Situation, backround, assessment, recommendation.
Two part question: How often do you document on restraints
Non violent- q2hrs
Violent- q15min
Hand hygiene gets done at this time
in/out rooms, after patient care
Home meds are this
Verified by pharmacy
Isolation precautions should be
Clearly visible, used correctly
Consents last this long
90 days
This order should never be used for restraints
Per protocol
These things should not be left unnatended
Dangerous items, scissors, needles
These are the 6 rights of medication administartion
Right patient
Right med
Right dose
Right route
Right time
Right documenation
Food and drinks at the nursing station should be
covered, put away
You do this when you walk away from your computer
Log out of your computer
Interfiring with care, pulling at lines
RACE means
Remove, alert, confine, exstinguish
Pain assessments are done at this time
Before and within 1hr of med admin
Daily weights are best done this way
Standing
Wristbands belong on the body, not here
Computers
This determines the type of restraint
Behavior
Items on the unit cannot be this
outdated
An ADR stands for this, and this is how you report it
Adverse Drug Reaction, through Midas system
You should store this under the sink
Nothing
You have this amount of time to contact organ donation after death
1 Hour
This should be considered first when considering restraints
least restrictive measures
Nothing can be stored this far from the ceiling
18 inches
Product name, dose, date and time
A medication, should not be carried around