Promoting Safety: Alternative Approaches to Restraints

According to the Patient Restraints Minimization Act, when should restraints be used?

Which of the following is NOT considered a restraint?

Restraints can sometimes make a person feel more restless and agitated.

Which of the following is NOT a potential risk factor for being restrained?

What should a person at risk for restraint discuss with their health care team?

The healthcare team caring for a person in a restraint should only watch the person closely to ensure their safety.

Who can answer questions about preventing or avoiding the use of restraints?

Promoting Safety: Alternative Approaches to Restraints

Ontario's Patient Restraints Minimization Act mandates healthcare settings prioritize alternative approaches to restraints, only using them as a last resort when a person is at risk of harming themselves or others.
Restraints restrict a person's movement in some way, either by placing an object limiting movement, keeping them in a confined area, or using medication.
Strategies to avoid restraints include encouraging enjoyable activities, assisting with mobility (e.g., walking, bathroom trips), creating a safe environment (lowering beds, good lighting).
Developing routines and having consistent interactions with friends/family can reduce restlessness.
Factors that may predispose a person to needing restraint include illnesses, injuries, confusion, fear or habits of wandering or falling.
Restraints should only be used for the shortest necessary time, and the least restrictive option should be chosen.
A written order from a physician is required, and the patient/family must be involved in the decision-making process.
Healthcare teams should closely monitor those under restraint.
Early removal of restraints is crucial and should be attempted as soon as it is safe.
Healthcare teams are responsible for assisting activities of daily living.
Family members and the patient should consult the health care team with any questions about restraints.

This quiz explores Ontario's Patient Restraints Minimization Act and emphasizes the importance of using alternative approaches to restraints in healthcare settings. It highlights strategies for promoting safety, reducing the need for restraints, and creating supportive environments for patients. Understand the key factors influencing restraint use and the principles of minimizing their application.