) 38-44 (97-112)
Blue X-Large 180-247 (82-112) 42-48 (107-122)
Black XX-Large 220-275 (100-125) 46-55 (117-140)
Yellow/Black XXX-Large 265-305 (120-138) 54-60 (137-152)
Blue/Black XXXX-Large 295-340 (133-154) 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.
1 2 3 4 5
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.
*www.cdc.gov
MDSS GmbH
Schiffgraben 41
D-30175 Hannover, Germany
EC REP