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Restraint Seclusion Guidelines

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RESTRAINT SECLUSION & 2009
Restraint and seclusion are emergency protective measures . ,[object Object],[object Object],[object Object],[object Object],[object Object]
Definition ,[object Object],[object Object]
Definition ,[object Object],[object Object],[object Object],[object Object]
Restraints ,[object Object],[object Object]
Situations for Restraint? ,[object Object],[object Object],[object Object]
Situations for Restraint? ,[object Object],[object Object],[object Object],[object Object]
Risks of Restraint ,[object Object],[object Object]
RETHINK RESTRAINTS “ HEY! I THINK HE JUST MOVED! ADD ONE MORE!”
Rethink Restraints ,[object Object],[object Object]
Rethink Restraints ,[object Object]
Rethink Restraints ,[object Object]
Rethink Restraints ,[object Object]
Rethink Restraints ,[object Object]
FACTS ,[object Object]
FACTS ,[object Object],[object Object]
PROACTIVE STRATEGIES
Least Restrictive ,[object Object]
Identify alternatives ,[object Object],[object Object],[object Object]
Identify alternatives ,[object Object],[object Object],[object Object]
Identify alternatives ,[object Object]
Types of Restraint ,[object Object],[object Object]
MEDICAL RESTRAINT
Medical Restraint: Indications ,[object Object],[object Object],[object Object],[object Object],[object Object]
Medical Restraint: Physician Order ,[object Object],[object Object],[object Object],[object Object]
Medical Restraint: Physician Order ,[object Object],[object Object],[object Object]
Medical Restraints: Safe Application ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Medical Restraints: Risks ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Medical Restraints: Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object]
Medical Restraints: Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Emergency Preparedness ,[object Object],[object Object],[object Object],[object Object]
Medical Restraints: Patient / Family Involvement ,[object Object],[object Object]
Medical Restraints: Evaluate Need ,[object Object],[object Object]
Medical Restraints: Evaluate Need ,[object Object],[object Object],[object Object],[object Object]
BEHAVIORAL RESTRAINT (VIOLENT / AGGRESSIVE BEHAVIOR)
[object Object],[object Object],[object Object],[object Object],Definition
FACTS ,[object Object],[object Object],[object Object]
Behavioral Management ,[object Object],[object Object],[object Object],[object Object]
Seclusion and Restraint: Reduction Plan ,[object Object],[object Object],[object Object],[object Object]
Seclusion and Restraint: Reduction Plan ,[object Object],[object Object],[object Object],[object Object]
Behavioral Restraints ,[object Object]
Behavioral Restraints ,[object Object]
Behavioral Restraints: Order Time Limits ,[object Object],[object Object],[object Object],[object Object]
Behavioral Restraints: Orders ,[object Object],[object Object],[object Object]
Behavioral Restraints: Orders ,[object Object],[object Object],[object Object],[object Object]
Behavioral Restraints: Renewal ,[object Object],[object Object],[object Object]
Behavioral Restraints: Renewal ,[object Object],[object Object],[object Object]
Behavioral Restraints: Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RESTRAINTS ,[object Object],[object Object],[object Object]
Sentinel Event Reporting ,[object Object]
Death Report Requirement ,[object Object],[object Object],[object Object],[object Object]
Conclusion ,[object Object],[object Object]

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Restraint Seclusion Guidelines

Editor's Notes

  1. For example, the nurse may remove restraint as a trail, during treatments, while the family is at bedside, or in situations where the patient’s safety may be assured using less restrictive means. Should these less restrictive interventions become ineffective or not applicable, restraints may be reapplied as long as the enabling restraint order remains in effect.