Restraint Use in ICU Flashcards
What are the 3 types of restraints?
Behavioral-physical, medical/surgical, and chemical-medication
When is a behavioral-physical restraint used?
for control of aggressive/violent behavior that jeopardizes the safety of the patient or others
What is the most common type of restraint?
medical-surgical
When is a medical-surgical restraint used?
to prevent behaviors that are harmful to the patient and interfere with medical treatment and for care management of a patient exhibiting behavior that interferes with treatment
What kind of restraint is neoprene?
behavioral restraint
What is the maximum amount of time for restraints?
4 hours
How quickly does a physician need to assess a patient if a restraint has been used on a patient?
within 1 hour
What must restraint orders include?
start and stop time, reason, type, signature of LIP, maximum duration per institutional policy
In order to reevaluate restraints and/or renew them, what must be done?
LIP must make a face-to-face re-evaluation
How often does a behavioral restraint need to be assessed?
every 15 minutes
How often does liquid, nutrition, comfort, and bathroom be offered to a behaviorally restrained patient?
Q2H
How long must behavioral restraints be removed for after 2 hours?
15 minutes minimum for range of motion and skin care
How often does a medical-surgical restraint need to be observed and removed?
every 2 hours and liquid, nutrition, comfort, and bathroom at this time as well as ROM and skin care for no less than 10 minutes
For a medical-surgical restraint, how soon does an LIP need to do a face to face evaluation once a medical-surgical restraint has been initiated?
within 24 hours
maximum duration of a medical-surgical restraint
24 hours
