
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. Wrap the limb holder cuff around the patient’s wrist so
the metal ring is on the side of the wrist opposite of the
thumb.
2. Secure the hook and loop fastener. The cuff must be
snug, but not compromise circulation. Slide one finger(flat)
between the cuff and the inside of the patient’s wrist to
ensure proper fit.
3. Loop the connecting strap and bring it through the metal
D-ring.
4. Bring the end of the strap through the loop so that the
strap will not tighten if the patient pulls against it.
5. Secure the strap using a quick-release tie.
Wrap the strap around the outer side of the moveable part
of the bed frame, out of the patient’s reach.
6. Bring the strap across and then behind the vertical strap to
form a loop. Take the end of the strap, form a second loop
and bring it through the first loop.
Facility Contact
Facility Name Name
Street Address Title
City/State/Zip Nursing Unit
Instructor Date
Signature
MK1558-1 REV B 081114© 2014 Posey Company. All rights reserved.
Limb Holder 2510
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