Chapter 14 Restraint Altern. Safe Restrains Use Flashcards
Freedom of movement
Any change in place or position of the body or
Any part of the body that the person is physically able to control
Chemical restraint
Any drug that is used for discipline or convenience and not required to treat medical symptoms
Medical symptom
An indication or characteristic of a physical or psychological condition.
Physical restraint
- any manual method
- physical or chemical device
- material or equipment attach or near the persons body
- she cannot move or remove easily
Remove easily
He manual method that equipment used to restrain a person
That the person can remove intentionally by the person or staff
TJC
Te Joint Commision
FDA
Food and Drug administration
The CMS use terms?
- Physical restraint
- Chemical Restraint
- Freedom of movement
- Remove easily
The CMS, FDA , TJC
They have guidelines for use of restrains
Cognitive problems
difficulties with thinking, learning and memory
reminiscing
a mental impression retained and recalled from the past
strangulation
Удушение
Quick release buckle
Airline type buckle
The posey quick- release tie
This restraint will not tighten or loosen
Make sure that the straps will not slide in any direction
The person can get suspended of the mattress or the chair ( strangulation cause)
Where did u have to secure the belt strap?
Straps should be at a 45 degree angle over the thighs( ляжки) and secure to the chair under the sit. Not behind the back
Bed rail protractor
Covers or gap protectors
When using vest, jacket or belt restraint?
Position the person In semi- Fowler’s position
Chair restraint do not use?
Back cushion
no blanket or sheet - you need to see restraint at all time.
Restraints are removed at least for 10 min.
When checking on the person
Meet the persons basic needs?
- Vital signs
- Elimination needs
- offer food or fluids
- Meet hygiene needs
- Provide physical and emotional needs etc.
Never secure the restraints to the bed rails
Wrap the strap only on the “bed frames “
What to check when person have mitt/wrist or vest, jacket and belt restraint ?
Wrist/mitt- check vital signs , cynosis( color)
Vest, jacket, belt- check persons breathing