Posey E.D. Security Cuffs User Manual download pdf

Application

Instructions

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.

DESCRIPTION OF PRODUCT:

Reinforced Cuffs for use with extremely violent patients and/or patients who are potentially dangerous to themselves or others.

Rx ONLY

E.D. Security Cuffs

I9216 REV B 092412

ADDITIONAL SAFETY AND LAUNDERING

INSTRUCTIONS ON OTHER SIDE

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.

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.

• 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:

Indications for Use:

• 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.

Posey E.D. Security Cuffs for Wrists/

Ankles

REF

2835 E.D. Security Cuff, Key Lock,

17”L x 2¼”W (43 cm x 6 cm),

Circum. 5½”-15” (14 cm - 38 cm)

REF

1074 Posey Universal Key

(Connecting straps sold separately)

Application Instructions:

2835

• 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.

Follow these steps to apply device (repeat steps 1-4 on the other limb):

1. Wrap the cuff around the patient’s limb.

2. Bring the tongue through the metal buckle.

3. Check for proper ﬁt by inserting one ﬁnger between the cuff and the patient’s wrist

or ankles. The cuff must be snug enough to prevent escape, but not interfere with

circulation.

4. 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.

TO UNLOCK CUFFS:

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.

Application Instructions: Connecting Straps

(sold separately)

1. Loop the connecting strap (sold separately) through the U-bar on the cuff.

2. Wrap the strap around 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 buckle or lock.

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.

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.

Posey Keylock

Counterclockwise

TO OPEN

TURN

OPEN

Fig. 1

MONITOR PER FACILITY POLICY. Check to ensure that:

• Bed attachment straps cannot slide in any direction or loosen if the patient

pulls on them, or if the bed is adjusted;

• Cuffs are properly secured. If applied too tightly, circulation will be

restricted; if applied too loosely, the patient may be able to slip his or her

limb from the device;

• 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.



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

1 2

E.D. Security Cuffs 1
WARNING: 2

Summary of Contents

Page 1 - E.D. Security Cuffs

Application InstructionsBED SAFETY• ALWAYS use Hospital Bed Safety Workgroup (HBSW) (http://www.fda.gov search keyword “HBSW”) compliant side rails

Page 2 - WARNING:

4. NEVER use Posey products on toilets, or on any chair or furniture that does not allow proper application as directed in the Application Instruction

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Posey E.D. Security Cuffs User Manual

Browse online or download User Manual for Health and hygiene Posey E.D. Security Cuffs. Posey E.D. Security Cuffs User Manual

Summary of Contents

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