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M M M M: By: Jan Michael Khalid L. Macarambon

The document discusses restraint use in healthcare settings. It notes that restraints restrict freedom of movement and access to one's body. Risks of restraint use include injury from falls or manipulating equipment, as well as risk of violence towards oneself or others. Complications can include falls, bruises, lacerations, contractures, pressure ulcers, dehydration, and chronic constipation. The document then lists various types of restraints and provides guidelines for assessing need, obtaining physician order, choosing the least restrictive option, explaining the procedure to the patient, monitoring, and documenting restraint use.

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154 views

M M M M: By: Jan Michael Khalid L. Macarambon

The document discusses restraint use in healthcare settings. It notes that restraints restrict freedom of movement and access to one's body. Risks of restraint use include injury from falls or manipulating equipment, as well as risk of violence towards oneself or others. Complications can include falls, bruises, lacerations, contractures, pressure ulcers, dehydration, and chronic constipation. The document then lists various types of restraints and provides guidelines for assessing need, obtaining physician order, choosing the least restrictive option, explaining the procedure to the patient, monitoring, and documenting restraint use.

Uploaded by

xtaticboy82
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
You are on page 1/ 23

By: Jan Michael Khalid L.

Macarambon

m  m
 m 
m



` ny manual method


or mechanical device,
material or equipment
that the individual
cannot remove easily
which restricts
freedom of movement
or normal access to
one·s body

m
 
mm

` cisk for Injury


- injured by falls, manipulating equipment,
scratching irritated areas
` cisk for Violence: Self-directed or directed at
others
- suicidal behavior, overtly hostile toward staff
members
  m

` 6alls
` Bruises

` Lacerations

` Contractures

` Pressure ulcers

` Dehydration

` Chronic constipation
m  m 
m

` BELT cESTcINTS
m  m 
m

` VEST cESTcINTS
m  m 
m

` JCKET cESTcINTS
m  m 
m

` ELBOW Oc KNEE cESTcINTS


m  m 
m

` WcIST Oc NKLE cESTcINTS


m  m 
m

` MITT cESTcINTS
÷
m m m  m

` CLOVE HITCH
÷
m m m  m

` SQUcE KNOT


m 
m  m

` WEDGE CUSHION


m 
 m  m

` S6ETY BELT


m 
m  m

` LP-BOcD


m 
m  m

` TOcSO SUPPOcT


m 
m  m

` LcGE 6OM BOLSTEcS



   

` SSESSMENT:
1. ssess all factors that could contribute to pt.·s
risk for injury.
2. ssess envt. to determine hazard.

3. Identify all types of safety devices available.

4. If the pt. already has a restraint in place,


assess the need for the device.

   

` PLNNING:
1. If a restrictive restraint is applied, physician·s
order must be secured unless the safety
consideration is an emergency.
2. Choose the least restrictive restraint possible.

3. Wash hands for infection control.

4. Plan for any assistance.

5. Obtain the chosen device.



   
` IMPLEMENTTION:
1. Identify the patient.
2. When possible, provide for the patient·s
elimination needs before applying any device.
3. Explain what you plan to do and why, regardless
of how irrational a pt. might be.
4. pply the device, using an appropriate knot of
needed.
5. If restless or has fragile skin, add extra padding
to the restraint

   

` IMPLEMENTTION:
6. ceassure the pt.

7. cemove the device every 2 hours or less

8. ceapply the device if necesarry.

9. Wash hands

   

` EVLUTION:
Criteria:
1. Patient comfort

2. Effectiveness of the device

3. Continued need of the device



   

` DOCUMENTTION:
cecord on the nurses· notes or flow sheets:
1. The type and location

2. The time and reason for application

3. The skin condition and distal circulation.

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