Is it okay?
Renew that order!
Name that restraint!
Could this be a restraint?
Help a nursing student
Hodge Podge
Vocab 101
100
Is it okay to put a patient in restraints then get the order from the doctor?
Yes, it's okay!
100
When should an order be renewed for a behavioral restraint for a patient who is 18 years old or older?
Every 4 hours.
100
Spit hood
100
Yes--a chemical restraint
100
You give a patient PRN Ativan for anxiety. Your student says she heard you could use that same thing as a restraint. What do you say?
When it is being used to treat anxiety, it is NOT a restraint.
100
Of spoken words, voice/tone and body language, which means of communication is most telling of a person's mood?
Body language (55%)
100
Involuntary confinement of a patient alone in a room or area from which the patient is physically prevented from leaving
Seclusion
200
Is it okay to leave the patient alone for a quick 15 while they are in behavioral restraints?
No, it's not okay!
200
When should an order be renewed for a behavioral restraint for a patient is between the ages of 9 and 17?
Every 2 hours.
200
Mitt
200
Yes. A recliner can be a restraint if it prevents patient from getting up without assistance.
200
Your student said that he thought there were only physical restraints for behavior. You tell him that there are also ________________ restraints, like administering Haldol.
Chemical
200
True or false: Always use the most restrictive restraints first and then work your way down to least restrictive.
False!
200
A medication used to control behavior or restrict patient's freedom of movement and is not a standard treatment for a medical or psychiatric condition.
Chemical restraint
300
Is it okay to use restraints to prevent a fall if the floor is busy?
No, it's not okay!
300
When should an order be renewed for a behavioral restraint for a patient who is younger than 9 years old?
Every hour.
300
Soft wrist restraint
300
Hey, the cops just brought in this guy who's wearing handcuffs!
Yes, handcuffs applied by the police would be a restraint! BUT, the monitoring requirements would be different, and no order is needed.
300
Your student said she was bored and tied her patient to the bed using a triple, mega, super-tight, no-escape knot. You educate her that she can only apply a restraint if needed (not just for fun!!!), and she should use a _______- release knot if she should have to tie a knot.
quick
300
True or false: It is okay for a patient to go from a four point restraint to none.
False
300
Any manual method, physical or mechanical device, material or equipment that immobilizes or reduces the ability of the patient to move.
Physical restraint
400
Is it okay to apply a more restrictive restraint without getting a new order?
No, it's not okay!
400
A patient was out of restraints for behavior and is now back in them again. When should there be a new order?
As soon as possible!
400
Velcro wrist
400
Okay! Let's wrap him up tightly! Don't worry. It's just a sheet!
Yes. Tightly wrapping sheet around patient so he can't move is a restraint!
400
Your student tells you that she was worried about all of the patients in the hospital falling, so she went to every room and put up all four rails on every bed. What do you tell her?
Geezo! You can't do that! That's placing a restraint on everyone!
400
True or false: It is always a restraint when you are holding someone in order to give him or her medication
False. It is considered a restraint if it is FORCED.
400
Restraints that are used to support care and prevent the patient from interfering with care.
Medical or non-behavioral restraints
500
Is it okay to reduce the restraint because the patient's behavior has improved?
Yes, it's okay!
500
When a medical restraint is applied, how often should the restraint order be renewed?
Every 24 hours.
500
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4 side rails
500
This ER patient has two rails up.
No. This isn't a restraint.
500
Doctor Who loves golf. So it is no surprise that he calls in and says he won't be back until 1500 because he needs to finish his round--his GOLF round. You know he needs to complete the 24 hour face to face evaluation by 1300. The student asks if this is okay. What do you tell him?
No, physicians must complete a FACE TO FACE evaluation every 24 hours.
500
Reduce environmental stimuli, provide distractions or physical activities, and using sleeves to cover IV lines are examples of _________________ to restraint use.
alternatives
500
Restraints used for the management of violent or self-destructive behavior that threatens the immediate physical safety of the patient, staff or others.
Behavioral restraints