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