When I was new to healthcare I had to work with a girl who liked to tie knots in the restraints even though this is a safety issue.
Sometimes she and I were working the wing alone together so I knew no one else would have done this.
I had a time getting this out and I was overwhelmed with my workload. I felt like the higher-ups were not going to listen to me if I complained about her.
I was livid that she was tying tight knots in the restraints and this was only one of her tactics on a long list of abuses.
As I worked at getting this knot out, my hands were aching and I wanted to start screaming and it was late at night when most of our people were all sleeping.
I was violated by having to work with someone this ignorant about safety.
What if I had to get someone up in a hurry or in an emergency?
When I wrote a note to the DoN about her, it was ignored, either/or she never actually got it.
Several years later, I was working in a hospital that had very few CNAs and I went into someone's room and now for my second time, found a tight knot in someone's restraint.
This time, I came down the hallway and announced loudly that "Someone tied a knot in that restraint." No one really answered back.
Later I was cited for "talking accusingly at them."
I was wondering why this behavior is never written up. Why am I being denied the right to express anger over something that is a dangerous practice and is totally uncalled for?
Anyone can tie a half-bow in the restraint. Even a ten-year-old can learn this.
It comes out with one firm tug and it is safe. You can even double this and have it still be safe.
Jun 12, '12
by Esme12, ASN, BSN, RN Senior Moderator
While I believe that patients have a right to be restraint free. I have the same belief they need to be safe and cared for. Obviously the need for restraints in LTC can be vastly different to the need for restraints in acute care, ICU or the ED.
It is not the message that might be misinterpreted but how the message is delivered. I would say that I observed that the restraints were not tied properly and you would like to show how that can be done. I'd offer to hold an inservice to "teach" everyone the proper technique. If it continued I'd start writing it up as an incident report.
I personally carry trauma shears for this very reason. If they need to be freed.....cut them.
Last edit by Esme12 on Jun 13, '12