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Chapter 13
Restraint Alternatives and Safe Restraint Use
| Question | Answer |
|---|---|
| Restraints are used to treat ______________ symptoms or for the immediate physical safety of the person or others. | Medical |
| Restraints may only be used when less ________________ measures fail to protect the person or others. | Restrictive |
| What kind of restraint is any manual method or physical or mechanical device attached to one's body that they cannot remove and limits their freedom of movement? | Physical |
| What kind of restraint is any medication that is used for discipline or convenience and is not a standard treatment for the person's condition? | Chemical |
| The CMS, FDA, and The Joint Commission do not ________________ the use of restraints. | Forbid |
| The CMS, FDA, and The Joint Commission require that centers consider or try all other appropriate alternatives _____________ applying restraints. | Before |
| Often there is a cause and a reason for a person to behave in a _____________ way. | Harmful |
| The nurse should try to find out and treat the _____________ of the behavior in order to prevent restraint use. | Cause |
| A restraint _______________ is an action or intervention used to prevent the use of restraints. | Alternative |
| Restraint alternatives are part of the ____________ ____________. | Care plan |
| Restraints can cause serious injury or ____________. | Death |
| Restraints are not used to ________________ a person. | Discipline |
| Restraints are not used for ____________ convenience. | Staff |
| Restraint alternatives include ________________ through the use of TV, videos, music, games and activities. | Diversion |
| Restraint alternatives include following life-long _____________ and routines as closely as possible. | Habits |
| Restraint alternatives include having the person spend time in ______________ areas. | Supervised |
| Restraint alternatives include the use of pillows, wedge cushions, or positioning ________. | Aids |
| Restraint alternatives include keeping the __________ light within reach. | Call |
| Restraint alternatives include meeting food, fluid, hygiene, and ________________ needs. | Elimination |
| Restraint alternatives include providing a calm, ___________ setting. | Quiet |
| Restraint alternatives include letting the person _______________ in a safe setting. | Wander |
| Restraint alternatives include making sure that the entire _____________ is aware of which residents tend to wander. | Staff |
| Restraint alternatives include using warning devices and _____________ on beds, chairs and doors. | Alarms |
| Restraint alternatives include placing floor ____________ next to the bed. | Mats |
| Restraint alternatives include making visual observations and visits every ____________ minutes. | Fifteen |
| Restraint alternatives include staff assignments that are _____________. | Consistant |
| A _____________ with an attached tray, bar, or belt that the person cannot remove on their own is considered a restraint. | Chair |
| A bed or chair placed close to the _____________ so that the person cannot get up is considered a restraint. | Wall |
| Bed ____________ that prevent a person from getting out of bed are considered restraints. | Rails |
| Tucking in ______________ so tightly that freedom of movement is restricted is considered a restraint. | Sheets |
| Medications should not make the person sleepy or unable to ______________ at his or her highest level. | Function |
| CMS requires the reporting of any _______________ that occurs while a person is in a restraint. | Death |
| CMS requires the reporting of any death that occurs within 24 hours to 1 week of restraint ________________. | Removal |
| When using restraints the restraint must _______________ the person. | Protect |
| Before using a restraint a ______________ order is required. | Doctors |
| The doctor must give the _______________ for the restraint. | Reason |
| The doctor must state the ___________ _____________ to restrain. | Body part |
| The doctor must state how ____________ to use the restraint. | Long |
| When using a restraint, the ______________ restrictive method is used. | Least |
| Restraints are only used after all other measures _____________ to protect the person. | Fail |
| Unnecessary restraint is considered false ________________________. | Imprisonment |
| Either the person or the legal representative must give _______________ before a restraint can be used. | Consent |
| The doctor or _________ provides the information about the restraint and obtains the consent. | Nurse |
| Safety guidelines for restraint use include observing the person for increased confusion and ______________. | Agitation |
| Safety guidelines for restraint use include protecting the person quality of life by using restraints for as __________ a time as possible. | Short |
| Safety guidelines for restraint use include following the ____________ instructions. | Manufacturer |
| Manufacturer instructions explain how to apply and __________ the restraint for the person's safety. | Secure |
| Restraints must be ________ and firm but not tight. | Snug |
| Tight restraints can affect ______________ and breathing. | Circulation |
| Safety guidelines for restraint use include applying the restraint with enough help to protect the person and staff from ___________. | Injury |
| Safety guidelines for restraint use include observing the person at least every ____________ minutes or as often as noted in the care plan. | Fifteen |
| Safety guidelines for restraint use include removing or releasing the restraint, re-positioning the person, and meeting basic needs at least every __________ hours or as often as noted in the care plan. | Two |
| Safety guidelines for restraint use include _____________ using sheets, towels, tape, rope, straps or bandages to restrain a person. | Never |
| What is a big risk from restraints that are too big or loose? | Strangulation |
| Safety guidelines for restraint use include positioning the person in good _______________ before applying the restraint. | Alignment |
| Vest or jacket restraints should cross in the _____________. | Front |
| Safety guidelines for restraint use include securing ______________ out of the person's reach. | Straps |
| Restraints should be secured to the ____________ part of the bed frame at waist level. | Moveable |
| When using restraints in a chair or wheelchair, the straps need to be secured _____________ the seat. | Under |
| Bed rail covers or gap protectors prevent ______________ between the rails or the bed rail bars. | Entrapment |
| Safety measures after applying restraints include keeping full ______ __________ up when using a vest, jacket, or belt restraint. | Bed rails |
| Safety measures after applying restraints include not using back ___________ when a person is restrained in a chair. | Cushions |
| Safety measures after applying restraints include not ____________ the person with a sheet or blanket. | Covering |
| Safety measures after applying restraints include keeping the restrain in plain ______________ at all times. | View |
| Safety measures after applying restraints include checking the person every _________ minutes for safety, comfort, and signs of injury. | Fifteen |
| Safety measures after applying restraints include checking the person's ____________ at least every 15 minutes if mitt, wrist, or ankle restraints are applied. | Circulation |
| To check a person's circulation, you need to check the __________ site below the area where the restraint is applied. | Pulse |
| Tell the nurse at once if you cannot feel a ______________. | Pulse |
| Tell the nurse at once if the person's fingers are cold, pale, or ________ in color. | Blue |
| Tell the nurse at once if the person complains of _________, numbness or tingling in the restrained part. | Pain |
| Tell the nurse at once if the skin is ______ or damaged. | Red |
| Check the person every 15 minutes if a belt, jacket, or vest restraint is used. The person should be able to ___________ easily. | Breathe |
| Remove or release the restraint and re-position the person every _________ _________ or as often as noted in the care plan. | Two hours |
| Restraints are removed for at least ____________ minutes and basic needs are met during this time. | Ten |
| Wrist restraints limit __________ movement. | Arm |
| Wrist restraints may be used when a person continually tries to pull out _____________ used for life-saving treatment. | Tubes |
| Mitt restraints prevent ____________ use. | Finger |
| Belt restraints are used when injuries from __________ is a risk or for positioning during medical treatments. | Falls |
| A ___________ belt allows the person to turn from side to side or sit up in bed. | Roll |
| Vest and jacket restraints are applied to the ___________. | Chest |
| Jacket restraints are applied with the opening in the _________. | Back |
| The straps of vest and jacket restraints always cross in the _____________. | Front |
| Restraints may ___________ confusion and agitation in persons with dementia. | Increase |
| Never use _____________ to apply a restraint, ask a co-worker to help you. | Force |
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na3
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