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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