Restraints - page 2

by mindlor 6,785 Views | 42 Comments

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... Read More


  1. 1
    How about some MJ juice? Sorry. Former icu nurse couldnt resist....
    1. Acknowlege feelings
    2.Orient patient
    3. Remain Calm

    Seroiusly though, you shoud be llowed to use mitts
    nrsang97 likes this.
  2. 2
    Simple. (I am assuming that you can't wean 'er off the vent, which would really be the best thing.)

    Have a family conference to explain why restraints should be used. Get their consent and buy-in. Get a physician order for restraints, and be damned sure you document them to the letter and spirit of the regs.

    If no family, ask your social services people to start the process for a guardian ad litem.

    I am reasonably sure that your boss would rather defend the use of restraints than a death.
    jadelpn and sharpeimom like this.
  3. 3
    Quote from dh07RN
    sounds like a long-term care facility?

    Really? You must not have any idea about the realities of LTC.
    joanna73, NutmeggeRN, and cienurse like this.
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    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.
    nrsang97, Hagabel, cienurse, and 2 others like this.
  5. 2
    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!
    Flare and Esme12 like this.
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    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"
    nrsang97, NutmeggeRN, RNperdiem, and 5 others like this.
  7. 0
    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.
  8. 1
    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.
    nrsang97 likes this.
  9. 0
    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.
  10. 3
    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....
    NRSKarenRN, morte, and nrsang97 like this.


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