Posey Synthetic Leather Cuffs/Leather Locking Cuffs User Manual

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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
2208, 2211
DESCRIPTION OF PRODUCT:
Wrist/ankle restraints for use with violent patients and/or patients who are potentially dangerous to themselves or others.
Rx ONLY
LOCKING CUFFS
© 2009 Posey Company. All rights reserved.
I9273 060609
POSEY LOCKING CUFFS
REF
2208 Single Cuff - Genuine
Leather
REF
2211 Single Cuff - Synthetic
Leather
REF
1074 Posey Universal Key
(Connecting Straps sold separately)
APPLICATION INSTRUCTIONS
2208
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qualiedmedicalauthoritytond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.
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ailing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cusrestrict
circulation.
Cusaresecure.Deathorseriousinjurytothepatientorothersmayoccur
ifthepatientcanremovethecus.
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cus.
• 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ll
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oersafullrangeofsiderailpadsand/orgapprotectorsto
covergaps.
• Beforeeachuse,checkcus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cu.Discardifdevice
isdamaged.
• Ifyouhaveanyquestionsaboutpatientsafety,asktheappropriatemedical
authorityforalternatives.
PoseyKeysMUSTbereadilyavailabletostaatalltimes.Inanemergency,itis
diculttocutthecuswithscissorstofreethepatient.
NOTE:Keepexcessstrapoutofreachtopreventpatientfrompullingstrapand
damagingoropeninglock.
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;
• Cusareattachedinawaythatthepatientisnotabletousehisorherteeth
orotherwiseremovethedevice;
• Cusareintact,andnottornordamaged.DONOTallowpatientstoingest
productmaterial.
Followthesestepstoapplydevice(repeatsteps1-5onotherlimb):
1. Wrapthecuaroundthepatient’slimb.
2. Insertthemetalpostthroughthemostsuitableadjustmenthole.
3. Secure the lock to the post.
4. Checkforpropertbyinsertingonengerbetweenthecusandthepatient’s
wristsorankles.ecusmustbesnugenoughtopreventescape,butnot
interfere with circulation.
5. 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Cus:
1. Insert the Posey Key into the lock and turn
counterclockwise.iswillpreventjamming(g.1).
NOTE:UniversalPoseyKeyst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cu.
2. Wrapthestraparoundthejunctureof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.
FIG. 1
Posey
Keylock
Counterclockwise
TOOPEN
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cuandcauseinjurytohimself/herselforothers.
ADDITIONAL SAFETY AND LAUNDERING
INSTRUCTIONS ON OTHER SIDE
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Summary of Contents

Page 1 - LOCKING CUFFS

Posey Company • 5635 Peck Road, Arcadia, CA 91006-0020 USA • www.posey.comPhone: 1.800.447.6739 or 1.626.443.3143 • Fax: 1.800.767.3933 or 1.626.443.5

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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