Nurse caring for critical intubated patient heard banging of the patient's bed.Nurse found that patient had broken the left soft wrist holder and was in the process of reaching his hand toward ett tube.New limb holder was applied and patient was not successful with self extubation.There was no injury to patient or team members.Follow up: this was the correct product for the patient population per the instructions for use.The correct device was used for the type of bed being used.We have been using posey limb holders for a long period of time.Applicable team members have received training on this product.The ifu was followed ensuring that the force is around the wrist and not the foam of the product.The limb holder was correctly applied.The customer was large and very strong.
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