Non-Violent Documentation
The frequency non-violent restraints are to be monitored and assessed.
What is every 2 hours?
The resources to utilize if you have questions about restraints
What are the restraint policy/binder, ANMs, Educators or Cynthia Probasco (Accreditation)?
You and your team perform a physical hold on a violent patient while applying hard restraints. Is a separate order required for the the physical restraint?
No
True or False: A chemical restraint can be given BEFORE an order is received?
False, it must be given AFTER the provider has ordered it
**no PRN chemical restraints**
The time restraint careplans need to be initiated
What is at the start of restraints and restart with new restraint orders?
**Review every shift, resolve when restraints are removed**
True or False: Mitts and 4 siderails are NOT considered non-violent restraints?
The maximum time limit for violent restraints on patients who are at least 18 years of age
The frequency ROM and repositioning needs to be completed on a violent restraint patient
What is Q2 hours?
The frequency behavioral triggers are documented
What is once upon admission and PRN
The reasons non-violent restraints are utilized
What are unplanned removal of life saving tubes/devices, patient unable to follow directions, patient immediate risk of harming themselves?
True or False: Renewal of violent restraint orders can always be telephone orders?
False, if greater than 24 hours, the provider must to a face-to-face evaluation to continue violent restraints
The frequency of assessments of the nutrition and hydration status on a chemically restrained patient
What is Q2 hours x1?
What is once a shift?
**reflect why the patient necessitates the restraints*
True or False: Readiness to discontinue criteria and discontinuation criteria must match
True
A patient has escalated to the point of harming themselves or staff. Do you have to wait for a provider order to apply violent restraints?
NO, but the provider must be notified within minutes of application.
False
The flowsheet where mitts and side rails can be charted
What is Daily Cares/Safety?
Can there be multiple restraint orders at once?
No, for example, if you have wrist restraints and need to ADD mitts, the new order must state both.
You and your team apply physical restraint to a violent patient while awaiting the arrival of hard restraints. Is a separate order required for the physical restraint?
Yes