Safety—Restraints ---------------------- General Information ------------------------ ■ Restraints are any physical or pharmacological means used to restrict a Pt’s movement, activity, or access to his/her body. ■ Restraints are used only as a last alternative after all other methods of control have been attempted prior to application. ■ Restraints can only be used to prevent Pts from harming themselves or others, or interfering with medical treatment. ■ Restraints may never be used for staff convenience or discipline. ■ The application of restraints requires a written physician order specifying the clinical necessity, type of restraint, frequency of assessment, and duration restraint is to be used. ■ Use of restraints should not exceed 24 hours. Note: Always refer to specific agency’s policy and procedure when using restraints. Procedure (Physical Restraints) ------------------------------------ ■ Informed consent should be obtained from Pt or family. ■ Obtain a written physician order—must be renewed every 24 hours. ■ Always use the least restrictive form of restraint available. ■ Assess skin and circulation, sensation, and motion (CSM) of area to be restrained prior to application. ■ Pt should be restrained in an anatomically correct position with all bony prominences adequately padded and protected to prevent the development of pressure sores. ■ Follow manufacturer’s instructions when applying restraints. ■ Apply loosely enough for two fingers to fit under the restraints. ■ Restraints must not interfere with medical devices or treatment. ■ Restraints should be secured to chair or bed frame (Never to side rails) using quick-release knots. For adjustable beds, secure to the parts of the bed frame that move with the Pt. ■ A call bell must be easily accessible to the Pt. ■ Assess restraint sites (skin, distal circulation, etc.) q 15 min. ■ Remove restraints every 2 hours if possible. For aggressive Pts, remove only one restraint at a time. ■ Document findings and interventions after each assessment.
Posted on: Mon, 22 Jul 2013 15:57:19 +0000
Trending Topics
Recently Viewed Topics
© 2015