Patient restraints can be effective in ensuring patient safety, but it should be implemented as a last resort and after attempts at other interventions were unsuccessful. The Joint Commission requires that patients are continuously monitored, assessed, and document the need to continue restraints, as well as the need for hydration, elimination, repositioning, etc. (The Joint Commission, 2009). If this was implemented, not only would continuing use of restrains be prevented, but the pressure ulcer on Mr. J’s lower spine could have also been prevented. Patients should be repositioned every two hours, whether they are restrained or not, to prevent pressure ulcers. If this was the standard practice of care, Mr. J’s would not have developed a red, depressed area over his lower spine.
3NURSING-SENSITIVE OUTCOME INDICATORS A better understanding and knowledge of nursing-sensitive indicators can assist staff in identifying issues that may interfere with patient care. This can ultimately prevent negative outcomes associated with restraints and pressure ulcers B. Quality Patient Care Hospital data on specific nursing-sensitive indicators, such as incidence of pressure ulcers and prevalence of restraints are essential in improving the quality of patient care. This data can identify what may be lacking in nursing care, and can also be analyzed to gather further information that can identify how and why indicators occur. This information facilitates solutions, prevention, and may ultimately decrease or eliminate future incidence.
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- Fall '19
- Nursing, National Database of Nursing Quality Indicators, Mr. J