Posey Quick-Release Twice-as-Tough™ 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
NOTE: ALWAYS secure both wrists to help prevent
patient release.
1. Use method a. or b. below to attach straps to the
bed (repeat steps 1-2 on each side):
a. Triangulation process; to restrict patient’s range
of motion: Separate the straps and attach them
at different points along a movable part of the
bed frame, out of the patient’s reach (fig. 1).
b. To increase patient’s range of motion: Place
the straps together and attach to a single point
along a movable part of the bed frame, out of
the patient’s reach.
2. 2790-Wrap the connecting strap to the frame by
pulling the strap back between the first and second
D-ring (fig. 2), or attach with a quick-release tie.
2790Q-Wrap the connecting strap once around a
movable part of the bed frame, out of the patient’s
reach. Close the quick-release buckle. Listen for a
“snapping” sound. Pull firmly on straps to ensure a
good connection (fig. 3).
APPLYING THE CUFFS (repeat steps 1-4 for each limb):
1. Wrap the neoprene piece (the blue side should be
positioned against the skin) around the wrist. Attach
the black hook and loop pieces together, followed by
the blue hook and loop pieces. e fuzzy piece should
be sandwiched between the two pieces of hook (fig.
4). 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. e cuffs
must be snug enough to prevent escape, but not
interfere with circulation.
3. 2790-Pass the end of the limb strap over the top
of the cuff and through the two D-rings on the cuff.
Bring the strap back over the first ring and through the two D-rings on the cuff.
2790Q- Release the quick-release buckle, twist, and reconnect (fig. 5). Listen for
a “snapping” sound. Pull firmly on straps to ensure a good connection.
4. Adjust the bed strap(s) to allow desired freedom of movement, without
compromising patient or caregiver safety.
Applicable Products:
REF
2790, 2790Q
DEscription oF proDuct:
Very secure, padded limb restraints with double security closure.
rx onlY
tWicE-As-touGH cuFFs
© 2009 Posey Company. All rights reserved.
I9253 062109
posEY tWicE-As-touGH cuFFs
REF
2790 Wrist pair; double strap
(color coded - blue)
REF
2790Q
Wrist, pair, double strap
with quick-release
buckles (color-coded blue)
ApplicAtion instructions: connEctinG strAps
2790
THREADING THROUGH
D-RINGS
FiG. 2
FiG. 1
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.
• 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.
2790Q
• 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.
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.
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.
FiG. 5
ADDitionAl sAFEtY AnD lAunDErinG
instructions on otHEr siDE
FiG. 4
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Summary of Contents

Page 1 - ApplicAtion

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:

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

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