24 Questions
What is the maximum duration for an original restraint order for an adult (18 years +) in a hospital?
4 hours
Who is responsible for assessing a nonviolent patient every 2 hours?
RN
What is the goal regarding the use of restraints?
To discontinue the use of restraints as soon as possible
Which healthcare provider must assess a patient within 60 minutes if the restraint is due to violence or self-destructive behavior?
RN
What should be specified in a provider's order for restraints?
The duration of the restraint
What type of order is NOT allowed for restraints?
'As needed' (PRN) order
Which healthcare provider can take a patient out of restraints?
LPN
What must be assessed every 2 hours for a nonviolent patient?
Cognitive functioning
What should the nurse instruct the assistive personnel (AP) about?
'When to report s/s of patient not tolerating restraint'
What should be done if the restraint is due to violence or self-destructive behavior?
Assess the patient within 1 hour
Which healthcare provider must instruct the assistive personnel (AP) about how to change a patient's position and provide ROM exercises?
RN
What is the responsibility of a licensed practical nurse (LPN) regarding restraint use?
Taking patient out of restraints
What type of isolation is needed for influenza, adenovirus, and group A strep?
Airborne precautions
What is the most appropriate PPE for a patient interaction likely to involve contact with blood or body fluids?
Gloves and mask
Which condition is considered a 'never event' in hospitals?
Pressure injury stages 3 or 4
What are the appropriate steps for doffing PPE?
Gloves, goggles, gown, mask
When should alcohol-based hand rub be used?
When hands are not visibly soiled or contaminated
What type of precautions are needed for colonization of infections with multi-drug resistant organisms?
Contact precautions
What is the primary purpose of standard precautions?
To apply to blood, blood products, all body fluids, secretions, excretions (except sweat), nonintact skin and mucous membranes
Which condition following surgical site infections is considered a 'never event' in hospitals?
Bariatric surgery for obesity (laparoscopic gastric bypass, gastroenterostomy, laparoscopic gastric restrictive surgery)
What isolation type is needed for specific diseases like shigella and varicella zoster?
'Contact precautions' isolation
What should be worn by healthcare workers when anticipated patient interaction is likely to involve contact with blood or body fluids?
Gloves and mask
When is it appropriate to use alcohol-based hand rub?
When hands are not visibly soiled or contaminated
What type of precautions are needed for patients with respiratory syncytial virus?
Contact precautions
Study guide covering information about restraints, their application, protocols, delegation to licensed and unlicensed individuals, and appropriateness of restraints. Emphasizing the use of least invasive measures first and the requirement for provider orders.
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