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Restraints
Restraints
Restraints
Restraints
Restraints
Restraints
Restraints
Restraints
Restraints
Restraints
Restraints
Restraints
Restraints
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Restraints

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the nurses aid and restraint

the nurses aid and restraint

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  • 1. Restraint definition:Right to be free of restraintRestricts movementMust be for safety of pt.Last resortDr. order & documentation
  • 2. DefinitionsSeclusionFreedom of movementRemove easily
  • 3. why are they acting this way?Pain Habits at this time of daySick Irritated by bodySOB secretionsFear Communication issueNeed bathroom HallucinatingClothing not right Confused/disorientedUncomfortable position MedicationsCold/hotHungry/thirsty
  • 4. Restraint Alternatives(pg. 185 box 13-2):Social- entertain/distractPhysiological-comfort measuresPsychosocial reinforcement-move, calendarsEnvironmental- call lights, warning devices
  • 5. When to use:Not staff convenienceNot a threatWhen there is a threat to one’s safety
  • 6. ImagineHow nose itches-arms feel: Your would you restrained You need your glasses you can’t see or speak, youYou need to go to can’t turn –you are in a bathroom-you can’t get vest restraint up, you have an accident You are thirsty-cup is closeYour phone rings, you but you are restrained can’t answer-arms The fire alarm goes off-you restrained are restrained & have to wait till someone comes & gets you
  • 7. Types of restraintsPhysical -Trunk restraints- vest or-chair placed so you can’t waist restraint get out -Limb restraints-Side rails- full rails, -Chairs- prohibiting partial rails, bed placed resident from getting up against wall Drugs: sedate-wheel chair locks-Tightly tucked sheets
  • 8. Restraint guidelines:Dr order/RN must sayFollow proper techniqueLeast restrictiveMonitor respiratory & circulationPad boney prominenceGood body alignment
  • 9. ComplicationsInjuriesCuts, bruisesFracturesDeathMental issues
  • 10. ObservationsA. Circulation B. Respiratory Status-Color -color of lips & nails-Cold -Difficultly breathing-Tingling-Pain-↓ pulses*** If present loosen restraints!
  • 11. NA responsibilityWalk by q15 minutesCheck needs q 30 minutesRemove restraint q 2 hr.- ROM- Ambulate/reposition- Toilet- Fluid/food- Reassess
  • 12. Legal issuesMust be to protectUse after all other options triedMay be false imprisonmentInformed consent required

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