Types of Restraints
Name one type of physical restraint.
Side rails, tray table, tightly tucked sheets
How often must restraints be removed for assessment and mobility?
Every 2 hours for 10 minutes
Name one factor that increases fall risk.
Dizziness, unfamiliar surroundings, limited mobility
Where should the nursing assistant stand when walking a resident?
Behind or beside the resident
Who should the nursing assistant tell immediately after a fall?
The nurse
Medication that changes mood or behavior can be considered this type of restraint
Chemical
What is the minimum check frequency for a restrained resident?
Every 15 minutes
What footwear helps prevent falls?
Nonskid soles
Before transferring a resident from bed to w/c what are two critical steps you must complete?
Making sure bed is locked, w/c is locked and residents feet on flat on floor with shoes on.
What is the purpose of an incident report?
to document, analyze, and learn from unexpected events—such as medication errors, patient falls, or near misses—to improve patient safety, enhance care quality, and prevent recurrence.
Which restraint is used to prevent a client from pulling out a catheter?
Mitt or wrist restraint
When is a restraint permissible?
Only when the resident may harm self or others and alternatives fail
How can lighting affect fall risk?
Poor lighting increases risk; adequate lighting decreases risk
Why is documenting accidents important?
Ensures safety and legal protection
How can incident reports prevent future accidents?
By identifying hazards and improving procedure
What type of restraint is applied across the chest with flaps crossing over?
Vest Restraint
What should students learn about tying restraints? What is the type of knot you should use when tying restraints.
Quick release knots
What is the first action if a resident becomes dizzy while walking?
Assist them to a nearby chair
What can side rails cause if used improperly?
Entrapment
How can the NA reduce environmental hazards in resident rooms?
Keep walkways clear, remove clutter, monitor mobility aids
Which type of restraint should never be used for punishment?
Any Restraints.
Name two complications restraints may cause.
Urinary incontinence, fecal incontinence, decreased quality of life, death
Name a factor that increases fall risk in a new room.
Unfamiliar surroundings
How can tray tables become unauthorized restraints?
Resident cannot remove them independently
How can residents’ physical limitations affect burn risk?
Shaking, decreased sensation, or immobility increases risk