The Importance of Using Physical Restraint as a Last Resort in Healthcare

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Which of the following is considered a physical restraint?

Using bed rails with 4 side rails up

What is the maximum duration for which physical restraints can be used?

24 hours

What should be done when using extremity restraints?

Ensure two fingers can be inserted between the restraint and patient's extremity

What is the purpose of using a quick-release knot when tying extremity restraints?

To easily release the restraint in case of an emergency

What is the recommended frequency for checking on a patient in physical restraints?

Every 15 minutes

What is the purpose of keeping the call bell within reach of a patient in physical restraints?

To allow the patient to call for help if needed

What should be done before applying restraints to a patient?

Check the restraints for correct size

What should be done if a patient asks for bed rails to be up?

Consider it as a request for restraint and assess the need

What should be done if a patient is found in a supine position with wrist restraints flat?

Remove the restraints immediately

Match the following developmental stages with their primary accident risks:

Fetus = abnormal growth and development Neonate = infection, falls, and SIDS Infant = falls, injuries, burns, suffocation/drowning, and inhalation or ingestion of foreign bodies Toddler = falls, cuts, burns, suffocation/drowning, and inhalation or ingestion of foreign bodies

Match the following stages with their associated safety measures:

Neonate = Use crib rails, never leave infant unattended Infant = Childproof environment, use car seats properly Preschooler = Poison prevention control, use car seats properly School-aged child = Bicycle safety, wear seatbelts

Match the following stages with their common accident risks:

Preschooler = falls, cuts, burns, drowning, inhalation/ingestion, guns and weapons School-aged child = burns, drowning, broken bones, concussions, inhalation/ingestion, guns and weapons, substance abuse Adolescent = motor vehicle accidents, drowning, guns and weapons, inhalation/ingestion Adult = stress, domestic violence, motor vehicle accidents, industrial accidents, drug and alcohol abuse

Match the following stages with their respective safety measures:

Adolescent = Safe driving skills, avoidance of tobacco and alcohol Adult = Unsafe health habits and coping strategies Older adult = Accident prevention, safe home environment and medication safety School-aged child = Interventions for safety at home, school, and neighborhood

Match the following age groups with their primary accident risks:

Older adult = falls, motor vehicle accidents, elder abuse, sensorimotor changes, and fires Infant = falls, injuries, burns, suffocation/drowning, and inhalation or ingestion of foreign bodies Adolescent = motor vehicle accidents, drowning, guns and weapons, inhalation/ingestion Preschooler = falls, cuts, burns, drowning, inhalation/ingestion, guns and weapons

Match the following age groups with the respective safety measures:

Infant = Use car seats properly, rear facing car seats in the back seat Toddler = Childproof environment, poison prevention control Preschooler = Same as toddler Adolescent = Safe driving skills, avoidance of tobacco and alcohol

Match the stages with their respective accident causes:

Neonate = Infection, falls, and SIDS Toddler = falls, cuts, burns, suffocation/drowning, and inhalation or ingestion of foreign bodies School-aged child = burns, drowning, broken bones, concussions, inhalation/ingestion, guns and weapons, substance abuse Adult = stress, domestic violence, motor vehicle accidents, industrial accidents, drug and alcohol abuse

Match the following age groups with their safety measures:

School-aged child = Interventions for safety at home, school, and neighborhood Adolescent = Safe driving skills, risk of infection with body piercing, guns and violence Adult = Unsafe health habits and coping strategies Older adult = Orient person to their surroundings, safe home environment and medication safety

Match the following age groups with their primary accident risks:

Neonate = Infection, falls, and SIDS Toddler = falls, cuts, burns, suffocation/drowning, and inhalation or ingestion of foreign bodies Adolescent = motor vehicle accidents, drowning, guns and weapons, inhalation/ingestion Adult = stress, domestic violence, motor vehicle accidents, industrial accidents, drug and alcohol abuse

Match the following age groups with their safety measures:

Fetus = Preventing accidents at developmental stages Infant = Use crib rails, never leave infant unattended School-aged child = Bicycle safety, child abduction awareness, wear seatbelts Adolescent = Safe driving skills, avoidance of tobacco and alcohol

Match the developmental stages with the corresponding safety hazards:

Fetus = Abnormal growth and development Neonate = Infection, falls, and SIDS Infant = Falls, injuries, burns, suffocation/drowning, and inhalation or ingestion of foreign bodies Toddler = Falls, cuts, burns, suffocation/drowning, and inhalation or ingestion of foreign bodies

Match the following accident prevention measures with the corresponding developmental stages:

Neonate = Use crib rails and never leave infant unattended Infant = Childproof environment and use car seats properly Preschooler = Poison prevention control and use car seats properly School-aged child = Bicycle safety and child abduction awareness

Match the developmental stages with the corresponding safety interventions:

Adolescent = Safe driving skills and avoidance of tobacco and alcohol Adult = Unsafe health habits and coping strategies Older adult = Accident prevention and safe home environment

Match the following safety hazards with the appropriate developmental stages:

Stress, domestic violence, motor vehicle accidents, industrial accidents, drug and alcohol abuse = Adult Burns, drowning, broken bones, concussions, inhalation/ingestion, guns and weapons, substance abuse = School-aged child Motor vehicle accidents, drowning, guns and weapons, inhalation/ingestion = Adolescent Falls, motor vehicle accidents, elder abuse, sensorimotor changes, and fires = Older adult

Match the following safety measures with their corresponding developmental stages:

Wear seatbelts and interventions for safety at home, school, and neighborhood = School-aged child Risk of infection with body piercing and avoidance of tobacco and alcohol = Adolescent Orient person to their surroundings and safe home environment = Older adult Unsafe health habits and coping strategies = Adult

Match the safety hazards with the related developmental stages:

Abnormal growth and development = Fetus Infection, falls, and SIDS = Neonate Falls, cuts, burns, suffocation/drowning, and inhalation or ingestion of foreign bodies = Toddler Motor vehicle accidents, industrial accidents, drug and alcohol abuse = Adult

Match the following safety interventions with the corresponding developmental stages:

Childproof environment and poison prevention control = Infant Safe driving skills and risk of infection with body piercing = Adolescent Unsafe health habits and coping strategies = Adult Accident prevention and orient person to their surroundings = Older adult

Match the safety hazards with their appropriate developmental stages:

Inhalation or ingestion of foreign bodies, falls, injuries, burns, suffocation/drowning = Infant Burns, drowning, broken bones, concussions, inhalation/ingestion, guns and weapons, substance abuse = School-aged child Motor vehicle accidents, drowning, guns and weapons, inhalation/ingestion = Adolescent Stress, domestic violence, motor vehicle accidents, industrial accidents, drug and alcohol abuse = Adult

Match the following safety precautions with their corresponding developmental stages:

Use crib rails and never leave infant unattended = Neonate Childproof environment and use car seats properly = Infant Bicycle safety and child abduction awareness = School-aged child Unsafe health habits and coping strategies = Adult

Match the developmental stages with the corresponding safety interventions:

Fetus = Preventing accidents at developmental stages Neonate = Use crib rails and never leave infant unattended Infant = Childproof environment and use car seats properly Toddler = Poison prevention control and use car seats properly

Which age group is at the highest risk for unintentional injuries due to falls?

Adults aged 65+

Which of the following is NOT a primary cause of falls in older adults?

headache

What is one of the primary reasons for identifying at-risk patients?

To prevent further incidents

What should be done if a patient experiences a fall?

All of the above

What should be done to prevent further incidents after a fall?

Institute appropriate measures

What is one of the interventions to prevent falls in older adults?

Exercise improves balance

What should be assessed for risk factors in the home to prevent falls?

Environmental hazards

What is the purpose of using a fall risk band (yellow) on a patient?

To identify the patient as at risk for falls

What is one of them is considered a primary cause for falls ?

Unfamiliar environments

What should be done if a patient asks for bed rails to be up?

Comply with the patient's request

Which of the following is NOT a seizure precaution?

Restraint of the patient

What are some of the risk factors for seizure?

To prevent pulmonary aspiration

What should a nurse do if a fire occurs in a healthcare setting?

Evacuate patients and other people to a safe area

Which of the following is a seizure precaution?

Reducing environmental stimuli

What is the recommended position to place a patient during a seizure?

Side-lying position

What is the purpose of using a bite block or oral airway during a seizure?

To prevent the patient from biting their tongue

What is the first step in the RACE fire safety procedure?

Rescue anyone in danger

What is the proper body mechanics for a nurse when lifting heavy objects?

Use the hips and knees, avoiding bending of the back

What is one of the safety precautions to reduce the risk of falls?

Loosen any tight clothing

What is the purpose of using oral suction during seizure precautions?

To remove excess saliva

What is one of the safety precautions to prevent falls in older adults?

Provide a safe environment

Study Notes

Physical Restraints

  • A physical restraint is considered when a device or object is used to restrict a patient's movement.
  • Physical restraints should not be used for more than a maximum duration.
  • When using extremity restraints, it is essential to monitor the patient's circulation and skin integrity.
  • The purpose of using a quick-release knot when tying extremity restraints is to enable rapid removal in case of emergency.
  • Patients in physical restraints should be checked on at least every 2 hours to ensure their safety and comfort.
  • Keeping the call bell within reach of a patient in physical restraints allows them to easily call for assistance.
  • Before applying restraints to a patient, the nurse should try alternative methods and ensure that the decision to use restraints is justified.

Patient Safety

  • If a patient asks for bed rails to be up, it should be done to ensure their safety and prevent falls.
  • If a patient is found in a supine position with wrist restraints flat, it can lead to nerve damage and should be immediately addressed.
  • Patients who are at risk of falling should have their bed rails up, and their call bell should be within reach.

Developmental Stages and Safety

  • Infants are at risk of suffocation, strangulation, and falls.
  • Toddlers are at risk of poisoning, burns, and falls.
  • Preschoolers are at risk of drowning, poisoning, and falls.
  • School-age children are at risk of injury from sports, poisoning, and falls.
  • Adolescents are at risk of injury from sports, violence, and falls.
  • Older adults are at risk of falls, especially due to decreased mobility, vision, and hearing.

Fall Prevention

  • Older adults are at the highest risk for unintentional injuries due to falls.
  • Medication is not a primary cause of falls in older adults.
  • Identifying at-risk patients is essential to prevent falls and take necessary precautions.
  • If a patient experiences a fall, they should be assessed for injuries, and necessary interventions should be implemented.
  • To prevent further incidents after a fall, the patient's environment should be assessed for hazards, and necessary modifications should be made.
  • Interventions to prevent falls in older adults include removing hazards, improving lighting, and encouraging exercise.
  • A patient's home should be assessed for risk factors, such as inadequate lighting and slippery floors, to prevent falls.
  • A fall risk band (yellow) is used to identify patients who are at risk of falling.
  • Decreased mobility, vision, and hearing are primary causes of falls in older adults.

Seizure Precautions

  • Seizure precautions include providing a safe environment, monitoring the patient, and having emergency equipment available.
  • Risk factors for seizures include a history of seizures, epilepsy, and head injuries.
  • If a patient has a seizure, the nurse should clear the area, turn the patient to their side, and provide oxygen.
  • The recommended position to place a patient during a seizure is on their side in a lateral position.
  • The purpose of using a bite block or oral airway during a seizure is to protect the patient's airway.
  • The purpose of using oral suction during seizure precautions is to remove secretions and maintain a patent airway.

Fire Safety

  • If a fire occurs in a healthcare setting, the nurse should Rescue patients in immediate danger, Activate the fire alarm, Contain the fire by closing doors, and Extinguish or Evacuate.
  • The first step in the RACE fire safety procedure is to Rescue patients in immediate danger.

Body Mechanics

  • The proper body mechanics for a nurse when lifting heavy objects involves bending at the knees, keeping the object close, and lifting with the legs.

Safety Precautions

  • Safety precautions to reduce the risk of falls include removing hazards, improving lighting, and encouraging exercise.
  • Safety precautions to prevent falls in older adults include installing handrails, improving lighting, and providing a safe environment.

Learn about the importance of using physical restraint as a last resort in healthcare settings. Discover alternative methods to immobilize or reduce a person's freedom of movement, such as encouraging family visitation and offering distractions. Explore the documentation requirements for implementing physical restraints. Test your knowledge with this informative quiz.

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