Promoting Safety: Alternative Approaches to Restraints
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Questions and Answers

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

Restraints should only be used as a last resort when a person is at risk of harm to themselves or others.

Which of the following is NOT considered a restraint?

  • A device that helps a person walk independently (correct)
  • A locked room preventing a person from leaving
  • Wrist ties that limit a person's ability to move
  • A medication used to manage a person's behavior

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

    True (A)

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

    <p>The ability to communicate clearly (A)</p> Signup and view all the answers

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

    <p>They should discuss alternative options to try before resorting to restraints.</p> Signup and view all the answers

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

    <p>False (B)</p> Signup and view all the answers

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

    <p>Any member of the healthcare team, such as a nurse or doctor.</p> Signup and view all the answers

    Flashcards

    Patient Restraints Minimization Act

    Ontario law encouraging healthcare settings to minimize restraints, using them only as a last resort to prevent harm.

    Restraint Definition

    Anything restricting a person's movement, e.g., mitts, wrist ties, locked rooms, or medications.

    Alternative Approaches (Restraints)

    Methods used instead of restraints, engaging patients in activities they enjoy, creating a safe environment, establishing routines, and having support.

    Risk factors for restraints

    Conditions leading to potential harm to self or others, including brain injury/illness, confusion, wandering, fear of treatment.

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    Restraint Consent

    Patient's, family's or substitute's agreement; written order from the doctor for the use of restraints.

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    Side Effects of Restraints

    Possible negative effects, including restlessness, injury risk from falls, skin breakdown, and serious injury/death.

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    Least Restrictive Restraint

    Using the mildest restraint method safe for the situation, such as a belt rather than a locked room.

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    Restraint Duration

    Restraints should be used for the shortest time possible and removed as soon as safe.

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    Patient Involvement in Restraint Decision

    Patient, family, and healthcare team must discuss restraint alternatives before using restraints.

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    Patient Care with Restraints

    Health care team responsibility to ensure the patient's safety, identify when it's time to remove restraints, and assist patient with routine tasks.

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    Health Care Team Support

    Members of the healthcare team can answer questions or concerns about minimizing restraint usage.

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    Important Decisions

    Patients and their families should be part of making decisions consistent with their values, involving healthcare team help and support

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    Brain Injury

    An injury to the brain, whether physical or otherwise, that can affect decision-making and behavior.

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    Confusion

    Difficulty in thinking clearly, which can cause disorientation and potentially unsafe behavior.

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    Study Notes

    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.

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    Promoting Safety: Alternative Approaches to Restraints (PDF)

    Description

    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.

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