Posey Synthetic Leather Cuffs - Connected Set - 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
Applicable Products: REF 2204, 2205, 2206, 2207
DEscription oF proDuct: Wrist/ankle restraints for use with patients who are potentially dangerous to themselves or others.
rx onlY
connEctED non-locking cuFFs
© 2009 Posey Company. All rights reserved. I9295 060609
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posEY liMB HolDErs
REF 2204 Connected Synthetic Leather Wrist Cuffs
REF 2205 Connected Synthetic Leather Ankle Cuffs
REF 2206 Connected Leather Wrist Cuffs
REF 2207 Connected Leather Ankle Cuffs
ApplicAtion instructions:
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.
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.
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.
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.
Follow these steps to apply device (repeat steps 1-5 on other limb):
1. Attach the bed strap on each side, to a movable part of the bed
frame, at a comfortable level for either wrist or ankle use.
2. Lay the patient down on the bed on top of the connecting strap
between the cuffs.
3. Wrap the cuff around the patient’s limb.
4. Bring the U-bar through the closest vertical slot and then pass the
tongue through the U-bar.
5. Check for proper fit by inserting one finger between the cuffs
and the patient’s wrist/ankle. The cuffs must be snug enough to
prevent escape, but not interfere with circulation.
• 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.
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• Make sure the patient is unable to reach the bed connecting
straps and free themselves.
ADDitionAl sAFEtY AnD lAunDEring
instructions on otHEr siDE