Restraints
Physically holding or preventing movement of limbs or body to give medicine, treatments, or personal care, or to prevent injury
What is Physical Restraint
The physical task of watching the patient
What is observation
Aims to reduce antipsychotic use in persons with dementia
What is AUA?
This type of restraint can be reduced or removed by a health care professional without a Physician or NP order unless immediate danger requires removal
What is a non‑pharmacological restraint?
It shall include the date, time, and type of restraint
What is Restraint Order
The use of medicine to control behaviours and actions, or restrict freedom of movement
What is Pharmacologic restraint
The activity of checking on a patient’s condition either personally and/or by means of an electronic monitor (e.g., cardiac monitor); this requires a level of assessment
What is Monitoring
agitation, confusion, falls, insomnia and sedation, along with increased risk of infection, strokes and cardiac events
What are risks and side-effects of antipsychotic medications?
Is not required in emergency situations but shall be obtained in all non-emergency circumstances and in accordance with the AHS Consent to Treatment/Procedure(s) Policy Suite.
What is Informed Consent
This tool helps track patterns, triggers, and context around a patient’s behaviours to guide care planning and interventions.
What is a behaviour map?
Any device which can’t be controlled or easily removed by the person, and prevents free body movement or normal access to their body
What is Mechanical Restraint
15 minutes post-administration, when the medication is expected to reach peak onset and then every four (4) hours for 24 hours
What is observation for Initial administration of antipsychotic medication
these behaviours often mistaken for ‘needing medication’—are instead cues to explore the person’s history, environment, and comfort
What are responsive behaviours?
72 hours
What is the timeframe within which a restraint order must be obtained after alternatives have been considered and the restraint is used as a last resort in an individualized plan of care?
This note must be completed in the Notes Navigator or Consent Navigator to document informed consent for restraint use
What is a Consent Note?
Any barrier that limits locomotion of a person, and thereby confines a person to a specific geographic area or location
What is Environmental Restraint
Observe/monitor the patient’s condition every 15 to 30 minutes at minimum, until clinically stable
What is the observation for initial use of mechanical restraint
Stroke
What is a serious side effect of antipsychotic medications?
When safety risk rises, this must rise too and be reported
What is the frequency of observation?
This is where the method and frequency for monitoring a client while a restraint is in use are documented
What is the CLSP?
This type of restraint cannot be initiated or used without an order
What are pharmacological restraints?
Weekly for a minimum of one [1] month, a minimum of monthly thereafter
What is the reassessment for non-pharmacological restraints
Reduce dose by 25% every week (i.e. week 1: 75%, week 2: 50%, week 3: 25%). This can be extended or decreased (to 10% dose reductions) if needed
What is Taper Approach for antipsychotics?
Once risk subsides, this step guides the move to ‘no restraint’ or a less restrictive option
What is collaborative reduction or discontinuation of restraint?
Focuses on the person’s day to day behaviours and management of them
What is Behaviour Support Plan?