Restraints and Protocols Study Guide
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Questions and Answers

In a hospital, what is the maximum time limit for each original restraint order and renewal for adults (18 years +)?

  • 1 hour
  • 2 hours
  • 4 hours (correct)
  • 6 hours
  • When a restraint is needed, what type of order is required and who must provide the order?

  • Phone order from a healthcare provider
  • Written order from any staff member
  • Verbal order from a nurse
  • Provider orders required and must be ordered by a healthcare provider (correct)
  • What is the goal regarding the use of restraints for patients?

  • To discontinue using restraints as soon as possible (correct)
  • To continue using restraints until the patient is discharged
  • To increase the frequency of restraint use
  • To change the type of restraint used regularly
  • Who is responsible for assessing the patient's behavior, orientation to environment, need for restraints, and appropriate use of restraints?

    <p>Registered Nurse (RN)</p> Signup and view all the answers

    What is the maximum consecutive hours for which orders may be renewed for a patient in restraints?

    <p>24 hours</p> Signup and view all the answers

    What must a registered nurse (RN) assess for nonviolent patients who are in restraints?

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

    What can a Licensed Practical Nurse (LPN) do regarding patients in restraints?

    <p>Take the patient out of restraints</p> Signup and view all the answers

    Under what circumstances can a restraint be used according to the given information?

    <p>To prevent interruption of therapy</p> Signup and view all the answers

    Which of the following is NOT a part of standard precautions for infection control?

    <p>Wearing gloves only when touching blood and body fluids</p> Signup and view all the answers

    What should be used for hand hygiene when hands are not visibly soiled or contaminated with blood or body fluids?

    <p>Alcohol-based hand rub</p> Signup and view all the answers

    Which type of isolation is needed for diseases transmitted through respiratory droplets?

    <p>Droplet isolation</p> Signup and view all the answers

    What is recommended regarding artificial fingernails and extenders if duties include direct contact with patients at high risk for infection?

    <p>They should be removed during patient care</p> Signup and view all the answers

    What is the recommended method for needle recapping?

    <p>Using one-handed scoop method</p> Signup and view all the answers

    When should hands be washed with non-antimicrobial or antimicrobial soap and water according to the text?

    <p>When hands are visibly soiled or contaminated with blood or body fluids</p> Signup and view all the answers

    What should be used to wash hands if contact with spores is likely to have occurred according to the text?

    <p>Antimicrobial soap and water</p> Signup and view all the answers

    "Respiratory hygiene and cough etiquette" includes which of the following actions according to the text?

    <p>Having pts cover nose and mouth when sneezing and coughing</p> Signup and view all the answers

    What type of isolation is needed for specific diseases transmitted through the air?

    <p>Airborne isolation</p> Signup and view all the answers

    Study Notes

    Restraint Orders and Use

    • Maximum time limit for each original restraint order and renewal for adults (18 years +): not specified
    • Type of order required when a restraint is needed: physician's order
    • Goal regarding the use of restraints for patients: to minimize use and ensure patient safety
    • Responsible for assessing patient's behavior, orientation to environment, need for restraints, and appropriate use of restraints: RN

    Assessment and Care

    • Maximum consecutive hours for which orders may be renewed for a patient in restraints: not specified
    • RN must assess for nonviolent patients who are in restraints: circulation, sensation, and movement
    • LPN's role regarding patients in restraints: assist with care, but not responsible for assessing or initiating restraints

    Infection Control and Isolation

    • Circumstances under which a restraint can be used: not specified
    • Not part of standard precautions for infection control: none specified
    • Hand hygiene when hands are not visibly soiled or contaminated with blood or body fluids: use alcohol-based hand rub
    • Type of isolation needed for diseases transmitted through respiratory droplets: droplet precautions
    • Recommendation for artificial fingernails and extenders if duties include direct contact with patients at high risk for infection: avoid their use
    • Recommended method for needle recapping: do not recap needles

    Hand Hygiene and Isolation

    • When to wash hands with non-antimicrobial or antimicrobial soap and water: after caring for a patient, after using the bathroom, before eating, and after blowing nose, coughing, or sneezing
    • Hand washing solution to use if contact with spores is likely to have occurred: soap and water

    Respiratory Hygiene and Cough Etiquette

    • Actions included in "respiratory hygiene and cough etiquette": covering the mouth and nose with a tissue, throwing away the tissue, and performing hand hygiene
    • Type of isolation needed for specific diseases transmitted through the air: airborne precautions

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    Description

    Prepare for Exam 1 by reviewing information on restraints including their application, protocols, delegation, and appropriateness. Understand the use of physical restraints as a last resort and the necessity of provider orders for their application.

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