Observation
This restraint requires constant observation of the resident
What is Physical Restraint?
tracking the patient's behaviour to identify potential contributing reasons for behaviour
What is Behaviour Mapping?
This must clearly demonstrate that restraint use was a last resort and not used for staff convenience or discipline
What is documentation of attempted and ineffective alternatives?
this means any measure used to limit the activity or control a client's behaviour or a portion of their body
what does restraint mean?
Can be increased if patient safety is a factor
What is frequency of observation?
this type of restraint requires monitoring not only for effectiveness, but also for adverse effects such as sedation, delirium, or decreased mobility
What is a pharmacological restraint?
Screened on admission and with any new behaviour
What is VAST screening?
This is excluded from a restraint type in continuing care settings
what is a secure space?
15 mins post administration, when the medication is expected to reach peak onset and then every four hours for 24 hours.
What is requirement for vital signs monitoring following the initial (first) dose of the medication?
Clients receiving antipsychotics as pharmacological restraint must receive it on a monthly basis
What is a medication review?
date, time and type
What must be included in the order?
Medication prescribed with the intent to control behaviours, actions, and/or restrict freedom of movement, but for which the purpose in the situation is not to treat psychiatric condition
what is an antipsychotic medication?
every 15 to 30 mins at minimum util clinically stable
What is observation frequency during initial use of mechanical restraint?
Cannot be initiated or used without an order
What is Pharmacological Restraint?
no longer than 72 hours
When does an order need to be obtained for non-pharmacological restraint?
This must be documented in the health record with any restraint use
What is Consent?
falls, dizziness, drowsiness, confusion, dellirim, movement, non-movement side effects
What are the adverse effects of the pharmacological restraints?
weekly for a minimum of one 1 month, a minimum of monthly thereafter
What is re-assessment frequency for non-pharmacological restraint (ongoing)
Behaviour mapping
What is documentation following initial dose of or a change in dose or frequency of a pharmacological restraint
The true source of information regarding Restraints
What is Restraint as a Last Resort policy and procedure?