Posey Clean 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
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.
Applicable Products: REF 2214, 2215, 2216
DEscription oF proDuct: Locking restraint for wrist and ankle with integral swivels and pre-attached straps with locks.
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clEAn cuFFs
© 2009 Posey Company. All rights reserved. I9281 060609
posEY clEAn cuFFs
REF 2214 Synthetic Leather Locking Wrist
REF 2215 Synthetic Leather Locking Ankle
REF 2216 Posey Crisis Bag with one
set of 2214 Wrist Cuffs and
2215 Ankle Cuffs
REF 1074 Posey Universal Key
ApplicAtion instructions
2214 2216
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.
• 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.
Posey Keys MUST be readily available to staff at all times. In an emergency, it is
difficult to cut the cuffs with scissors to free the patient.
NOTE: Keep excess strap out of reach to prevent patient from pulling strap and
damaging or opening lock.
Follow these steps to apply device (repeat steps 1-7 on other limb):
1. Wrap the cuff around the patient’s limb.
2. Insert the metal post through the most suitable adjustment hole.
3. Secure the lock to the post.
4. Check for proper fit by inserting one finger between the cuffs and the patient’s
wrist or ankles. The cuffs must be snug enough to prevent escape, but not
interfere with circulation.
5. Check that the lock “clicks” shut. If a lock is not completely closed, it can pop
open. Before leaving the patient’s side, test the lock by trying to open it without
the key.
6. Wrap the strap around the juncture of a movable part of the bed frame, out of
the patient’s reach. Ensure that the strap is wrapped around the frame at least
once before passing the end of the strap through the lock. Leave no more than
1” (3 cm) of excess strap sticking out of the lock. Pulling on excess strap may
allow the patient to damage the lock.
7. Pull firmly on the strap to verify that the lock is secure.
To Unlock Cuffs:
1. Insert the Posey Key into the lock and turn
counterclockwise. This will prevent jamming (fig. 1).
NOTE: Universal Posey Keys fit all Posey locks. To
order extra keys, contact Posey at 1.800.447.6739,
press 5, and ask for Cat. #1074.
Posey Keylock
Counterclockwise
TO OPEN
TURN
TO
OPEN
FiG. 1
Posey Keylock
Counterclockwise TO OPEN
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.
Use extreme caution when using any type of padding with the limb holder. If the
patient pulls violently, the padding may compress and allow the patient to remove
the cuff and cause injury to himself/herself or others.
ADDitionAl sAFEtY AnD lAunDErinG
instructions on othEr siDE