Physical restraint

Question 1

If Broset is ≥ 1, consider___ or oral anti-psychotic if patient is
cooperative. Consider restraints if patient does not wish to take oral medications.

Answer 1

oral benzodiazepine

Question 2

If Broset is___ or if attacks against objects/individuals are present, patient must
be either sedated or restrained or both prior to transport

Answer 2

≥ 3

Question 3

If Broset is greater than 3 or ___ on objects,
then physical restraint procedure MUST be initiated unless sedated to
RASS of +1 or less.

Answer 3

verbal, physical threats or attacks

Question 4

If RASS score is ≥+3, patient is an immediate threat to responders, bystanders
or patient:
a. Administer midazolam (2.5-5 mg IV, IO or 5-10 mg IM/IN) PLUS
ziprasidone (10-20 mg IM) or haloperidol (5-10 mg IV, IO, IM).
b. Titrate midazolam 2.5-5 mg IV, IO or 5 mg IM/IN as needed every__ minutes
to control agitation

Answer 4

5

Question 5

Broset Violence Assessment checklist
Score 0 = Low risk of violence
Score 1-2 = Moderate risk of violence (preventative
measures should be taken)
Score ≥ 3 = High risk of violence (preventative
measures are required)
Attacks on objects 0,1
Physical Threats 0,1
Verbal Threats 0,1
Boisterousness 0,1
Irritability 0,1
Confusion 0,1