Restraints
It is to be used as the last resort
What is a restraint?
This observation is conducted at arms length distance at all times
What is a 1:1?
Defined as a patient without capacity that leaves the hospital/hospital grounds unsupervised, unnoticed, and/or prior to their scheduled discharge
What is Elopement?
The order time limit of this restraint expires in 2 hours
What is a 4 point restraint?
It is the reason why a 1:1 is ordered
What are falls (1), suicide (2), self-harm (3), violence (4), sexually aggressive behavior (5), elopement (6)?
is the patient’s ability to understand and appreciate the nature and consequences of the proposed health care, including the risk, benefits and alternatives to proposed healthcare, as well as the ability to reach an informed decision.
What is decisional capacity?
The order time limit of this restraint expires in 24 hours
What is a non-violent restraint?
A patient who leaves a unit or area or hospital and may present as an imminent threat to himself herself or others
What is elopement?
Defined as when a patient chooses to leave a hospital before the healthcare team recommends discharge from the hospital and has decisional capacity.
What is discharge against medical advice?
Confining an individual in a room where he or she cannot leave at their own will and is never to be performed at Metropolitan
What is seclusion?
These items are used to record 1:1 observations
What are round boards and "Rovers"?
This must be documented every 15 minutes (violent/self destructive) / every 30 minutes (non-violent/non self-destructive) during a restraint. [name one example]
What are:
-patient behaviors
-vital signs
-food/fluid intake
-bowel/bladder movements
-skin integrity