Restraints

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  1. This is a discussion on Restraints in General Nursing Discussion, part of General Nursing ... Hey boss, My pt keeps disconnecting herself from the vent, can I get some mittens? Boss...

    by Jan 7
    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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    by mindlor Jan 7 6:01 am
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    Good Morning, Gil, psu_213, pseudomonas, and 11 others like this.

  2. 42 Comments so far...

  3. Jan 7 by
    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.
  4. Jan 7 by
    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, KarenfRN, and somenurse like this.
  5. Jan 7 by
    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.
  6. Guide
    Jan 7 by
    Illegal, and where I work mitts are not a restraint.
    psu_213, sharpeimom, barbyann, and 1 other like this.
  7. Jan 7 by
    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.
  8. Jan 7 by
    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.
  9. Jan 7 by
    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!
  10. Jan 7 by
    sounds like a long-term care facility?
    tayloramaRN2be likes this.
  11. Guide
    Jan 7 by
    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.