Ornery Orders
Dogged Documentation
Shackle, Sedate & Snag, Oh My!
Tame Tie-Up
100

This is the time frame for Behavioral restraint order renewal.

What is every 4 hours?

100

Ongoing patient assessment and monitoring for Violent restraints is documented here.

What is the Behavioral Restraint Flow Sheet?

100

Placing a four-point restraint requires this frequent monitoring and documentation?

What is every 15 minutes?

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 order for Restraints.

What is 1 hour?

200

Monitoring skin, circulation, swelling and abrasions in the NON-behavioral restraint patient is completed this often.).

What is at least every 120 minutes?

200
To apply the use of force in order to administer medications requires the Nurse to obtain this first.
What is a Physician's order prior to the application of force, which is considered a restraint?
200

Unlike Behavioral restraints, Non-Behavioral restraint orders are valid for this period.

What is each day? Renewed by 1400 daily.

300

Four point restraints is automatically which type of restraint?

What is behavioral restraint?

300

At what frequency do Behavioral Restraints need to be documented?

What is every 15 minutes?

300

Putting up the third rail on the patient bed.

What is a 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

What are the two general classes of medications used in conjunction with restraints?

What are Antipsychotics and Benzodiazepines?

400
When a restrained patient is released from restraints, but then again needs to be restrained 60 minutes later, the Nurse must obtain this.
What is a new order for the new episode of restraints?
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