Podcast
Questions and Answers
What is the primary purpose of using patient restraints?
What is the primary purpose of using patient restraints?
Which type of restraint can be used in conjunction with law enforcement custody?
Which type of restraint can be used in conjunction with law enforcement custody?
What must be ensured when applying soft-type restraints?
What must be ensured when applying soft-type restraints?
Which action should be taken during the application of restraints?
Which action should be taken during the application of restraints?
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What is an important consideration when continually monitoring a restrained patient?
What is an important consideration when continually monitoring a restrained patient?
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What must not be done when securing soft restraints around a patient?
What must not be done when securing soft restraints around a patient?
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When is it appropriate to consider the use of patient restraints?
When is it appropriate to consider the use of patient restraints?
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What additional measure should be taken after restraints are applied?
What additional measure should be taken after restraints are applied?
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Study Notes
Patient Restraint Overview
- Patient restraint modifies physical activities to protect the patient and others from injury.
- Restraints should only be used after exhausting less restrictive behavior control methods.
Indications for Restraint Use
- Violent behavior towards oneself or others, as defined by "The Baker Act" (FS 394.463 Protocol 2).
- Incapacitated patients requiring emergency medical treatment or transportation (FS 401.445 Protocol 2).
Types of Restraints
- Manual Restraints: Physical restraint of violent individuals.
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Soft-Type Restraints:
- Must be wider than 1 inch and non-binding.
- Can include towels, sheets, blankets, and commercially available extremity restraints.
- Police handcuffs/flex-cuffs may remain if a law enforcement officer is present to remove them if needed.
Restraint Procedure for EMR/BLS
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Manual Restraint:
- Utilize multiple personnel for safety during restraint.
- Constantly reassess the patient’s circulatory and respiratory status, modifying or releasing restraints if necessary.
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Soft Restraint:
- Secure restraint around wrist or ankle with a bight that holds the running pieces together.
- Use tape to secure; avoid tying knots unless using specific extremity restraints.
- Additional soft restraints (e.g., rolled sheets) may be applied for chest, hip, or leg support.
- Assess distal circulation through capillary refill post-application and document.
- Continuously monitor circulatory and respiratory status, keeping scissors available for emergency release.
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Patient Positioning:
- Immobilize patients meeting spinal motion restriction criteria (Protocol 40).
- For sitting patients, secure restraints to sidebars of the main stretcher frame; avoid using fold-down side rails.
- For supine patients, place them on a backboard; secure restraints to the board to facilitate turning if vomiting occurs.
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Chemical Restraint: Administered as indicated in Protocol 39 for additional control.
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Description
This quiz covers the essential aspects of patient restraint, including its purpose, indications for use, types of restraints, and procedures for emergency medical responders and Basic Life Support. It highlights the importance of employing restraint methods responsibly to ensure patient safety and compliance with relevant protocols.
