Safety Obj. 3-5

• 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

• 1. Repetitive Tasks
• 2. Forceful Movement
• 3. Awkward Movement

• 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

• 1. Least Restrictive
• 2. Does not interfere with treatment
• 3. Readily changeable
• 4. safe for the client
• 5. Discreet

• 1. Belt
• 2. Mitt.
• 3. The elbow.
• 4. Crib net
• 5. Restrictive Chairs.
• 6. Side Rails.

• 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

• 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

• 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

• 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.