Restraints and QSEN Flashcards
What are physical restraints?
Physical device that restricts free movement.
What are chemical restraints?
Medication to control disruptive behavior
(antipsychotic, antidepressent, sedative)
Why are restraints discouraged?
Restrained patient 3-8x more likely to die.
Restrained patient hospitalized 2x longer
What are the physical repercussions to restraints?
Contribute to:
- depression
- infection
- pressurre ulcers
Restraints should be used as a ____ ______, after looking for alternatives.
Last resort
When securing restraints, where should you not secure the restraint to?
What additional measure should be added in case of emergency?
The bedrails
- Have quick release hinges
How often should restraints be assessed?
- What reasons?
Remove restaints at least every 2 hours for:
- ADLs
- repositioning
- Perform ROM
What is required to use restraints?
Doctor’s orders
or
Patient consent
These two restraints secure patients to:
Vest
Belt
Vest: Secure patient to non-moving part of bed (can’t roll)
Belt: secure patient to bed (can roll)
What type of restraint is this?
What is it used for?
Limb restraint
Protect IV site
What type of restraint is this:
Side rail restraint
What is QSEN?
Competencies necessary to improve the quaility/safety of health care systems
What are the six competencies of QSEN?
- Patient centered care
- Teamwork and collaboration
- Evidence-based practice
- Quality improvement
- Safety
- Informatics
What is important about the patient centered care competency of QSEN?
Designates the patient as the source of control and full partner in coordinating care.
How do you incorporate QSEN competencies to nursing knowledge?
- Account for patient/family preferences in care
- Provide emotional support
- Involve family/friends
