A
A drug or medication that is used as a restriction to manage the patient's behavior or restrict the patient's freedom of movement and is not a standard treatment or dosage for the patient's condition
Chemical Restraint
The use of a manual or physical method to restrict a person's freedom of movement or normal access to their body.
Manual Hold Restraint
In order to prevent positional asphyxia, patients must not be restrained in the prone position, or have weight placed on the _______ or ________ at any time.
Chest, Abdomen
An apparatus which restricts a patient's movement of head, limbs, or body, and which the patient is unable to remove.
Mechanical Restraint
bed rail, bed sheet
Allows medical treatments to continue without interruption. Prevent pulling out necessary tubes or drains
Non-violent/Non-self-destructive Restraints
Restraints standards implemented to protect the individual again injury to self or others.
Violent/Self-destructive Restraints
Alternatives to restraints. Name 3.
Frequent monitoring
Family participation
Therapeutic communication
Therapeutic distraction
Diversionary activities
Decreased stimulation
Exercise
4 side rails are considered restraints when they have the effect of restricting a patient's movement and cannot be easily removed by the patient. True or False?
True
Geri-chairs or lounge chairs with fixed tray tables are considered restraints when they are utilized to restrict a patient's movement. True or False?
True
AV fistula/ AV graft
Vascular reconstructive surgery
Active seizures
Prone positioning
How often are restraint medical orders renewed?
PRN and standing orders are NOT acceptable for use of restraints
How often are patient's assessed when on restraints?
Every 2 hours
What should the nurse assess when a patient is restrained?
Every 2 hours the nurse assesses:
- Level of orientation and respiratory status
- Correct application of restraint
- Signs of injury due to restraint
- Circulation in the extremities
How often are restraints released and comfort measures offered?
Comfort measure include?
Nutrition/hydration
Hygiene and elimination
Restraint release and ROM to extremities
How quickly should a change in a patient's condition be reported to the Primary Team?
STAT! Immediately!