Transcript Slide 1
TRY TO DISTRACT THE PERSON FROM THE BAD BEHAVIOR
MAINTAIN THE PERSON’S DAILY SCHEDULE AS MUCH AS
POSSIBLE
SIGNAL LIGHT WITHIN REACH
ELIMINATION NEEDS ARE MET
A SITTER MAY BE NEEDED
EXTRA TIME IS SPENT WITH THE PERSON
WARNING DEVICES ON BEDS, CHAIRS, DOORS
MOVE THE PERSON CLOSER TO THE NURSE’S STATION
CHECK ON THE PERSON FREQUENTLY
NOTE ANY INTERVENTIONS ON THE CARE PLAN
LAP PILLOW
ALARM
RESTRAINTS ARE NOT USED FOR DISCIPLINE OR STAFF
CONVENIENCE
RESTRAINTS ARE USED ONLY WHEN NECESSARY TO
TREAT A PERSON’S MEDICAL SYMPTOMS
RESTRAINTS ADD TO A PERSON’S CONFUSION AND
COMBATIVENESS
A RESTRAINT IS ANY ITEM, OBJECT, DEVICE,
GARMENT, MATERIAL, OR CHEMICAL THAT
RESTRICTS A PERSON’S FREEDOM OF
MOVEMENT
OBRA STATES THAT RESIDENTS HAVE THE RIGHT
TO BE FREE FROM RESTRAINTS
OBRA ALLOWS RESTRAINTS TO BE USED ONLY
“TO ENSURE THE SAFETY OF THE RESIDENT OR
OF OTHER RESIDENTS”
PHYSICAL RESTRAINT
MAY BE ANY MANUAL METHOD, PHYSICAL
OR MECHANICAL DEVICE, MATERIAL, OR
EQUIPMENT
ARE ATTACHED TO OR NEXT TO THE
PERSON’S BODY
CANNOT BE EASILY REMOVED BY THE
PERSON
RESTRICT FREEDOM OF MOVEMENT OR
ACCESS TO ONE’S BODY
RESTRAINTS APPLIED
TO THE CHEST, WAIST, ELBOWS,
WRISTS, HANDS, OR ANKLES
GERI CHAIRS
BED RAILS
SHEETS TUCKED IN SO TIGHTLY THAT THEY
RESTRICT MOVEMENT
CHEMICAL RESTRAINTS
DRUGS THAT ARE NOT STANDARD
TREATMENT FOR THE PERSON’S CONDITION
DRUGS USED TO DISCIPLINE A PERSON OR FOR
STAFF CONVENIENCE
DRUGS ARE CONSIDERED CHEMICAL
RESTRAINTS WHEN THEY AFFECT THE
PERSON’S PHYSICAL AND MENTAL FUNCTION
MUSCLE WEAKNESS
LOSS OF MOBILITY
INCONTINENCE
SKIN BREAKDOWN
DECREASE IN ACTIVITY
INCREASE IN CONFUSION AND
AGITATION
CUTS AND BRUISES
DEPRESSION
EMBARRASSMENT AND
HUMILIATION
FRACTURES
STRANGULATION
IF A RESTRAINT IS USED, THE LEAST RESTRICTIVE
METHOD MUST BE USED
RESTRAINTS ARE USED TO PROTECT THE PERSON, NOT
FOR STAFF CONVENIENCE
RESTRAINTS REQUIRE A DOCTOR’S ORDER
THE DOCTOR MUST GIVE THE REASON FOR THE
RESTRAINT AND THE TYPE TO BE USED
THE ORDER MUST ALSO INCLUDE HOW LONG THE
RESTRAINT IS TO BE APPLIED
RESTRAINTS ARE USED ONLY AFTER TRYING OTHER
METHODS TO CONTROL OR PROTECT THE PERSON
UNNECESSARY RESTRAINT IS FALSE IMPRISONMENT
RESTRAINTS REQUIRE THE PERSON’S INFORMED
CONSENT
IF THE PERSON CANNOT GIVE INFORMED
CONSENT, THE PERSON’S LEGAL REPRESENTATIVE
MUST BE GIVEN THE NECESSARY INFORMATION
RESTRAINTS MUST BE USED ACCORDING TO THE
MANUFACTURER’S INSTRUCTIONS
YOU COULD BE FOUND NEGLIGENT FOR
IMPROPERLY APPLYING A RESTRAINT
THE RESTRAINED PERSON’S BASIC NEEDS MUST BE
MET BY THE NURSING TEAM.
OBSERVE FOR INCREASED CONFUSION AND AGITATION
PROTECT THE PERSON’S QUALITY OF LIFE
FOLLOW THE MANUFACTURER’S INSTRUCTIONS
APPLY RESTRAINTS WITH ENOUGH HELP TO PROTECT THE PERSON
AND STAFF FROM INJURY
OBSERVE THE PERSON AT LEAST EVERY 15 MINUTES OR MORE
OFTEN AS REQUIRED BY THE CARE PLAN
REMOVE THE RESTRAINT, REPOSITION THE PERSON, AND MEET
BASIC NEEDS AT LEAST EVERY 2 HOURS
USE THE CORRECT RESTRAINT IN THE CORRECT SIZE
DO NOT USE SHEETS, TOWELS, TAPE, ROPE, STRAPS, BANDAGES, OR
OTHER ITEMS TO RESTRAIN A PERSON
DO NOT USE RESTRAINTS THAT ARE TORN OR FRAYED
FOLLOW AGENCY POLICIES AND PROCEDURES
POSITION THE PERSON IN GOOD ALIGNMENT BEFORE APPLYING THE
RESTRAINT
PAD BONY AREAS AND SKIN
THE RESTRAINT SHOULD BE SNUG BUT ALLOW SOME MOVEMENT OF
THE RESTRAINED PART
SECURE STRAPS OUT OF THE PERSON’S REACH
SECURE THE STRAPS TO THE BED FRAME, NEVER THE BEDRAILS
CHECK THE PERSON’S CIRCULATION AT LEAST EVERY 15 MINUTES
KEEP SCISSORS IN YOUR POCKET FOR EMERGENCY RELEASE
REMOVE THE RESTRAINTS EVERY 2 HOURS
CHECK FOR
TIGHTNESS
YOU SHOULD
BE ABLE TO
INSERT YOUR
HAND
BETWEEN THE
PATIENT AND
THE
RESTRAINT
JACKET
LIMB
THE OPENING OF THE JACKET
RESTRAINT IS ALWAYS PLACED
IN THE FRONT.
THIS ALLOWS THE PERSON
SOME FREEDOM OF
MOVEMENT
A MITT RESTRAINT IS
USED TO PREVENT THE
PERSON FROM
PULLING ON TUBINGS
OR DRESSINGS.
CHECK THE RESTRAINT
EVERY 15 MINUTES TO
MAKE SURE IT DOES NOT
INTERFERE WITH
CIRCULATION.
YOU SHOULD BE ABLE TO
INSERT TWO FINGERS
BETWEEN THE RESTRAINT
AND THE PATIENT’S LIMB.
A HAND ROLL
SHOULD BE
PLACED UNDER
THE PERSON’S
FINGERS WHEN
USING A MITT
RESTRAINT TO
KEEP THE FINGERS
IN PROPER
POSITION
RECORD THE TYPE OF RESTRAINT BEING APPLIED
THE BODY PART RESTRAINED
THE REASON FOR THE APPLICATION
SAFETY MEASURES TAKEN ( PADDED BED RAILS, BED RAILS UP )
THE TIME YOU APPLIED THE RESTRAINT
THE TIME YOU REMOVED THE RESTRAINT
THE CARE GIVEN WHEN THE RESTAINT WAS REMOVED
SKIN COLOR AND CONDITION
THE PULSE FELT IN THE RESTRAINED PART
CHANGES IN THE PERSON’S BEHAVIOR
COMPLAINTS OF PAIN OR DISCOMFORT CAUSED BY THE
RESTRAINT