Posey Houdini Security Suit - Manual (Page 2)

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.
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.