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Restraints/
| Question | Answer |
|---|---|
| Restraints are used to.. | prevent interuption of needed medical treatment or prevent harm to self or others. |
| Risks of restraints | suffication, entrapment, impaired circulation, impaired skin integirty, incontinence, decreased mental status, altered nutrition and hydration |
| Non behavioral restrains are used to | prevent interuption of medical treatment, prevent injury when causitive factor is medical in nature |
| Behavioral restraints are used to | prevent injury to self or others when causitive factor is psychiatric in nature |
| In am emergency situation a nurse can apply a restraint and | get a phone order with physician assessing patient face to face within 1 hour |
| Alternatives to restraints | increased observation, low bed, wedge pillow, bed alarm, diversional activity |
| What assessments should be done every 15 minutes for behavioral restraints | skin, circulation, body alignment, resp status, mental/emotional status, pain |
| what interventions should be don every 2 hours for non behavioral restraints | release restraints, provide ROM, provide hydration, toileting, evaluate need for continued use |
| The nurse is legally responsible for always | follow manufacturers instructions and organizational policy |
| Restraint doctor's order must include | type of restraint, time parameters, reason for restraint, physician's assessment. |
Created by:
emlric
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