Posey 5th Point Restraint - 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 who are aggressive and attempt to “buck” up and down, risking potential self-injury or
disruption of treatment.
• Patients who need a supplemental restraint (5th point) of the thighs, pelvis, or chest, and who are
already restrained at all four extremities.
contrAinDicAtions:
• NEVER use a 5th point restraint on a patient:
•
With a pelvic fracture, supra-pubic catheter, ostomy; percutaneously placed feeding tube or recent
incision.
•
With a history of cardiac or pulmonary disorders, or thoracic fractures.
• 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.
• Monitor per facility policy to ensure that the patient cannot slide down, or fall off
the mattress and become suspended or entrapped (figs. 2 and 3).
• There is a risk of chest compression or suffocation, if the patient’s body weight is
suspended off the mattress (figs. 2 and 3).
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.
• STOP USE AT ONCE: if the patient has a tendency to slide forward or down in the
device; or is able to self-release.
NOTE: A restraint with a pelvic piece will reduce the risk of sliding, or of the patient
pulling the device over his or her head. See Posey Catalog.
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.
• NEVER leave a patient requiring a 5th point restraint alone. One-on-one supervision
is required in case of an
emergency.
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.
Applicable Products: REF 2219, 2219l
DEscription oF proDuct: 5th Point Restraint Belt with quick-release or locking buckles.
rx onlY
5th point rEstrAint
© 2009 Posey Company. All rights reserved. I9286 061009
2219
posEY 5th point rEstrAint
REF 2219 Propylene 5th Point
Restraint Belt with
quick-release buckles
REF 2219L Nylon/Lycra Locking
5th Point Restraint Belt
REF 1074 Posey Universal Key
2219l
Locking Buckle
2219
Quick-Release
Buckle
FiG. 2 FiG. 3
photo for application illustration only. see
side rail information below.
• Before each use, check for tears, fraying or excessive wear; or cracked or broken buckles
or locks; and/or that hook and loop adheres securely. Discard if device is damaged.
• If you have any questions about patient safety, ask the appropriate medical
authority for alternatives.
• Make sure patient wears proper undergarments to protect skin.
Attach wrist and ankle restraints to aggressive patients to keep him/her
from self-release.
ApplicAtion instructions:
2219-Quick-Release and Locking (repeat steps 2-4 on each side)
1. Position the belt over the patient’s thighs, pelvis or chest.
2. 2219-Loop the connecting strap attached to the male end of the quick-release buckle
around a movable part of the bed frame, out of the patient’s reach, and then close the
quick-release buckle. Listen for a “snapping” sound.
2219L- Loop the connecting strap around a movable part of the bed frame, out of the
patient’s reach. Pass the end of the strap through the lock. 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.
3. 2219-Adjust the tension of the strap by releasing one side and adjusting the length of
the strap between the male and female ends of the quick-release buckle. Pull firmly on
straps to ensure a good connection.
2219L- Pull firmly on the strap to verify that the lock is secure
4. The belt must be snug, but not interfere with breathing. To check for proper fit, slide an
open hand (flat) between the belt and the patient.
NOTE: When using over the chest, the straps should go under the arms and attach at
chest level, to a movable part of the bed frame. This will prevent patient from sliding down
and becoming entangled.
TO UNLOCK:
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
Heed these warnings to reduce the risk of serious injury or death:
ADDitionAl sAFEtY AnD lAunDErinG
instructions on othEr siDE
NEVER use a 5th point restraint on a patient:
• To restrain head or neck.