Posey Connected 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
1. Place the cuffs at wrist or ankle position.
2. Bring the ends of the strap down through the inside of the side rails so
they do not interfere when the side rails are raised. Thread the end of
the strap over the top, around the frame, and through the lock. Make
sure that the straps are attached to a movable part of the bed frame,
out of the patient’s reach.
3. Pull the strap snug and close the lock. 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.
4. Position the patient on the bed.
ApplYinG tHE cuFFs (repeat steps 1-2 for each limb):
1. Wrap the neoprene piece (the blue or red side
should be positioned against the skin) around
the wrist/ankle. Attach the black hook and
loop pieces together, followed by the blue
or red hook and loop pieces. The fuzzy piece
should be sandwiched between the two
pieces of hook (fig. 1). 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.
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.
• 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.
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.
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.
• 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.
Applicable Products: REF 2794, 2795, 2795l
DEscription oF proDuct: Very secure, padded limb restraints with double hook and loop closure. For hospital bed application only.
rx onlY
connEctED tWicE-As-touGH cuFFs
© 2009 Posey Company. All rights reserved. I9260 062109
posEY connEctED
tWicE-As-touGH cuFFs
REF 2794 Connected Wrist - Bed, pair, key lock (blue),
32” (81 cm) strap length
REF 2795 Connected Ankle - Bed, pair, key lock (red),
32” (81 cm) strap length
REF 2795L Connected Ankle - Bed, pair, key lock (red),
42” (107 cm) strap length
REF 1074 Posey Universal Key
ApplicAtion instructions: (Connecting straps) (repeat steps
1-4 on each side):
2794
2795
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.
TO UNlOCK CUFFS:
1. Insert the Posey Key into the lock and turn
counterclockwise. This will prevent jamming
(fig. 2).
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. 2
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.
ADDitionAl sAFEtY AnD lAunDErinG
instructions on otHEr siDE
FiG. 1