Behavioral
Length of order for a patient 18 years of age or older.
What is 4 hours?
Length of order.
These must always be attempted before restraints when appropriate and safe.
What are least restrictive alternatives?
Used to promote healing, prevent injury, protect tubes, dressings and other medical equipment.
What are non-violent or nonbehavioral restraints?
A confused patient keeps scratching at a wound dressing that must stay in place.
What are mittens?
A patient must be seen and evaluated by the practitioner in what time frame after the patient is placed in restraints or seclusion.
What is 1 hour?
The frequency of documentation for a patient in nonbehavioral restraints.
What is every 2 hours?
This type of restraint is used to prevent interference with medical treatment, such as pulling out IV lines or tubes.
What are non-violent or nonbehavioral restraints.
Used in situations with imminent risk to protect the patient from injuring themselves or others.
What are violent or behavioral restraint's?
A post-op patient repeatedly reaches for their IV and Foley despite redirection but is calm and not aggressive.
What are soft wrist restraints?
The frequency you must monitor and document the physical and psychological well-being of the patient.
What is 15 minutes?
This must be done when restraint criteria is no longer met.
What is discontinued?
This type of restraint is used when a patient is an immediate danger to self or others.
What are violent or behavioral restraints?
A confused patient keeps pulling at their Foley catheter.
What is nonbehavioral?
A pediatric patient bends their arm to remove a feeding tube.
What is an elbow immobilizer?
What is 2 hours?
An evaluation by the NP, PA, or provider must be completed how often.
What is daily?
This is any manual method, physical or mechanical device, material, or equipment that immobilizes or reduces a patient’s ability to move freely.
What is a restraint?
A patient with dementia keeps trying to climb out of bed and is at high fall risk despite alarms and a sitter.
What is non-violent or nonbehavioral?
A severely agitated patient is forcefully pulling at an endotracheal tube and multiple lines despite less restrictive measures, requiring a more secure physical restraint.
What are Twice as Tough restraints?
Length of order for a manual hold.
What is 15 minutes?
This should include patient evaluation and behaviors that demonstrate the need for the restraint.
What is provider documentation?
A restraint order must never be written on this type of basis.
What is PRN?
An intoxicated patient swings at staff attempting to provide care and threatens to punch anyone nearby.
What is violent or behavioral?
A patient is actively striking, biting, or kicking staff during an immediate safety emergency while waiting for ordered restraint intervention.
What is a manual hold?