1. Stands for __
2. Their mission is to____.
3. They protect ____.
4. They regulate ______.
5. An example _____.
- 1. Occupational Safety and Health Administration
- 2. Ensure safe work environments for health care workers
- 3. Health care worker's safety
- 4. Violation Fines
- 5. Needleless system
- 1. Centers for Disease Control and Prevention
- 2. Under the Department of Health and Human Services
- 3. Protects public health by providing knowledge to enhance health decisions.
- 4. Focuses on developing and applying disease prevention,
- 1. National Institute for Occupational Safety and Health
- 2. Part of CDC.
- 3. Created to conduct research on how to prevent work related injuries and illnesses.
Developed by CDC to help prevent injuries caused by excessive physical work related stressors.
examples: carpal tunnel syndrome
Work Related Stressors
- 1. Repetitive Tasks
- 2. Forceful Movement
- 3. Awkward Movement
2. Legal Implications
- 1. Ensure Safety of Patient and Others
- 2. Restraints should be used as a Last Resort and interferes with clients freedom.
- 3. MUST be considered first
How to Select the proper Restraint
- 1. Least Restrictive
- 2. Does not interfere with treatment
- 3. Readily changeable
- 4. safe for the client
- 5. Discreet
Type of Restraints
- 1. Belt
- 2. Mitt.
- 3. The elbow.
- 4. Crib net
- 5. Restrictive Chairs.
- 6. Side Rails.
Legal Implications for Restraints
- 1. Know the agencies Policy
- 2. Must have Doctors order (within 24 hours if emergency)
- 3. Principle of Least restriction - Only Restrain Client for needed purpose
- 4. Cannot Delegate responsiblity to family memeber
- 5. Reevaluate need for the restraint
- 1. Assure Patient that the restraint is temporary and protective
- 2. Make sure to apply restraint so the patient can move as freely as possible.
- 3. Make sure blood circulation is not cut off.
- 4. Assess and check every 30 minutes
- 5. Release and provide ROM (range of motion) exercise/assess to the area every 2 hours.
- 6. Do not leave alone if restraint is temporarily removed
- 7 . if cyanosis, Pallor, coldness, tingling sensation, pain or numbness.. immediately lossen the restraint and exercise the area.
- 8. provide emotional support
- 9. immediately report any changes to RN
Alternative to Restraints
- 1. Keep bed in lowest position
- 2. lock bed wheels.
- 3. Care/ Meet patients needs promptly.
- 4. use side rail cushions.
- 5. Know when patients are at risk
- 6. observe patients walk.
- 7. Report mental changes.
- 8. maintain safe environment
- 9. Use security Devices
DOCUMENT AND CHART EVERY STEP YOU MAKE!
- 1. consent from patient/guardian
- 2. Specify behavior as necessary
- 3. Type of Restraint
- 4. Time restraint was applied/removed
- 5. Frequency of care (Assessment/ ROM exercises)
- 6. Explanation/ Teaching to patient and family
- 7. Notification to physican (only during emergency)
Unnecessary use of restraints is abuse
Physical/ Chemical Restraints
4. New Research on Restraints?
- 1. Any type of restraint that is applied to the body
- 2. Medication
- 3. Consider ALL alternative before using restraints
- 4. Restraints can actually cause more harm to the patient.
- ex. increases the risk of falling.