Methods of Restraints Flashcards
What are common sources of failure in technical procedures related to restraints?
Improper position and inadequate restraint
These factors can lead to difficulties in the performance of procedures.
What are the indications for using restraints during procedures?
- Expedite access
- Maintain safety of infants
- Ensure asepsis
- Minimize movement and discomfort
- Prevent infants from displacing life support devices and infusions
These indications help ensure the safety and effectiveness of procedures.
List contraindications for the use of restraints.
- When restraint is not required
- Where use may compromise clinical condition
- When restraint by an assistant is more appropriate
- When sedation is preferable
- When close observation is more suitable
Identifying contraindications is crucial for patient safety.
True or False: Mechanical restraints can be used as a substitute for observation.
False
Mechanical restraints should not replace the need for careful observation of the patient.
What should be explained to parents regarding the purpose of restraints?
The purpose of the restraint
Clear communication with parents is essential for understanding and cooperation.
What precautions should be taken when using restraints?
- Check frequently for effectiveness
- Ensure correct application
- Avoid impairing ventilation or circulation
- Use adequate manual restraint during procedures
- Restrain in a position of function
- Provide for quick release from restraints
- Pad pressure points adequately
- Remove restraints as soon as no longer needed
These precautions help ensure the safety and comfort of the infant.
What should be assessed at least hourly when using limb restraints?
- Temperature
- Color
- Capillary refill
- Pulse
- Erythema/Excoriation
- Edema
Regular assessment is critical to prevent complications.
Fill in the blank: The nurse’s responsibility is to select the most appropriate and least _______ type of restraint.
restrictive
This emphasizes the need for minimal intervention while ensuring safety.
What are the methods of restraint mentioned?
- Mummy Restraint
- Limb Restraint
Each type serves specific purposes during procedures.
What complications can arise from the use of restraints?
- Failure of restraint
- Vascular compromise
- Pressure necrosis
- Interference with cardio respiratory function
- Positional deformity
- Limb fracture/dislocation
- Agitation
Awareness of potential complications is vital for effective care.
What comfort measures should be provided during procedures?
- Administer sedation and/or analgesia as needed
- Offer distraction
- Provide touch
Comfort measures can help alleviate anxiety and pain for the infant.
When taping a limb to a board, what should be avoided to prevent complications?
Impedance of circulation by applying tape too tightly
Proper application of tape is crucial to maintain blood flow.
What is the recommended action for limb restraints at least every 4 hours?
Release limb restraints to check for skin irritation and give range-of-motion exercises
This helps prevent skin damage and promotes mobility.
What should be ensured when using restraints regarding tightness?
Restraint has no potential for tightening
This is important for preventing injury and maintaining comfort.
What is the importance of leaving tips of fingers and toes visible when using restraints?
To monitor circulation
Visibility ensures that circulation is not compromised.
What should be done if prolonged restraint is required?
Reposition the infant as frequently as possible
Frequent repositioning helps prevent discomfort and complications.
