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- Dec 11, '03 by SkateMy God, your worst nightmare come true... My question is where was the physician or physicians? I had an agitated pt once who had just had cardiac cath... He spoke Russian however understood simple instructions. While I was attending to another patient in another room he got up and fell.... Fractured a hip....
Afterward the nurse manager counseled me and suggested that if I ever had a patient like that again I should leave him by the nurses station or in the hallway so he could be viewed and watched by all. Not a total answer but something to consider...
- Dec 12, '03 by SkateIn some long term care facilities to keep people falling out of bed they place the mattress on the floor...
- Jan 5, '04 by germainkc ccurn wrote
"As far as sitter are concerned, it's a catch 22. Frequently I've had to wake up the sitter as I went into my restrained patients room because he was climbing OOB. We don't use sitters any more in the CCU, but the floors do. "
I work as a sitter now in a large public hospital- I would be FIRED if I ever fell asleep at work. I read, surf the web etc, but only after I've buffed and polished my patient, and if tehy are asleep. I'm always sure my eyes are on the patient and I'm convinced its a great alternative to restraints, although sometimes I'm with restrained people. It cuts down on agitationto have someone to talk to, some diversion.,A nd makes the nurses job easier, at least I try.
Nothing is 100 percent, though. was with a patient the other day, holding one hand and STARING right at him by his bedside when- faster than lightening- he yanked out his NG tube. Just a blur and a gag and out it was. lukily the nurse saw, I'd hate to have tried to explain that one.
I alway thought posey vests were for use in a chair only, never in a bed. There is a trick to tying them correctly, otherwise they get too loose to be affective.
- Jan 5, '04 by nursecompassionI am not exactly sure what a posey vest is unless it is something I had seen in my stna class.
Does it kind of criss cross and then tie to the bed itself? just curious.
I know we don't use those at our LTC facility.
- Jan 5, '04 by kc ccurnIt is a vest that zips up the back and has straps that are attached at the sides of the vest to secure to the bedframe, tie to each other behind a chair. We used to criss cross the straps but don't anymore. We use them in the beds and chairs.
- Jan 6, '04 by nursecompassionAt my LTC facility the most common devices we use are patient protectors. In bed we use the pad. Which is half the size of a bed pad and goes underneath the sheet, if the pt or r starts to try and sit up it will alarm.
If we have frequent fallers, they are always given a low bed or mattress on the floor.
Also, they have what I call rolling pins, which slip in side of the front of the wc and lock with a code, usually the wc is a non-tipping one.
Also, there are geri-chairs, etc. Never saw r be forcefully restrained here though. Our facility does everything possible before any means of restraining are necessary and anything has to be by the dr orders. Unless it is an emergency situation then the rn supervisor can write one up.
- Jan 8, '04 by SkateThanks, very good information to pass on...