Restraints
Any manual, physical or mechanical device, material or equipment that immobilizes or reduces the ability of a patient to move his or her arms, legs, body or head freely
What is a restraint
A combination of strategies, techniques, and methods intended to reduce a patient's agitation and aggression
What is de-escalation
*7 then Zero
How to call a code overhead
Abbreviation for a nursing assistant in rehab setting
What is an RNT
Code called when a patient falls
What is a code STOP
4 side rails is considered a restraint- True or False
What is true
A patient being admitted with a brain injury should have which IPOC initiated
What is the Behavior Management IPOC
If your patient is choking, what device can you use
What is the LifeVac
The insertion site for a PEG Tube
What is the abdominal wall
Code called when a patient has a severely elevated BP
What is an RRT
If a patient's family request we use mitts on the patients this is ok- True or False
What is False
Putting a patient who is agitated in wrist restraints will help calm them down - True or False
What is False
This device should be placed immediately in a cardiac arrest to advise if a shock is needed
What is an AED
If you suspect the patient has a STAGE 3 pressure injury; place what
A consult to the wound nurse
When a patient is admitted, they are automatically this FALL Risk Level
What is HIGH
An unintentional change in position coming to rest on the ground, floor or onto the next lower surface
What is a fall
The first step to dealing with an aggressive patient is this
What is recognizing the cues
The goal for reassessment of pain
What is 30-60 minutes
Maintain the bed at _____degrees during feeds and at least one hour after
What is 30 to 45 degrees
Always lock______when patient is seated in the Wheelchair
What is brakes
Using restraints is a nursing judgement - True or False
False- a doctor's order is required
A patient's Affect/Behavior and any interventions can be documented in what section of IVIEW
What is the Neurological Assessment
Proper technique for giving breaths in a code
What is head-tilt, chin-lift
This is a bedside test for blood in the stool
What is Hemoccult
All patients must wear this when mobilizing
What is a gait belt