Restraints - page 2

Hey boss, My pt keeps disconnecting herself from the vent, can I get some mittens? Boss says, "no, we are a no restraint facility, just take a sheet, wrap it around her arms and then loop it... Read More

  1. by   CapeCodMermaid
    Mitts are a restraint since anything that prevents free movement or free access to one's body IS a restraint.We used to have a resident who liked to strip and make poop paintings. We got an adult onesie and had to document it as a restraint.
  2. by   SoldierNurse22
    Quote from CapeCodMermaid
    Mitts are a restraint since anything that prevents free movement or free access to one's body IS a restraint.We used to have a resident who liked to strip and make poop paintings. We got an adult onesie and had to document it as a restraint.
    That sounds like a nurse's worst nightmare in a code brown. :-( Points for creativity, though!
  3. by   Garethaus
    Quote from CapeCodMermaid
    Mitts are a restraint since anything that prevents free movement or free access to one's body IS a restraint.We used to have a resident who liked to strip and make poop paintings. We got an adult onesie and had to document it as a restraint.
    What, literally? An actual artistic endeavour instead of just a mess?

    "What do you think of my painting I made?"

    "I think it's a load of crap"
  4. by   WildflowerRN
    Quote from mindlor
    Hey boss,

    My pt keeps disconnecting herself from the vent, can I get some mittens?

    Boss says, "no, we are a no restraint facility, just take a sheet, wrap it around her arms and then loop it around the mattress so she cant move"

    Brilliant
    That is technically a restraint.
  5. by   joanna73
    Mitts are a restraint, but much safer and humane than a bed sheet. God! That scenario sounds awful. I work LTC. We abide by the policy of "least restraint". What you've described about the bed sheet would be cause for our facility to be reported, if we allowed that.
  6. by   Alex Egan
    That's the moment I look at my boss and calmly paraphrase what they said back to them. Most times when they hear it rather than say it they realize how stupid it is. Or I immediately start job hunting because I can't have that person as my boss. Also call the DON if th boss doesn't immediately realize how stupid that idea is.
  7. by   Esme12
    Quote from mindlor
    Hey boss,

    My pt keeps disconnecting herself from the vent, can I get some mittens?

    Boss says, "no, we are a no restraint facility, just take a sheet, wrap it around her arms and then loop it around the mattress so she cant move"

    Brilliant
    Has your boss been in charge at an LTAC before???? What in heavens name is she doing suggesting you use a bed sheet? Let's let her hang herself on the tied sheet....for the love of....

    Has this person ever worked an ICU and do they know the difference between behavioral restraint and medically necessity restraints? The "restraint free" facilities refer to the use of behavioral restraint to correct a behavior....not prevent them from interfering with medical equipment that endanger their lives.

    What the blazes is she thinking....
  8. by   amygarside
    It sounds a frustrating situation.
  9. by   Intentional
    It was always my understanding that a mitt wasn't considered a restraint unless it was tied to the bed/chair/etc.
  10. by   adnrnstudent
    I would like to restrain "No restraint policies."
  11. by   ♪♫ in my ♥
    Quote from OnlybyHisgraceRN
    How about some MJ juice? Sorry. Former icu nurse couldnt resist....
    1. Acknowlege feelings
    2.Orient patient
    3. Remain Calm
    And apply haldol/ativan/benadryl liberally :-)
  12. by   yiyayiya
    Mitts are very definitely a restraint. I have set up an a so that I refuse all restraints for any purpose. If that means not having life saving treatment - so be it.
  13. by   BlackMurse1
    Horrible solution, sounds like an ethics consult should be contacted
    Last edit by BlackMurse1 on Jan 8, '13

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Restraints