Restraints

  1. 14 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
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  3. Visit  mindlor profile page

    About mindlor

    Joined Aug '09; Posts: 1,397; Likes: 2,373.

    42 Comments so far...

  4. Visit  morte profile page
    5
    Your bos is nuts.
    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
    nrsang97, anotherone, joanna73, and 2 others like this.
  5. Visit  RNperdiem profile page
    3
    How about a sitter if this patient is constantly requiring reconnection to the vent?
    I have also seen a trick of twisting a rubber band to connect trach to vent for patients who tend to pop off the vent every time they turn or move, but are not actively pulling on their tubing.
    Peepsaretasty, poppycat, and somenurse like this.
  6. Visit  iluvivt profile page
    7
    Her suggestion is also a restraint!. I love how we are responsible for things when we are not allowed to have the proper tools and staffing to do so. What about chemical restraints? If the mitts are not tied to the bed and the fingers can freely move does your facility consider that a restraint?
    nrsang97, AnonRNC, cienurse, and 4 others like this.
  7. Visit  sapphire18 profile page
    4
    Illegal, and where I work mitts are not a restraint.
    psu_213, sharpeimom, barbyann, and 1 other like this.
  8. Visit  SwansonRN profile page
    7
    Same, mitts are not a restraint where I work, but they only work well on certain types of patients. A lot of patients are crafty enough to slip them right off.

    Properly applied soft wrist restraints sounds a lot more humane than tying someone up in bed linens. Your boss has issues.
    IowaKaren, nrsang97, dudette10, and 4 others like this.
  9. Visit  noyesno profile page
    6
    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
    Sounds like a straight jacket. Your boss is an idiot (no offense).
    cienurse, Peepsaretasty, joanna73, and 3 others like this.
  10. Visit  RNewbie profile page
    0
    Quote from mindlor
    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"
    Well that's the exact definition of a restraint, not to mention illegal!
  11. Visit  silentRN profile page
    1
    sounds like a long-term care facility?
    tayloramaRN2be likes this.
  12. Visit  TopazLover profile page
    0
    Quote from dh07RN
    sounds like a long-term care facility?
    My experience is that LTC figures out many other ways of dealing without restraints. Side rails not used because people climb over them. Most hospitals are not as gifted in getting creative about ways of helping the person with restraints. You can restrain if necessary. Make sure you document other methods tried and do the rest of the protocol. Sitters are an easier choice.
  13. Visit  OnlybyHisgraceRN profile page
    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.
  14. Visit  GrnTea profile page
    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.
  15. Visit  Nascar nurse profile page
    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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