Safety Alternatives to Restraints
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Questions and Answers

What Act asks healthcare settings to consider alternative approaches to restraints?

Patient Restraints Minimization Act

What are three examples of restraints?

  • Encouraging the person to do the things they enjoy, such as cards, television, or music.
  • Using a medication to manage a person's behavior. (correct)
  • Limiting a person's movement to keep them in a certain area. (correct)
  • Placement of an object near or on the person's body to limit their ability to move. (correct)
  • Using a wheelchair to transport the person.
  • A restraint can be removed by the person without effort.

    False (B)

    A locked room can be considered a restraint.

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

    Give three examples of what can be done to avoid the use of a restraint.

    <p>Encourage the person to do the things they enjoy, Walk with the person, Help the person to get to the bathroom at regular times</p> Signup and view all the answers

    How can you make a person's room safe when they are at risk of falling out of bed?

    <p>Lowering the bed</p> Signup and view all the answers

    Developing a routine by placing objects and furniture in the same place can be helpful in avoiding restraints.

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

    Restraints should only be used as a last resort and for the shortest possible time.

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

    What are the four things that a healthcare team must do when a person is restrained?

    <p>Watch the person closely to ensure their safety, Look for the earliest and safest time to take off the restraint, Frequently offer the person who is restrained help with activities such as eating and going to the bathroom, Ensure a written order is in place from the person’s doctor</p> Signup and view all the answers

    A person who is at risk for the use of a restraint should talk to the health care team about alternative restraint options.

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

    If a person cannot provide consent for a restraint, their family or substitute decision maker must provide consent.

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

    Restraints can never be used in an emergency situation.

    <p>False (B)</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 when a person is at risk.

    Restraint

    Anything that limits a person's movement using physical objects, locked areas, or medication, preventing them from moving freely without effort.

    Alternative Approaches

    Methods used instead of restraints to ensure patient safety and well-being.

    Physical Restraint

    Using objects like mitts, wrist ties, or belts to limit mobility.

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    Environmental Restraint

    Restricting movement through a locked room or area.

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    Medication Restraint

    Using medication to manage a person's behavior.

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    Person at risk of self-harm

    A person who may hurt themselves due to illnesses (brain injury, confusion), or habits.

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    Person at risk of harming others

    A person who might hurt others due to illnesses or confusion.

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    Avoiding Restraints

    Using activities like games or walks; providing safe areas; and routines to prevent restraints.

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    Minimizing Side Effects

    Using restraints as little as possible.

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    Healthcare Team

    Medical professionals caring for a person, such as doctors and nurses.

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    Written Order

    A doctor's written permission needed before a restraint may be used.

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    Family Involvement

    Involving family members or substitute decision-makers in restraint decisions if needed (unless it is an emergency to prevent harm).

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    Least Restrictive Method

    Using the simplest restraint method possible if restraint is necessary.

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    Time-Limited Restraint

    Restraints should only be used for the shortest amount of time possible.

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    Removal of Restraints

    Taking away restraints as soon as it is safe to do so.

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    Monitoring Patient Safety

    Close observation of a person wearing restraints to ensure their safety.

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    Frequently Offer Assistance

    Regular help with activities like eating and bathroom visits.

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    Restraint Removal Timing

    Checking for the safest and earliest time to remove restraints.

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    Consent

    Permission given by a patient, their family, or substitute decision-maker to use any restraint.

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    Treatment Interference

    Fear of medical procedures (like needles) that might lead to restraint.

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    Consistently Maintaining Routine

    Setting predictable routines will help in a patient's safety and well-being.

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    Healthcare Professional Support

    Contacting healthcare professionals for guidance and help regarding restraints.

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    Study Notes

    Promoting Safety: Alternative Approaches to Restraints

    • Ontario's Patient Restraints Minimization Act prioritizes alternative approaches to restraints, only using them as a last resort when a person is at risk of harming themselves or others.
    • Restraints are defined as anything that restricts a person's movement, including objects placed near the body, limiting movement to a specific area, or medications that control behavior.

    Avoiding Restraint Use

    • Engage the person in activities they enjoy, like watching TV or listening to music.
    • Accompany the person when they need to use the bathroom.
    • Ensure the person's environment is safe from falls, by lowering the bed, ensuring adequate lighting, and keeping furniture in consistent placements.
    • Establish a daily routine.
    • Encourage visits from friends or family to provide emotional support.
    • Use alarms to alert caregivers of movements.

    Restraint Risks

    • Individuals with illnesses, injuries (especially brain injuries), confusion, wandering habits, or fear of necessary medical procedures (like needles) may be at risk of restraint.
    • Restraints can cause restlessness, agitation, injury risk from falls increasing, skin breakdown and sometimes death.

    Necessary Restraint Use

    • A doctor's written order is required.
    • The person, and when able, their family, must be involved in the decision-making process.
    • If the person cannot consent, family or legal guardians must consent, unless an emergency situation prevents this.
    • Restraints should be used for the shortest possible time and immediately removed when it is safe.
    • The least restrictive type of restraint should be used.
    • Healthcare professionals should constantly monitor the person's safety and promptly remove the restraint when possible.

    Seeking Help

    • Contact healthcare staff (nurses, doctors) to discuss concerns about restraints and explore alternatives.
    • Patients' values and preferences should be considered when making decisions regarding restraints.

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    Description

    Explore alternative approaches to patient restraints as outlined in Ontario's Patient Restraints Minimization Act. This quiz will cover strategies to promote safety and well-being without the use of physical restraints, emphasizing engagement and environmental safety.

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