Restraints Power Point

Question 1

A _____ is any involuntary method, chemical or physical, of restricting an individual’s freedom of movement, physical activity, or normal access of the body.

Answer 1

restraint

Question 2

Restraints are used for immediate safety of patients, _____, or others.

Answer 2

staff

Question 3

Negative impact of restraints due to incidence of ____.

Answer 3

client deaths

Question 4

Negative impact of restraints due to infringement of rights and ____ of clients.

Answer 4

dignity

Question 5

Negative impact of restraints due to lack of support that restraints reduce ____ or injury.

Answer 5

falls

Question 6

Negative impact of restraints due to ____ of increased risk of injury.

Answer 6

increased

Question 7

Negative impact of restraints due to increased ____ in some clients.

Answer 7

confusion

Question 8

When working with geriatrics _____ and use of medications can lead to skin tears, cuts, and bruises.

Answer 8

thinning skin

Question 9

When working with geriatrics it remember decreased ability to _____needs to be considered.

Answer 9

communicate

Question 10

When working with geriatrics it remember there may be an increase in agitation, confusion, or ____

Answer 10

undesired behavior

Question 11

Exhaust other options first before using ______and limit time in restraints

Answer 11

restraints

Question 12

Categories of Restraints

Answer 12

Physical Restraints
-nonviolent
-violent
Chemical restraints
Administrative restrain

Question 13

____ restraints require order and face-to-face assessment of the patient within 24 hours of the restraint application

Answer 13

nonviolent

Question 14

_____ must perform a face-to-face evaluation of the patient within 1 hour of restraint application.

Answer 14

Provider

Question 15

Restraints should be worn no longer than ____ hours for adults 18 years of age or older and ___ hours for children and adolescents 9 to 17 years of age
1 hour for children 8 years of age or younger

Answer 15

4 hours

2 hours

Question 16

When restraint is deemed necessary, the least _____ form that protects the physical safety of the patient or staff must be used.

Answer 16

restrictive

Question 17

Indications for restraints include _______, treatment interference, and behavioral phenomena.

Answer 17

falls/safety of client

Question 18

Alternatives to Restraints

Answer 18

Environmental adaptations
Lighting
Sensory interventions
Eliminate aggravating stimuli
Place needed items near/personalize space
Call bell 
Toileting
Bed alarms

Question 19

Alternatives to Restraints

Answer 19

Distraction
TV (caution if client confused)
Music
Puzzles/Games
Magazines/books
Snack/drink
Any hand activity appropriate

Question 20

Alternatives to Restraints

Answer 20

Supervision
Call family to see if anyone available to sit with client
Place nurse’s cart outside client’s door
Arrange staff to provide 1:1 supervision
Locate the client in area where multiple healthcare providers can assist with supervision

Question 21

Alternatives to Restraints

Answer 21

Location
Assist client to chair
Move to room closer to nurse’s station
Sit in Day Room or common space

Question 22

Safe/Proper Application of Physical Restraints

Answer 22

Applied by only qualified staff
Apply per manufacturers’ instructions
Apply following facility policy
Secured to movable frame of the bed
Secured with a “quick release” knot
Never “tie” all restraint ties to same side of bed
Device does not impair circulation or neurological function

Question 23

Documentation for restraints include

Answer 23

Order as outlined in facility policy
The behavior of client warranting restraints
Alternative measures attempted
Type of restraint
Amount of time in restraint
Hourly or less client checks while in restraints
Release of restraint for toileting/ROM