University:
West Coast University
Course:
NURS 110 | Introduction to Professional Nursing
Academic year:

2021
Views:

349

Pages:

1
Author:

Leilani Contreras

ACTIVE LEARNING TEMPLATE: Basic Concept STUDENT NAME _____________________________________ Client Safety- Retraints CONCEPT ______________________________________________________________________________ Related Content Underlying Principles (E.G., DELEGATION, LEVELS OF PREVENTION, ADVANCE DIRECTIVES) MH Chapter 2 REVIEW MODULE CHAPTER ___________ Nursing Interventions WHO? WHEN? WHY? HOW? Order restraints for the shortest duration possible The behavior makes the restraints necessary Restraints should never interfere with treatment Educate and explain activity to client/family Order must be written within 15-30 minutes of application. Restraints should restrict movement as little as possible Monitor frequently per protocol Must be renewed at every 2- 24 hours depending on type of restraint Restraints must fit properly Know laws on restraints Use of restraints without an order is considered false imprisonment. In consultation with the primary care provider restraints should only be used as a last resort Order must state why the restraints are necessary and how long they are required Restraints must be easily changed to decrease the chance of injury and to provide the greatest level of dignity Document: *precipitating event/behavior *alternate actions to avoid restraints *time treatment began *clients current behavior, what nourishment offered, needs provided for, VS assessment of site per policy if physical restraints used *medication administered. Restraints can be physical, seclusion or chemical Can be used in an emergent situation if client is of danger to self or others ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A1