Restraints and Fall Risk Assessment

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Questions and Answers

Which of the following is NOT considered a type of restraint?

  • Nutritional restraint (correct)
  • Environmental restraint
  • Chemical restraint
  • Physical restraint

What is the primary condition that justifies the use of restraints?

  • Patient's potential danger to self or others (correct)
  • Patient's expression of discomfort or anxiety
  • Patient's inability to follow hospital rules
  • Patient's refusal to cooperate with treatment

According to the provided content, a restraint order must, at a minimum, include all EXCEPT which of the following?

  • Type of restraint to be used
  • The reason for and rationale behind the restraint
  • How long the restraint can be used for
  • Patient's preferred method of restraint (correct)

A patient is noted to have a past history of falls. Which of the following is most applicable to assess?

<p>SPLATT assessment (C)</p> Signup and view all the answers

How often must restraints be renewed for a 10-year-old patient?

<p>Every 2 hours (D)</p> Signup and view all the answers

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Flashcards

Physical Restraint

Holding a patient's body to prevent movement or harm.

Chemical Restraint

Using medications to manage behavior or sedation.

Mechanical Restraint

Devices like straps or vests that restrict movement.

Environmental Restraint

Raising all four bed rails to prevent a patient from getting out of bed.

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Restraint Order

Order required from a healthcare provider. Includes reason, type, duration, and patient behaviors.

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Study Notes

Types of Restraints

  • Physical restraint: Involves manually holding a person's body.
  • Chemical restraint: Uses drugs.
  • Mechanical restraint: Restricts a person's movement or access to their body.
  • Environmental restraint: For example, using four bed rails.

When to use restraints

  • Only used as a last resort.
  • When a patient is a danger to themselves or others.

Restraint Orders

  • Must be ordered by a healthcare provider.
  • Must contain the reason and rationale for the restraints.
  • Specify the type of restraint.
  • Indicate how long the restraint can be used.
  • Document the patient behaviors leading to restraint use.
  • Age over 85.
  • Bone disorder.
  • Coagulation disorder.
  • Surgery.

SPLATT

  • Symptoms at the time of the fall.
  • Previous falls.
  • Location of the fall.
  • Activity during the fall.
  • Time of the fall.
  • Trauma after the fall.

Time Limits for Restraints

  • 18+ years: Renew every 4 hours.
  • 9-17 years: Renew every 2 hours.
  • 9 years and under: Renew every hour.
  • Remove restraints every 2 hours.

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