Definitions | Interventions |
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What is a restraint?
Any manual method, physical or mechanical device, material or equipment that immobilizes or reduces the ability of a pt to move his/her arms, legs, body, or hand freely; or a medication when it is used as a restriction to mange the pt's behavior or restri
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What are De Escalation tips?
Use of calm voice, ask the pt what is wrong and really listen, make eye contact, do not react if pt screams or swears. Encourage pt when taking active steps toward calming down.
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What is seclusion?
The involuntary confinement of a pt alone in a room or area from which the pt is physically prevented from leaving and may only be used for the management of violent or self destructive behavior.
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What are restraint alternatives?
Contact family/significant other to stay with pt. Use the bed alarm or chair alarm, move the pt's bed or chair so it is easier to see them when walking by room. Provide an activity to occupy their time and mind.
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What is a mitt?
This is only considered a restraint if it is tied to the pt's bed.
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What is the Centers for Medicare and Medicaid Services (CMS)?
The hospital must report all deaths of pts who were restrained within 24 hrs of death to this agency.
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What are side rails?
These are not considered a restraint if they must be raised for the bed to be operational, up per pt request, pt is sedated, comatose, paralyzed, or unresponsive; or if pt temporarily on a stretcher or being transported.
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What is the correct way to secure the restraint?
Secure restraint devices to a part of the bed that moves with the pt using a quick release knot or buckle and demonstrate.
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What is a Registered Nurse only.
This type of nursing personnel may initiate a restraint.
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What are the levels of the Restrictive Interventions Decision Wheel?
Behavior level, Device level, Independence level, Restraint Level
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