Posey Restraint Net - Manual

Application
Instructions
DESCRIPTION OF PRODUCT: A full body restraint for total immobilization in a supine position. For hospital bed application only.
Rx ONLY
Restraint Net
© 2011 Posey Company. All rights reserved. I9202 REV C 072011
AddItIONAL SAfetY ANd LAuNdeRINg
INStRuctIONS ON OtheR SIde
8115
Posey Restraint Net
REF 8115 Restraint Net, 48”L x 35¼”W (122 cm x
90 cm), cross strap length 55” (134 cm)
Application Instructions
Photo for application illustration only. See side rail
information below.
Fig. 2 Fig. 3
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.
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.
• 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.
• 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.
• 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).
• NEVER use on a child under 46” (117 cm) tall.
BED SAFETY
• ALWAYS use Hospital Bed Safety Workgroup (HBSW)
(http://www.fda.gov search keyword “HBSW”)
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.
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.
3. Place the patient on the bed, face up, using the side where the net has not yet been secured to
the bed. Insert the patient’s arms through the arm holes in the Restraint Net and rest the arms
on the bed parallel to the patient’s body. Place the patient’s ankles (or calves for larger patients)
in the bottom restraints. These are double security fasteners. Secure the ankles or calves by
wrapping the fuzzy loop strap around the limb and “sandwiching” it between the two hook
straps. The red straps will fit most ankles and the blue straps will fit most larger calves. You
should be able to slide one finger between each of the patient’s limbs and the hook and loop
cuffs.
4. Attach the remaining five cross-straps to the other side of
the bed using the methods as described in step 2. If this
device is applied too tightly, circulation and/or breathing
can be impaired. If too loose, the patient may be able
to slip limbs free from the device. Check circulation and
breathing frequently and monitor for skin discoloration.
The flat palm of your hand should fit between the device
and the patient’s body.
Fig. 1
• DO NOT use on patients with: ostomy, colostomy, or G-tubes; hernias, severe Cardio Obstructive Pulmonary Disease
(COPD); or with post-surgery tubes, incisions or monitoring lines. These could be disrupted by a restraint.
5. Attach the end-strap to the bed frame at the foot of the bed using the D-ring or quick-release
buckle as described in step 2. Be sure this strap is snug, to prevent the Restraint Net from riding up
around the neck if the patient tries to slide down.
6. Lay the patient’s left arm on the two vertical restraint straps (see Fig. 1). These are double
security fasteners. Secure the upper arm by wrapping the fuzzy loop strap around the arm and
“sandwiching” it between the two hook straps. The red straps will fit most arms and the blue
straps will fit most larger arms.
7. Repeat the steps for securing the right arm using step 6. The patient is now secure under the
Restraint Net, with arms secured resting on top of the Restraint Net parallel to the body.
Ensure the Quick-Release
Buckles are closed & the
strap length is at the
furthest length. ( fig. 1)
Wrap the connecting
strap once around a
movable part of the
bed frame, out of the
patient’s reach. ( fig. 5)
Close the Quick-Release
Buckle. Listen for a
“snapping” sound. Pull
firmly on straps to ensure
a good connections.
( fig. 6)
Wrap the end of the strap
around a movable part
of the bed frame, then
pass the strap through the
D-ring and pull the strap
tight. (figs. 2-4)
Fig. 1
Fig. 2
Fig. 3 Fig. 4
Fig. 5
Fig. 6
IF USING D-RING IF USING QUICK-RELEASE BUCKLES
If tying the straps, ONLY use
the Posey Quick-Release tie method. DO NOT tie
a knot in case the patient must be released in an
emergency. Make sure Posey Quick-Release Buckle
/ D-Ring / Quick-Release tie is out of the
patient’s reach and the straps do not loosen if the
restraint is pulled or jerked.
1. Spread the Restraint Net with the neck and shoulder opening toward the head of the bed. See above
photo.
2. Attach one side of the Restraint Net to a movable part of the bed frame by securing each of the five (5)
cross straps. There are two different connection options: D-rings and Quick-Release Buckles.
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
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Schiffgraben 41
D-30175 Hannover, Germany
EC REP