Description
Competency
Level
Date
Comments
Competency Level Definition - (1) Needs remediation and re-evaluation, (2) Performs skill with accuracy under supervision, (3) Performs skill with accuracy
independently
APPLICATION INSTRUCTIONS:
1. Use method a. or b. below to attach straps to the bed
(repeat steps 1-5 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, using quick-release ties.
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, using quick-
release ties.
2. Wrap the limb holder cuff around the patient’s wrist so the
buckle and connecting strap is on the ulnar side of the
wrist (opposite the thumb).
3. Secure the hook and loop fastener. Slide ONE finger (flat)
between the cuff and the inside of the patient’s wrist to
ensure proper fit. The strap must be snug, but not
compromise circulation.
4. Feed the wrist strap through the toothless opening of the
buckle, and then between the sliding metal bar and the
teeth. Insert TWO fingers (flat) under the buckle and pull
the strap snug, but not so tight as to restrict circulation.
Facility
Contact
Facility Name
Name
Street Address
Title
City/State/Zip
Nursing Unit
Instructor
Date
Signature
MK1558-2 REV B 081114
© 2014 Posey Company. All rights reserved.
Limb Holders 25251, 2526, 25281
2530, 2540
CHECKLIST
5635 Peck Road, Arcadia, CA 91006-0020 USA • Phone: 1.800.447.6739 • Fax: 1.800.767.3933 • www.posey.com
Before use, make sure to read the instructions accompanying the product. A copy of the instruction sheet is included with the product and can also be downloaded at www.posey.com.
Rx ONLY
SAVE AS
CLEAR
