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Restraint includes chemical, mechanical and physical forms of control, coercion and enforced isolation, which may also be called restrictive interventions.
What needs to be documented when using restraints?
The flowsheet should include the following: patient behavior that indicates the continued need for restraints patients mental status, including orientation number and type of restraints used and where theyre placed condition of extremities, includ- ing circulation and sensation extremity range of motion
What information must be documented about a call that required restraints?
Documentation of the restraint and seclusion episode should include: The events and behavior that led to the use of seclusion or restraint. Non-physical and least restrictive interventions that were attempted and the persons response.
What are the guidelines for restraints?
Restraints should not cause harm or be used as punishment. Health care providers should first try other methods to control a patient and ensure safety. Restraints should be used only as a last resort. Caregivers in a hospital can use restraints in emergencies or when they are needed for medical care.
What requirements are needed to use restraints?
(b) Restraints shall only be used with a written order of a licensed healthcare practitioner acting within the scope of his or her professional licensure. The order must specify the duration and circumstances under which the restraints are to be used. Orders must be specific to individual patients.
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What information must be documented when a restraint is used?
Documentation of restraint use, including the reasons for the use of restraint, contributing factors or triggers, completed medical and falls risk assessments, alternatives that have been considered or tried, location and duration of restraint, frequency of monitoring during restraint, type of restraint, and risks
Related links
Restraint Order Form
1 Complete the appropriate column for non-violent (medical) or violent (behavioral) restraint. (3) Use a separate order form each time a restraint order is
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