Restraints Restraints Preventive Measures and Considerations that may be presence. increased visibility to staff, contributory. patient. Explain all procedures Review meds for side Adjust lighting based on before beginning; patient’s safety, visual and be aware of the that may be orientation needs. of anxiety and Preventive measures include contributing to Decrease/control noise level. fear. the basic standards of care we confusion, Place personal items within Use appropriate combativeness, etc. provide to all patients with reach. touch/ physical Collaborate with other special consideration to their contact with patient Position commode, health team members physical, psychological and permission. walker, canes, etc near on a plan of care. bedside. environmental needs. Regulate environmental Environmental: Psychological: temperature. Ensure call Physical: Use active listening and De‐clutter floor and room. light is Arrange for periods of exercise empathy, encourage Provide clear pathway to within and activities. patient to express bathroom, chair and reach. Manage activity level. feelings and thoughts. doorways. Place patient Promote normal sleep patterns. Actively include near nurses’ patient in any Perform relaxation station to techniques. conversations that provide occur in his/her Review lab results for changes Restraints are used only when it can be clinically justified or when warranted by patient behavior that threatens the physical safety of patient, or others. Refer to site specific guidelines for the appropriate use of restraints, including documentation, monitoring, and assessment and reporting of patient events related to the use of restraints
Restraints Restraints Preventive Measures and Considerations Preventive measures include the basic standards of care we provide to all patients with special consideration to their physical, psychological and environmental needs. Physical: Arrange for periods of exercise and activities. Manage activity level. Promote normal sleep patterns. Perform relaxation techniques. Review lab results for changes that may be contributory. Review meds for side that may be contributing to confusion, combativeness, etc. Collaborate with other health team members on a plan of care. Psychological: Use active listening and empathy, encourage patient to express feelings and thoughts. Actively include patient in any conversations that occur in his/her presence. Explain all procedures before beginning; be aware of the of anxiety and fear. Use appropriate touch/ physical contact with patient permission. Environmental: Ensure call light is within reach. Place patient near nurses’ station to provide increased visibility to patient. Adjust lighting based on patient’s safety, visual and orientation needs. Decrease/control noise level. Place personal items within reach. Position commode, walker, canes, etc near bedside. Regulate environmental temperature. De‐clutter floor and room. Provide clear pathway to bathroom, chair and doorways. Restraints are used only when it can be clinically justified or when warranted by patient behavior that threatens the physical safety of patient, staff, or others. Refer to site specific guidelines for the appropriate use of restraints, including documentation, monitoring, and assessment and reporting of patient events related to the use of restraints