CAUTION: FEDERAL LAW (USA)RESTRICTS THIS DEVICE TO SALEOR USE BY OR ON ORDER OF APHYSICIAN. (Ref: 22)

DESCRIPTION OF PRODUCT: A full padded hand mittwith or without finger separators.

INDICATIONS: (Ref: 23)

I9223 010605

ADVERSE REACTIONS:Severe emotional, psychological, andphysical problems may occur if apatient’s movement is severely limited.The patient may become agitated if thedevice is uncomfortable or severelylimits movement. Request assistancefrom a qualified medical authority to tryto find a less restrictive alternativeproduct or intervention. (Ref: 46)

If this device is applied too tightly,circulation will be impaired; If tooloose, the patient may be able to sliphis/her limb from the device. Checkcirculation frequently and monitor forskin discoloration. (Ref: 57)

Applicable Products:Cat. No. 2814, 2815, 2816, 2817, 2818,2819, 2826, 2810

Top left: 2815 for pulse oximetryBottom left: 2817

Top right: 2816Bottom right: 2819

ADDITIONAL SAFETY INSTRUCTIONS ON

OTHER SIDE

Do not attach the Posey Mitt in a waythat the patient may use his/her teethto remove the device or inflict self-injury. Additional body restraint (fifthpoint) may be required to prevent thepatient from moving the line/wound/tube site to within access of his/herhands. Refer to Posey Psychiatric andEmergency Dept. Product Book, PartNo. M1031.) Always secure strap at aframe juncture which will not allow thestraps to slide in any direction,changing the position of the product.(Ref: 47C)

- Patients who continually disrupt life-saving treatment (e.g., chronic tube-pulling which breaks the integrity of anIV line or self-extubation). (Ref: 24)

- When a patient’s pulling linesprevents the healthcare professionalfrom adequately monitoring the vitalsigns of the patient. (Ref: 25)

- When a patient’s picking, pulling,scratching or peeling exacerbates askin condition, causes self-injury, ordisrupts wound site integrity. (Ref: 26)

A patient in a supine position whocannot sit up requires extra vigilance.Should the patient vomit, he/she couldaspirate his/her vomitus and suffocate.Monitor constantly and be prepared tointervene at the first sign of danger.(Ref: 48)

CONTRAINDICATIONS: (Ref: 38)Contraindications include, but are notlimited to the following conditions:

- Do not use Posey Mitts on patientswith dislocations, fractures or openwounds on the affected limb. (Ref:38A)

Laundering Instructions:This product was designed to bewashed under CDC recommendationsfor linen soiled with blood or bodilyfluids: (Ref: 80)

APPLICATION INSTRUCTION SHEETPOSEY® FINGER CONTROL MITTS

- Do not use Posey Mitts if the I.V. sitecould be compromised. (Ref: 38B)

Posey Co.5635 Peck RoadArcadia, CA 91006 USATel: 1-800-44-POSEYFax: 1-626-443-5014www.posey.com

We welcome your suggestions for improvingour products or service:

MDSSBurckhardtstr. 1, 30163, Hannover, Germany

EC REP

- Do not use on the patient who issuicidal, highly aggressive and/orcombative, who strikes and endangershimself and/or others. See Poseycatalog for more suitable products.(Ref: 27)

Lower temperature washing anddrying cycle for non-contaminatedlinen will prolong product life. (Ref:96)The “hook” of hook and loop closurematerial has a tendency to collect lintafter repeated use and/or laundering,reducing the grip strength of the hookand loop. Test for secure hold beforeeach use. Discard if it does not holdsecurely. Occasionally go over the“hook” with a stiff brush to remove lint.Fastening the “hook” to the “loop”during laundering will also help toprevent lint buildup. (Ref: 84)

APPLICATION INSTRUCTIONS:1) Put the patient’s hand into the mitt, separating the

fingers so they fit into each finger slot. (Models 2817 and2826 have three finger separations which include aseparate slot for the thumb and pinky finger. Models2810, 2818 and 2819 have no finger slots.)

2) Place the strap over the smallest part of the wrist toreduce the potential of unintentional removal.

3) Bring the hook and loop closure over the top of the wrist,through the plastic ring, and secure it onto itself. Model2818 does not have plastic rings. With models 2814 and2819, the fuzzy loop strap of hook and loop closuregoes through the two slits before going through theplastic ring, and back onto the hook side. Then bring thesecond hook strap over the top of the fuzzy loop strap toform a "double security" closure. Model 2826 does nothave a second strap.

Caution: Overtightening will compromise circulation.Leave enough room to easily insert one finger betweenthe device and the patient's limb. Remove mitt to checkcirculation and range of motion at regular intervals.

4) If range of motion must be limited, use the extra con-necting strap (included) to go through the loops orencircle the wrist, passing through the loops on the mitt.Secure to the bed with quick-release ties. (Does notapply to 2817 or 2826, which have no connecting straps.)Wrist restraints should be considered instead of the mittif the patient pulls violently against the attachment strap.

Posey Padded Mitts:Cat. No. 2811 - Peek-A-Boo MittsCat. No. 2813 - Secure MittsCat. No. 2814 - Double Security MittsCat. No. 2815 - Open End Finger Control MittsCat. No. 2816 - Closed End Finger Control MittsCat. No. 2817 - EZ-On MittsCat. No. 2818 - Mitts for ChildrenCat. No. 2819 - Double Padded, Double Security MittsCat. No. 2826 - Economy MittsCat. No. 2810 - Soft Hand Mitt

© 1993 J.T. P

osey Com

pany. A

ll rights reserved

. (Ref: 97)

Inspect buckles regularly and discardif cracked. Do not put bucklesthrough extractors. (Ref: 81A)

#1 Posey restraintsare labeled: Caution:Federal law (USA)restricts this device

to sale by or on order of a physician.All staff should receive proper inser-vice training so products are applied inaccordance with the manufacturer'sinstructions, state and federal regula-tions and the facility's policies and pro-cedures. Posters, Videos and Inservicematerials are available free from PoseyCompany.

#2 Restrictive prod-ucts should only beused within the care-fully defined and docu-

mented parameters of the patient’sIndividualized Care Plan (ICP) whichaddresses (but is not limited to) restora-tive nursing, patient release, and pressuresore prevention. The ICP is created afteran assessment by an interdisciplinaryteam which may represent (but is notlimited to) PT, OT, Nursing, thePhysician, and Social Services.

#3 NEVER use aPosey product as aseat belt in a mov-ing vehicle. Poseyproducts are not de-

signed to withstand the force of a crash.

#4 DO NOT exposeany Posey Product toopen fire, flame, orcontact with smok-ing materials.

Components such as fabric, webbing,thread, etc. are susceptible to ignitionand burning. The facility’ssmoking/no smoking policy should bevigorously enforced. Flame retardantfabric is available on request.

#5 Never crisscrossthe straps of a PoseyVest/Jacket in backof the patient unless

there is a positioning slot in the rearof the product. Any restraint appliedincorrectly and/or worn backwardsmay cause strangulation or injury.

#6 Secure straps of restrictive productsout of the patient’s reach at a junctureof the movable part of the bed frame atwaist level so the device will not tightenor loosen when any section of the bedis raised or lowered. Make sure thestrap will not slide in any direction,changing position of the device.

#7 After applying arestraint or self-release product;

always put all side rails in the UPposition.

Side rail covers, or gap protectors, espe-cially with split side rails, may be re-quired to keep the patient on top of themattress, and avoid entrapment zones.

If the patient’s bodyweight becomes sus-pended off the mat-tress by goingunder, around, over,through or betweenthe side rails, chestcompression andsuffocation couldresult.

Restraints with pelvic pieces may benecessary to reduce sliding down orpulling the restraint over their head.

#8 Hips should beheld securely againstthe back of the chairwhenever any typeof restrictive productis used. The strapsshould be at 45

degrees over the hips and securedunder the seat out of the patient’sreach. Make sure straps are secured at ajuncture of the frame and will not slide inany direction, changing position of thedevice. Use extreme caution with allcushions. If dislodged, patient injurycould occur. (see #9).

#9 Monitor to makesure the patient is notable to slide down, orfall off a chair seat.

If their body weight becomes suspend-ed off the chair seat, chest compres-sion and suffocation could result.

Restraints with pelvic pieces may be nec-essary to reduce sliding down orpulling the restraint over their head.

#10 Straps must always be snug, butnot interfere with breathing. Youshould be able to slide your open hand(flat) between the device and the patient.Make sure straps do not slide in anydirection, changing position of device.

#11 Always use quick-releasing ties(see drawings) or buckles to securestraps – they allow easy release in theevent of accident or fire. Restraintrelease should be an integral part ofthe facility's fire/disaster evacuationdrills. Straps can be cut with scissorsin an emergency.

#12 Patients inrestrictive productsrequire appropriatemonitoring per yourfacility’s policy.

Aggressive, agitated, restless patientsand/or those in danger of aspiratingtheir vomit require constant monitoringand a systematic review and evaluationof both physical and psychological status.

#13 Inspect before usefor broken stitches orparts; torn, cut or frayedstraps or fabric; or hookand loop fastener or

locks that do not hold securely.These products could fail, resulting ininjury or death. Destroy and discardthem. Straps must be long enough tosecure out of the patient's reach. DONOT alter products.

#14 Do not use Poseyproducts on toilets, oron any type of furniturewhich does not allowapplication as directed

in the product application sheet.Posey limb and torso restraints shouldNOT be used at home without constantsupervision of a licensed healthcareprovider, physician’s order and anIndividualized Care Plan.

WARNING Monitor patients appropriatelyper your facility’s policy!

Inappropriate and/or incorrect usage of any restrictive product may result in seriousinjury or death. The Posey Company recommends the following steps before anyrestrictive product is used:• Identify the patient’s symptoms.• Determine and remove, if possible, the cause of the symptoms. This may include

catering to individual needs and customary routines; increased rehabilitationand restorative nursing; modifying the environment; and increased supervision.

• If the cause cannot be determined and removed, attempt alternative treatmentsunder proper medical supervision.

• A restraint should be used only when practicable alternatives have failed. Theleast restrictive device that will protect the patient and others should be selectedand used for the shortest time while less restrictive alternatives are sought. It iscritical that the appropriate restraint is selected.

• Follow the directions on the Application Sheet accompanying each product.

Safety Information for the Use of Posey Torso and Limb Restrictive Products

How to Tie the Posey Quick Release Tie

45˚➔

➔

Just as patient behavior is not 100%predictable, no product is 100% fool-proof under all circumstances. Arestraint is not a substitute for goodnursing care. Patient safety requiresregular reassessment and appropriatemonitoring per your facility’s policy.A product that worked successfully inthe past may prove inappropriate asthe patient’s mental and physicalhealth status changes. Never applyany product you feel is unsafe andconsult with the proper medicalauthority if you feel a product isinappropriate for the patient.

J.T. Posey Company 5635 Peck Road•Arcadia, CA 91006-0020 USA•Tel. 800-447-6739 or 626-443-3143•Fax 800-767-3933 or 626-443-5014•www.posey.comI9200 020604© 1993 J.T. Posey Company. All rights reserved.

1. Wrap the attachment straponce around the movablepart of the bed frame leavingat least an 8" tail. Fold theloose end in half to create aloop and cross it over theother end. Make sure strapsare secured at a juncture ofthe frame and will not slide in any direction, changingposition of device.

2. Insert the folded strapwhere the straps cross overeach other, as if tying a shoeor making a tourniquet knot.Pull on the loop to tighten.

3. Fold the loose end in half tocreate a second loop.

4. Insert the second loop intothe first loop.

5. Pull on the loop to tighten.

Sizing Table for Posey ProductsAlways use the proper size product. Products that are too small or

large compromise patient comfort and safety and should not be used.

Binding Color Size Weight (lb./kg) Chest (in./cm)

White X-Small 60-90/27-41 28-34/71-86Red Small 80-120/36-54 32-39/81-99Green Medium 110-155/50-70 37-45/94-114Yellow Large 145-190/66-86 43-49/109-124Blue X-Large 180-230/82-104 47-52/119-132Black XX-Large 220-275/110-125 50-56/127-142Yel/Blk XXX-Large 265-305/120-139 54-60/137-152Blu/Blk XXXX-Large 295-340/134-155 58-64/147-163

Posey belts are not color-coded, but are also sized according to this table.Flame-retardant fabric is available on request.

Weight and size measurements give a general indication of the proper size. Individualphysical characteristics should be taken into account before the medical authoritydetermines the correct size. Refer to label on product for specific sizing indications.