Promoting Safety: Alternatives to Restraints
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Questions and Answers

The Patient Restraints Minimization Act asks healthcare settings to consider alternative approaches to restraints and only use them as a last resort when a person is at risk of harm.

True (A)

What is NOT a restraint? (Select all that apply)

  • using a medication to manage a person's behaviour
  • limiting a person's movement to keep them in a certain area
  • an object that cannot be removed by the person without effort
  • a blanket or pillow for comfort (correct)
  • placement of an object near or on the person's body to limit their ability to move

What is an example of a restraint used to limit a person's movement?

Wrist ties

What can help reduce the risk of needing to use restraints? (Select all that apply)

<p>Providing regular bathroom breaks (A), Making the person's room safe by lowering the bed (B), Having a friend or family member visit to sit with the person when they are restless, confused, or afraid (C), Encouraging the person to engage in enjoyable activities (E)</p> Signup and view all the answers

Using a medication to manage a person's behavior is not considered a restraint.

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

What may put a person at risk of requiring a restraint? (Select all that apply)

<p>An illness or injury to the brain (A), A habit of falling or wandering to where it is not safe (B), Confusion (D), Fears about getting a treatment like a needle that is necessary (E)</p> Signup and view all the answers

A written order from a doctor is needed before a restraint can be used.

<p>True (A)</p> Signup and view all the answers

A restraint should be used for the shortest possible time and removed as soon as it is safe.

<p>True (A)</p> Signup and view all the answers

The least restrictive form of restraint should be used when necessary.

<p>True (A)</p> Signup and view all the answers

Who can answer questions about preventing or avoiding the use of restraints? (Select all that apply)

<p>Pharmacist (A), Nurse (B), Social worker (D), Doctor (E)</p> Signup and view all the answers

Flashcards

Patient Restraints Minimization Act

Ontario law encouraging healthcare settings to use restraints only as a last resort, prioritizing alternative methods when a person is at risk of self-harm or harm to others.

Restraint

Anything that restricts a person's movement, including physical objects (like mitts, belts), limiting movement to a specific area, or using medication.

Alternative Approaches

Methods other than restraints to manage behaviour and prevent harm to oneself or others.

Examples of Restraints

Physical devices like mitts, wrist ties, lap belts; confinement to a specific area; or medication used to manage behavior.

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Reasons for Restraint Use

Use of restraints is only acceptable when a person is at risk of harming themselves or others; used as a last resort.

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Promoting safety

Encouraging activities like card games, television, or music.

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Regular Bathroom Visits

Helps in maintaining routine and preventing accidents/unpredictable behavior.

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Safe Room Environment

Lowered bed to reduce fall risk, appropriate lighting, and consistent furniture placement to reduce confusion.

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Family/Friends Involvement

Visiting and supporting during periods of restlessness, confusion, or fear.

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Movement Alarm System

Signals when a person moves from bed or chair to prompt a check for assistance.

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Risk Factors

Conditions increasing the likelihood of needing restraints, including brain injury, confusion, tendency to wander, or fears related to treatments.

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Treatment Interference

Fear about necessary treatments, like needles.

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Informed Consent

Person or family/substitute decision-maker must be informed about and involved in any restraint decision.

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Side Effects of Restraints

Agitation, restlessness, falls, skin breakdown, and potential for death.

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Short-term Restraint Use

Restraints should be used for the shortest possible duration, promptly removed when safe.

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Least Restrictive Approach

Using the mildest form of restraint possible, prioritizing alternative approaches.

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Healthcare Team

Nurses and doctors who watch closely, look for release times, offer help during restraint.

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Medical Intervention

Use of medication to manage behavior in a controlled manner.

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Written Doctor's Order

A medical order from a doctor is required before restraints can be used.

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Supporting Decision Makers

Involving family or substitute decision-makers in restraint decisions.

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Emergency Restraint Use

In emergency situations where harm prevention is critical, restraints might be used without consent, immediately evaluated for removal

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Healthcare Team Contact

Contact the healthcare team to discuss concerns about restraints.

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Informed Decision Making

Patients and their families/guardians should be part of making decisions in healthcare, consistent with their values.

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Study Notes

Promoting Safety: Alternative Approaches to Restraints

  • Restraints should be a last resort, used only when a person is at risk of harming themselves or others.
  • Restraints restrict a person's movement physically (e.g., mitts, lap belts) or by limiting their movement to a confined area (e.g., locked room). They can also involve medication.
  • Healthcare providers should explore alternative solutions before using restraints.
  • Encourage enjoyable activities like watching TV or listening to music to help prevent restraints.
  • Help the person to the bathroom regularly and create a safe environment by lowering the bed or ensuring good lighting.
  • Routine and familiar surroundings are important.
  • Consider having friends or family visit to help manage restlessness or confusion.
  • Use alarms to prompt staff when the person moves from a bed or chair.

Considerations Before Restraint Use

  • Open communication with the patient/family and healthcare team is essential to explore options before restraints.
  • Restraints should be avoided due to potential negative side effects, like increased agitation; heightened risk of falls; skin breakdown; and even death.
  • A written order from a doctor is needed if restraints are necessary.
  • Consent must be obtained from the patient or their decision-maker.
  • Shortest restraint period, followed by prompt removal, is crucial.
  • The least restrictive restraint method should be employed.
  • The healthcare team should closely monitor the individual and remove the restraints at the earliest safe opportunity.

Who to Ask

  • Healthcare team members such as nurses and doctors can answer questions about preventing or avoiding the use of restraints.

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Related Documents

Promoting Safety: Alternative Approaches to Restraints (PDF)

Description

This quiz explores various approaches to promoting safety without the use of restraints in healthcare settings. It emphasizes the importance of open communication and alternative solutions to prevent the need for physical restriction of movement. Learn strategies to create a safe environment and support patient well-being.

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