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Chapter 12

Restraint Alternatives and Safe Restraint Use

QuestionAnswer
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
Created by: na3