As well as long term corrective actions such as

This preview shows page 2 - 3 out of 3 pages.

as well as long-term corrective actions such as: patient training on safe practices maintaining adequate lighting, dry floors, call light within reach. Evaluation of resident care plan. 4. After assessing a client/patient, the provider orders bilateral wrist restraints to prevent a client from causing harm to them self. What nursing actions must be taken in order to initiate restraints? Suggested Fundamentals Learning Activity: Restraints Nurses assess and determine the need for a client to be restrained or secluded and they also assess the appropriateness of the type of restraint/safety device that is used in context with the client's current condition and behaviors; they assess and reassess the client in a regular and ongoing basis to insure that the client is safe and that their needs have been met when the use of restraints or seclusion cannot be avoided. When you monitor the patient or resident who is restrained, you must observe and monitor the patient's physical condition, the patient's emotional state, and the patient's responses to the restraint or seclusion. Is the patient safe? Are the restraints still in place and safely applied? Are the patient's vital signs normal? Are the skin color, intactness of the skin, and circulation good? Is the restraint too tight? Is the patient comfortable and without any physical needs that you can attend to like toileting, food and/or fluids? Is the person confused? Is the patient or resident angry, upset or agitated? Is the person afraid or fearful? documented at least every two (2) hours when the person is restrained for non-behavioral reasons, and at least every four (4) hours when the person is restrained for behavioral reasons and more often for

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture