Ornery Orders
Dogged Documentation
Confinement Curveball
Shackle, Sedate & Snag, Oh My!
Tame Tie-Up
100
This is the time frame for Violent restraint order renewal.
What is every 4 hours?
100
Ongoing patient assessment and monitoring for Violent restraints is documented here.
What is the Violent/Self-Destructive Restraint Flow Sheet?
100

In an emergency, when should a nurse obtain an order for restraints?

What is during the application or immediately after?

100

This type of restraint includes a seclusion room, half door barricades, Wander Guards, and secure units.

What is environmental restraint?

100
Medical necessity such as drug or alcohol withdrawal, mechanical ventilation, or pulling at medical devices may require this type of restraint order.
What is Non-Violent Restraint order?
200
A Nurse has this amount of time to notify the physician and place the verbal order for Violent Restraints.
What is 1 hour?
200

True or false: The clinical partner who has been qualified and judged capable of caring for the patient may document some of the observations.

What is True?

200
This must be done within an hour of violent restraint initiation to evaluate the patient's immediate situation and other conditions to warrant violent restraints.
What is the face-to-face evaluation?
200

What are two steps that must be done before applying restraints?

Hint: This is before obtaining a physician's order.

What is identify the need for restraints and attempting and documenting alternative interventions?

200
Unlike Violent restraints, Non-Violent restraint orders are good for this period of time.
What is each calendar day?
300
This type of order for violent restraints is not acceptable at any time.
What is a standing or PRN order?
300

True or False: You don't have to document the clinical justification/patient's condition that warrant the use of restrains.

What is false?

300

Who is approved to perform the face-to-face evaluation.

What is the Provider?

300

This type of restraint is a device or material that limits a person's movement to control their behavior.

What is Mechanical Restraint?

300
Non-violent restraints may be initiated only after this has first been determined?
What is less restrictive measures have been determined to be unsuccessful?
400
For patients in violent restraints for extended periods of time the physician must do this every 24 hours prior to writing a new restraint order.
What is the Physician must see and assess the patient.
400

Monitoring skin, circulation, swelling and abrasions in the Violent/Self-Destructive patient is completed this often.

What is every 15 minutes (On the Violent/Self-Destructive Restraint Flow Sheet)?

400

Age-limited orders determines this with infants and children.


Hint: This has to do with order renewal

What is the length of time that orders are valid before obtaining renewal orders if the condition persists?

400

These 2 general classes of medications may be used as pharmacological restraints?

What are Antipsychotics and Benzodiazepines?

400

True or false: Trials or short-term restraint removals are prohibited.

What is true?

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