Physical restrains

Question 1

What do restraints do?

Answer 1

Reduce/prevent physical movement of part or all of client’s body

Question 2

When are restraints used

Answer 2

When client is at risk of harming self or others

Question 3

Are restraints last resort?

Answer 3

Yes, less restrictive measures must be taken first

Question 4

List 4 examples of less restrictive measures

Answer 4

1. Frequent rounding
2. Distraction and redirection
3. De-escalation techniques
4. Direct observation

Question 5

Do we need a health care provider order?

Answer 5

Yes

Question 6

What should be included in the restraint order?

Answer 6

1. Purpose of restraints
2. Time frame and must be renewed every 24 hrs
3. Type of restraint
4. Must also have consent from client or sub decision maker

Question 7

Factors when choosing restraint

Answer 7

• Least restrictive to movement
• Does not interfere with health condition or treatment
• No potential for self-injury
• Easily removeable

Question 8

List 4 types of restraints

Answer 8

1. Jacket or vest
2. Belt
3. Hand (mitt) and limb
4. Bed enclosure

Question 9

Nsg interventions for restraints

Answer 9

Monitor:
- Need for restraint
- Skin integrity
- Circulation

Provide:
- ROM exercises
- Skin care
- ADLs