[Angie O'Plasty, RN]

Does your facility still use vest restraints?

Why or why not?

[Tweety]

No.

We had a death by strangulation.

[pedseducator]

Originally Posted by Angie O'Plasty, RN

Does your facility still use vest restraints?

Why or why not?

Yes we do but we check the patient hourly.

[SCRN1]

The hospital I recently worked still uses posey vests, but I haven't seen any used in the hospital where I currently work.

[Bluehair]

No, due to concerns about possible injuries. We do use soft wrist restraints but those have very stringent observation/care criteria. Also have a body net for those that the wrist restraints are just not enough. With any of the above the priority is to do everything possible to remove restraints asap.

[nurse4theplanet]

Yes...we have posey vests available.

The physican's order...a standardized restraint order...has to have what type of restraint is being used (soft limb, vest, etc.) clearly stated and why.

The restraint policy applies to all restraints and is quite strict.

Vest restraints are rarely used, as we find them laughably effective. Soft wrist restraints are most effective. However, if something more restrictive is needed...the result is usually that the nurse stays with the pt until they calm down or security is called for a violent pt.

[Franksters]

No, Thank God!!! I hate those things. They are dangerous and make the situation worse. It is human nature to struggle when you are tied down.

[Anagray]

as long as my hospital is going to continue spend tons of money on building new garage, new offices, etc. we will not have enough money for sitters

[iceyspots]

the hopsital i'm rotating with does not use them because someone was strangulated

[Kim O'Therapy]

The facility I work at uses sitters; however, the hospital my mother was in put a vest on her one evening (she was confused d/t meds and dehydration). I offered to stay the night with her; however, they insisted that they had to have one of their own sitters stay with her. THEY LEFT THE VEST ON HER EVEN THOUGH SHE HAD A SITTER. Later that night, they phoned me saying she had been admitted to ICU d/t "respiratory distress" and intubated. I went to the ICU to check in on her and she was in soft wrist restraints and intubated. On my way out of the hospital, I stopped the sitter and asked her what had happened to my mother. She just shrugged her shoulders and said that "she just slipped down and quit breathing." I've always wondered if she went into distress d/t her condition, or if it was strangulation. My mother eventually died in hospice, but I still think about it alot. I just don't think there is a way to get the "truth", or if it really matters (in a court of law) since she had cancer anyway.