TRY TO DISTRACT THE PERSON FROM THE BAD BEHAVIOR

MAINTAIN THE PERSON’S DAILY SCHEDULE AS MUCH AS POSSIBLE

SIGNAL LIGHT WITHIN REACH

ELIMINATION NEEDS ARE MET

A SITTER MAY BE NEEDED

EXTRA TIME IS SPENT WITH THE PERSON

WARNING DEVICES ON BEDS, CHAIRS, DOORS

MOVE THE PERSON CLOSER TO THE NURSE’S STATION

CHECK ON THE PERSON FREQUENTLY

NOTE ANY INTERVENTIONS ON THE CARE PLAN

LAP PILLOW ALARM

RESTRAINTS ARE NOT USED FOR DISCIPLINE OR STAFF CONVENIENCE

RESTRAINTS ARE USED ONLY WHEN NECESSARY TO TREAT A PERSON’S MEDICAL SYMPTOMS

RESTRAINTS ADD TO A PERSON’S CONFUSION AND COMBATIVENESS

A RESTRAINT IS ANY ITEM, OBJECT, DEVICE, GARMENT, MATERIAL, OR CHEMICAL THAT

RESTRICTS A PERSON’S FREEDOM OF MOVEMENT

OBRA STATES THAT RESIDENTS HAVE THE RIGHT TO BE FREE FROM RESTRAINTS

OBRA ALLOWS RESTRAINTS TO BE USED ONLY “TO ENSURE THE SAFETY OF THE RESIDENT OR

OF OTHER RESIDENTS”

PHYSICAL RESTRAINT

MAY BE ANY MANUAL METHOD, PHYSICAL OR MECHANICAL DEVICE, MATERIAL, OR EQUIPMENT

ARE ATTACHED TO OR NEXT TO THE PERSON’S BODY

CANNOT BE EASILY REMOVED BY THE PERSON

RESTRICT FREEDOM OF MOVEMENT OR ACCESS TO ONE’S BODY

RESTRAINTS APPLIED TO THE CHEST, WAIST, ELBOWS, WRISTS, HANDS, OR ANKLES

GERI CHAIRS

BED RAILS

SHEETS TUCKED IN SO TIGHTLY THAT THEY RESTRICT MOVEMENT

CHEMICAL RESTRAINTS

DRUGS THAT ARE NOT STANDARD TREATMENT FOR THE PERSON’S CONDITION

DRUGS USED TO DISCIPLINE A PERSON OR FOR STAFF CONVENIENCE

DRUGS ARE CONSIDERED CHEMICAL RESTRAINTS WHEN THEY AFFECT THE PERSON’S PHYSICAL AND MENTAL FUNCTION

MUSCLE WEAKNESS

LOSS OF MOBILITY

INCONTINENCE

SKIN BREAKDOWN

DECREASE IN ACTIVITY

INCREASE IN CONFUSION AND AGITATION

CUTS AND BRUISES

DEPRESSION

EMBARRASSMENT AND HUMILIATION

FRACTURES

STRANGULATION

IF A RESTRAINT IS USED, THE LEAST RESTRICTIVE METHOD MUST BE USED

RESTRAINTS ARE USED TO PROTECT THE PERSON, NOT FOR STAFF CONVENIENCE

RESTRAINTS REQUIRE A DOCTOR’S ORDER

THE DOCTOR MUST GIVE THE REASON FOR THE RESTRAINT AND THE TYPE TO BE USED

THE ORDER MUST ALSO INCLUDE HOW LONG THE RESTRAINT IS TO BE APPLIED

RESTRAINTS ARE USED ONLY AFTER TRYING OTHER METHODS TO CONTROL OR PROTECT THE PERSON

UNNECESSARY RESTRAINT IS FALSE IMPRISONMENT

RESTRAINTS REQUIRE THE PERSON’S INFORMED CONSENT

IF THE PERSON CANNOT GIVE INFORMED CONSENT, THE PERSON’S LEGAL REPRESENTATIVE MUST BE GIVEN THE NECESSARY INFORMATION

RESTRAINTS MUST BE USED ACCORDING TO THE MANUFACTURER’S INSTRUCTIONS

YOU COULD BE FOUND NEGLIGENT FOR IMPROPERLY APPLYING A RESTRAINT

THE RESTRAINED PERSON’S BASIC NEEDS MUST BE MET BY THE NURSING TEAM.

OBSERVE FOR INCREASED CONFUSION AND AGITATION

PROTECT THE PERSON’S QUALITY OF LIFE

FOLLOW THE MANUFACTURER’S INSTRUCTIONS

APPLY RESTRAINTS WITH ENOUGH HELP TO PROTECT THE PERSON AND STAFF FROM INJURY

OBSERVE THE PERSON AT LEAST EVERY 15 MINUTES OR MORE OFTEN AS REQUIRED BY THE CARE PLAN

REMOVE THE RESTRAINT, REPOSITION THE PERSON, AND MEET BASIC NEEDS AT LEAST EVERY 2 HOURS

USE THE CORRECT RESTRAINT IN THE CORRECT SIZE

DO NOT USE SHEETS, TOWELS, TAPE, ROPE, STRAPS, BANDAGES, OR OTHER ITEMS TO RESTRAIN A PERSON

DO NOT USE RESTRAINTS THAT ARE TORN OR FRAYED

FOLLOW AGENCY POLICIES AND PROCEDURES

POSITION THE PERSON IN GOOD ALIGNMENT BEFORE APPLYING THE RESTRAINT

PAD BONY AREAS AND SKIN

THE RESTRAINT SHOULD BE SNUG BUT ALLOW SOME MOVEMENT OF THE RESTRAINED PART

SECURE STRAPS OUT OF THE PERSON’S REACH

SECURE THE STRAPS TO THE BED FRAME, NEVER THE BEDRAILS

CHECK THE PERSON’S CIRCULATION AT LEAST EVERY 15 MINUTES

KEEP SCISSORS IN YOUR POCKET FOR EMERGENCY RELEASE

REMOVE THE RESTRAINTS EVERY 2 HOURS

YOU SHOULD BE ABLE TO INSERT YOUR HAND BETWEEN THE PATIENT AND THE RESTRAINT

CHECK FOR TIGHTNESS

JACKET LIMB

THE OPENING OF THE JACKET RESTRAINT IS ALWAYS PLACED IN THE FRONT.

THIS ALLOWS THE PERSON SOME FREEDOM OF

MOVEMENT

A MITT RESTRAINT IS USED TO PREVENT THE PERSON FROM PULLING ON TUBINGS OR DRESSINGS.

CHECK THE RESTRAINT EVERY 15 MINUTES TO MAKE SURE IT DOES NOT INTERFERE WITH CIRCULATION.

YOU SHOULD BE ABLE TO INSERT TWO FINGERS BETWEEN THE RESTRAINT AND THE PATIENT’S LIMB.

A HAND ROLL SHOULD BE PLACED UNDER THE PERSON’S FINGERS WHEN USING A MITT RESTRAINT TO KEEP THE FINGERS IN PROPER POSITION

RECORD THE TYPE OF RESTRAINT BEING APPLIED

THE BODY PART RESTRAINED

THE REASON FOR THE APPLICATION

SAFETY MEASURES TAKEN ( PADDED BED RAILS, BED RAILS UP )

THE TIME YOU APPLIED THE RESTRAINT

THE TIME YOU REMOVED THE RESTRAINT

THE CARE GIVEN WHEN THE RESTAINT WAS REMOVED

SKIN COLOR AND CONDITION

THE PULSE FELT IN THE RESTRAINED PART

CHANGES IN THE PERSON’S BEHAVIOR

COMPLAINTS OF PAIN OR DISCOMFORT CAUSED BY THE RESTRAINT